Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Elkhart, IN: $49.36

Avg. Paid

$49.36

Range

$8.49 – $256.77

Total Claims

323,807

Providers

178

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Elkhart, IN

Provider	Avg. Paid	Claims	Patients
Julie Ann Rheinheimer 2310 California Rd	$34.66	12	12
John P. Karagiannis 303 S Nappanee St	$53.74	12	12
Gurudutt B. Kulkarni 500 Arcade Ave	$74.64	12	12
Craig W Erekson 2310 California Road	$36.93	13	13
Tara Christine Jones 1215 Lawn Ave	$42.55	14	12
Amy Nichole Golden 3100 Windsor Ct	$62.06	14	14
Timothy Alan Quist 24021 Us 33 East	$8.49	14	13
Samantha Wilson 2405 W Lexington Ave	$58.52	14	12
Heather A. Hostetler 1215 Lawn Ave Ste 100	$89.34	14	12
Ernest Larry Knight 303 S Nappanee St	$32.19	15	12
Matthew Deere 303 S Nappanee St	$49.07	15	14
Heather Kistka 500 Arcade Ave Ste 200	$113.27	15	14
Henry Kirori 500 Arcade Ave Ste 400	$43.11	17	15
Darren Robert Dolly 1215 Lawn Ave Ste 100	$28.64	17	13
Brenda Kay Angier 505 S 3Rd St	$36.96	27	25
Nicole R Graves 2222 W Lexington Ave Ste B	$13.96	31	27
Boling Vision Center, Llc 2746 Old Us 20 W	$79.90	33	33
Whitney Boling 2746 Old Us 20 W	$32.11	36	26
Patricia Ayers 23936 Woodmont Dr	$256.77	36	36
Kevin H Egan 2746 Old Us 20 W	$58.77	39	37
Jeffrey Robert Sonntag 2310 California Rd Ste A	$59.53	44	38
Jennifer Ann Hartl 303 S Nappanee St	$29.88	45	42
William P Buckley 303 S Nappanee St	$40.12	45	40
Tina Marie Kocher 500 Arcade Ave	$40.46	46	37
Bradley Gordan 500 Arcade Ave Ste 320	$82.85	47	45
Anne K. Gruber 3301 County Road 6 E	$55.36	47	43
Sunny Marie Johnson 105 N Nappanee St	$54.50	48	40
Philip D Dibert 500 Arcade Ave Ste 210	$15.07	49	24
Jacob Hinkley 2310 California Rd	$37.90	52	45
Lauren C Das 1215 Lawn Ave Ste 120	$95.93	54	40
Heather A. Macklem 2115 W Lexington Ave	$67.15	56	53
Sanjay Vasudeva 600 East Blvd	$35.59	61	56
Juliana Gonsalves 1215 Lawn Ave Ste 120	$57.52	72	67
Jennifer Swain 500 Arcade Ave Ste 400	$56.99	78	71
Jerald A Hochstetler 105 N Nappanee St	$35.48	79	63
Keith C Barkow 851 Parkway Ave	$64.91	88	80
Joseph B. Schnittker 500 Arcade Ave	$41.17	114	100
Orthopedic And Sports Medicine Center Of Northern Indiana, Inc 2310 California Rd Ste A	$11.32	115	82
Carter James Andersen 3421 Cassopolis St Ste 200	$49.18	118	104
Anish H Nayee 1506 Osolo Road	$50.76	125	115
Melissa A Henderson 2222 W Lexington Ave	$51.99	132	118
Carolyn F. Hudson 303 S Nappanee St	$39.47	136	122
Dayna L Gerring 303 S Nappanee St	$95.20	137	136
Theresa Malcom 500 Arcade Ave Ste 210	$51.71	148	127
Ann Roberts Moore 500 Arcade Ave	$39.96	151	130
Lindsey K Troyer 2405 W Lexington Ave	$57.31	155	141
Debra L. Shemesh 500 Arcade Ave Ste 400	$43.64	172	155
Thalia Raya Pachiyannakis 1545 Cassopolis St	$65.42	179	134
Timothy E Morgan 2405 West Lexington Avenue	$55.36	188	159
Starla D Graber 2405 West Lexington Avenue	$54.20	189	152

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Elkhart, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elkhart, IN is $49.36 per claim, based on 323,807 claims from 178 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Elkhart, IN?

There are 178 Medicaid providers offering Office Visit related services in Elkhart, IN according to public payment data.

What is the price range for Office Visit in Elkhart, IN?

Medicaid reimbursement for Office Visit in Elkhart, IN ranges from $8.49 to $256.77 per claim, with an average of $49.36. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Elkhart, IN: $49.36

Providers Offering Office Visit in Elkhart, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Elkhart, IN

Emergency Room Visit

Blood Work & Lab Tests

Psychiatric Evaluation

EKG / ECG (Electrocardiogram)

Vaccines & Immunizations

Urinalysis & Urine Tests

Speech Therapy

Case Management Services