Average Medicaid Office Visit Payments in Fenton, MI: $56.71
Avg. Paid
$56.71
Range
$14.12 – $88.16
Total Claims
125,500
Providers
23
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 Fenton, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Svc Dermatology Pc
305 N Leroy St |
$47.88 | 67,165 | 65,390 |
|
Fenton Medical Center
102 N Adelaide St |
$70.97 | 16,587 | 15,400 |
|
Flash Care Pllc
17100 Silver Pkwy Ste B |
$70.42 | 6,934 | 6,046 |
|
Pain Management Center Of Michigan Plc
2500 North Rd Ste 101 |
$56.33 | 6,713 | 6,213 |
|
Fenton Family Medicine, P.C.
445 N Fenway Dr |
$76.27 | 5,565 | 5,266 |
|
Michael J Kirby Md Plc
445 N Fenway Dr |
$72.92 | 5,300 | 4,840 |
|
Hirt Foot And Ankle Specialists P.C.
14229 Torrey Rd |
$47.32 | 3,466 | 3,211 |
|
Michael D Zerafa Pllc
445 N Fenway Dr |
$72.51 | 3,051 | 2,754 |
|
Primary Care Medicine, Pc
14272 N Fenton Rd |
$59.45 | 2,210 | 2,042 |
|
Amd Urgent Care Fenton
1455 N. Leroy |
$88.16 | 2,185 | 2,069 |
|
J Flack Psyd Pc
127 N River St |
$61.88 | 1,662 | 1,605 |
|
Fenton Late Hours Clinic Ii Pc
102 N Adelaide St |
$47.44 | 963 | 919 |
|
Soon A Choi
2420 Owen Rd |
$14.12 | 602 | 565 |
|
Silver Lake Family Practice Pllc
1100 Torrey Rd Ste 400 |
$55.03 | 564 | 507 |
|
Parkway Family Medicine Pllc
17200 Silver Pkwy |
$61.94 | 504 | 470 |
|
April B Tyler Do Pc
1361 N Long Lake Rd |
$72.06 | 477 | 359 |
|
James S Garfield Do Pc
17100 Silver Pkwy |
$65.35 | 377 | 362 |
|
Dermatology Medical Center Of Mi, Pc
2545 W Silver Lake Rd Ste 2 |
$52.37 | 316 | 311 |
|
Nedil Aldarondo-Antonini
2545 W Silver Lake Rd Ste 2 |
$34.43 | 238 | 210 |
|
Whitney Mcelmurry
3220 W Silver Lake Rd |
$77.22 | 219 | 207 |
|
Edward J. Lis, Jr, Do, Pllc
17200 Silver Pkwy |
$48.56 | 175 | 175 |
|
Fenton Late Hours Clinic Pc
102 N Adelaide St |
$49.70 | 162 | 148 |
|
Mclaren Health Management Group
3270 W Silver Lake Rd |
$18.60 | 65 | 65 |
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 Fenton, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fenton, MI is $56.71 per claim, based on 125,500 claims from 23 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 Fenton, MI?
There are 23 Medicaid providers offering Office Visit related services in Fenton, MI according to public payment data.
What is the price range for Office Visit in Fenton, MI?
Medicaid reimbursement for Office Visit in Fenton, MI ranges from $14.12 to $88.16 per claim, with an average of $56.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Fenton, MI
Physical Therapy
Avg $29.67
252,501 claims
Speech Therapy
Avg $47.75
40,391 claims
Psychiatric Evaluation
Avg $77.14
38,818 claims
Chiropractic Care
Avg $21.75
7,656 claims
Dental Cleaning & Exam
Avg $33.18
7,378 claims
Vaccines & Immunizations
Avg $14.56
6,878 claims
Home Health Visit
Avg $2,044
5,812 claims
Urinalysis & Urine Tests
Avg $2.62
4,032 claims