Average Medicaid Office Visit Payments in Gary, IN: $51.27
Avg. Paid
$51.27
Range
$3.25 – $88.75
Total Claims
293,741
Providers
65
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 Gary, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul Chike Okolocha
2054 Grant St |
$48.79 | 48,331 | 41,822 |
|
Adolphus A Anekwe
3195 Broadway |
$54.72 | 16,197 | 13,441 |
|
Lashanna Shanice Lovell
1015 N Shelby St |
$50.45 | 14,443 | 11,099 |
|
Nathaniel T Ross
1619 W 5Th Ave |
$60.21 | 14,296 | 9,670 |
|
Eunice Okolocha
2054 Grant St |
$45.18 | 10,554 | 8,379 |
|
Kobie I Douglas
1100 W 6Th Ave |
$70.82 | 10,543 | 8,982 |
|
Janet Seabrook
1021 W 5Th Ave |
$50.06 | 9,808 | 6,890 |
|
Mathew V Castelino
1100 W 6Th Ave |
$57.55 | 9,679 | 7,825 |
|
Israel Nieto
4900 Broadway |
$52.70 | 9,558 | 7,290 |
|
Geoffrey Okechukwu Onyeukwu
3814 Grant Street |
$53.56 | 9,132 | 6,775 |
|
Valerie Jean Royal
1021 W 5Th Ave |
$47.06 | 9,090 | 6,654 |
|
Winifred Oniah
2269 W 25Th Ave |
$59.37 | 8,682 | 7,499 |
|
Stephanie Bandy
3229 Broadway Ave. |
$42.78 | 7,266 | 5,733 |
|
Melvin D Richardson
1021 W 5Th Ave |
$51.38 | 7,021 | 5,264 |
|
Camille A Borders
1021 W 5Th Ave |
$53.13 | 6,894 | 4,939 |
|
Ileana Green
1400 Broadway |
$49.59 | 6,786 | 5,118 |
|
Alexander Grantsaris
600 Grant St |
$76.34 | 6,193 | 5,334 |
|
Karen Rose Rohrman
215 Broadway |
$26.53 | 5,916 | 4,439 |
|
Steve Simpson
1021 W 5Th Ave |
$51.69 | 5,680 | 4,128 |
|
Brenda J Thompson
1021 W 5Th Ave |
$46.18 | 5,153 | 3,852 |
|
Nancy Cox
6400 Melton Rd |
$32.40 | 4,859 | 4,074 |
|
Pamela V. Tran
1100 W 6Th Ave |
$65.46 | 4,838 | 3,930 |
|
Paul L. Hannah
3787 Grant St |
$59.39 | 4,233 | 3,179 |
|
Leah Lynn Staples
1201 W 5Th Ave |
$50.17 | 4,216 | 2,785 |
|
Mindy Kay Krsak
3229 Broadway Ste 205 |
$44.57 | 4,116 | 3,713 |
|
Cynthia M Hoess
1021 W 5Th Ave |
$47.16 | 4,060 | 3,528 |
|
Tonya A. Harvey
4900 Broadway |
$40.34 | 3,588 | 3,157 |
|
Arnita Reed
2269 W 25Th Ave |
$60.22 | 3,323 | 2,791 |
|
Anthony O Iwuagwu
2200 Richard Gordon Hatcher Blvd Ste 207 |
$57.58 | 3,027 | 2,365 |
|
Channae Watkins
3229 Broadway Ste 205 |
$55.53 | 2,987 | 2,465 |
|
Lashawn Freeman
650 Grant St |
$25.39 | 2,893 | 2,489 |
|
Olusegun Apata
650 Grant St Ste 7 |
$44.82 | 2,611 | 2,287 |
|
Muhammad Butt
1100 W 6Th Ave |
$29.19 | 2,577 | 1,631 |
|
Adeyemi Oluremi Oyegbade
2269 W 25Th Ave |
$80.24 | 2,151 | 1,719 |
|
Laresse Harris
1100 W 6Th Ave |
$59.72 | 1,733 | 1,347 |
|
Sharelle Nicole Bishop
4900 Broadway |
$65.61 | 1,713 | 1,603 |
|
Debra Ann Equihua
2269 W 25Th Ave |
$67.03 | 1,545 | 1,188 |
|
Michelle L Vorice
650 Grant St |
$55.81 | 1,502 | 1,349 |
|
Merlene T Richardson
3195 Grant St |
$52.61 | 1,348 | 1,053 |
|
Amanda Joy Dech
3229 Broadway Ste 205 |
$41.03 | 1,343 | 1,093 |
|
Douge Barthelemy
720 W 5Th Ave |
$41.03 | 1,194 | 1,060 |
|
Alexx Puckett
600 Grant St |
$53.36 | 1,170 | 1,063 |
|
Karin Adine Warden-Thomas
3535 Broadway |
$46.96 | 1,159 | 1,061 |
|
David Enoch Nelson
4900 Broadway |
$4.13 | 1,118 | 933 |
|
Hanifa Waarith
1701 Broadway |
$55.98 | 1,012 | 830 |
|
Simran K. Arora
4900 Broadway |
$6.62 | 855 | 711 |
|
Raied Abdullah
3229 Broadway |
$30.10 | 853 | 758 |
|
Michelle Wathier
4900 Broadway |
$66.34 | 807 | 536 |
|
Nicole Yvette Richards
3900 Calhoun St |
$49.06 | 753 | 646 |
|
Kevin Scott Bodkin
4900 Broadway |
$3.25 | 631 | 536 |
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 Gary, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gary, IN is $51.27 per claim, based on 293,741 claims from 65 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 Gary, IN?
There are 65 Medicaid providers offering Office Visit related services in Gary, IN according to public payment data.
What is the price range for Office Visit in Gary, IN?
Medicaid reimbursement for Office Visit in Gary, IN ranges from $3.25 to $88.75 per claim, with an average of $51.27. 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 Gary, IN
Behavioral & Mental Health Therapy
Avg $108.68
268,228 claims
Psychiatric Evaluation
Avg $72.78
199,026 claims
Substance Abuse Treatment
Avg $35.10
188,324 claims
Blood Work & Lab Tests
Avg $6.27
171,267 claims
Emergency Room Visit
Avg $104.80
145,760 claims
Ambulance Transport
Avg $85.88
85,091 claims
Vaccines & Immunizations
Avg $6.55
81,288 claims
Case Management Services
Avg $47.92
53,104 claims