Average Medicaid Office Visit Payments in Fort Gratiot, MI: $52.47
Avg. Paid
$52.47
Range
$24.29 – $70.25
Total Claims
138,806
Providers
14
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 Fort Gratiot, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Blue Water Children'S Health Care
3030 Commerce Dr |
$26.38 | 42,704 | 38,457 |
|
Blue Water Urgent Care Pllc
3941 24Th Ave |
$61.41 | 38,946 | 35,969 |
|
Port Huron Physicians Medical Group Pc
4190 24Th Ave |
$68.73 | 27,490 | 25,290 |
|
Neurosleep Center Pllc
4190 24Th Ave |
$67.71 | 8,440 | 8,028 |
|
Blue Water Mental Health Clinic
1501 Krafft Rd |
$56.83 | 6,579 | 6,097 |
|
Kamal Fahim, M.D., P.L.C.
4190 24Th Ave Ste 204 |
$70.25 | 4,950 | 4,791 |
|
Nalini Samuel Md Pc
3050 Krafft Rd |
$67.90 | 4,472 | 4,452 |
|
Lighthouse Family Medicine, Pllc
4071 24Th Ave |
$53.33 | 4,390 | 3,993 |
|
Ahmad Alabbas
3050 Commerce Dr |
$57.23 | 474 | 438 |
|
Lake Huron Urgent Care Center, Llc
4190 24Th Ave |
$36.06 | 155 | 123 |
|
Fahim K Ibrahim M.D., P.C.
4190 24Th Ave |
$60.47 | 98 | 98 |
|
Horizon Family Medicine Pllc
3041 Commerce Dr Ste B |
$64.75 | 82 | 78 |
|
Anthony J. Bianchi Dpm P.C.
3566 Connie Ln |
$24.29 | 14 | 14 |
|
Rashim K Gupta
4190 24Th Ave |
$42.11 | 12 | 12 |
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 Fort Gratiot, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Gratiot, MI is $52.47 per claim, based on 138,806 claims from 14 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 Fort Gratiot, MI?
There are 14 Medicaid providers offering Office Visit related services in Fort Gratiot, MI according to public payment data.
What is the price range for Office Visit in Fort Gratiot, MI?
Medicaid reimbursement for Office Visit in Fort Gratiot, MI ranges from $24.29 to $70.25 per claim, with an average of $52.47. 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 Fort Gratiot, MI
Case Management Services
Avg $560.51
77,439 claims
Psychiatric Evaluation
Avg $78.03
48,081 claims
Vaccines & Immunizations
Avg $4.28
43,326 claims
Blood Work & Lab Tests
Avg $28.15
11,117 claims
Dental Cleaning & Exam
Avg $38.25
9,672 claims
Eye Exam
Avg $33.96
9,570 claims
Urinalysis & Urine Tests
Avg $2.87
8,927 claims
Physical Therapy
Avg $34.04
8,225 claims