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 |
|---|---|---|---|
|
Community Healthnet Inc
1021 West 5Th Avenue |
$49.46 | 28 | 28 |
|
Janice Panozzo
1310 Broadway |
$8.78 | 33 | 31 |
|
David Damaret Chube
3229 Broadway |
$34.61 | 59 | 42 |
|
Tynese Simone Anderson
1021 W 5Th Ave |
$24.31 | 94 | 65 |
|
Porsche Bianca West
2269 W 25Th Ave |
$75.10 | 114 | 102 |
|
Martha F. Hernandez
3787 Grant St |
$27.47 | 253 | 219 |
|
Ana Stubbs
600 Grant St |
$78.12 | 261 | 213 |
|
Wendy Vottero
1705 W 25Th Ave Ste 102 |
$58.65 | 281 | 211 |
|
Neil Lawrence Watkins
650 Grant St |
$88.75 | 327 | 315 |
|
Michael A Linton
2269 W 25Th Ave |
$62.31 | 390 | 301 |
|
Quinn West
1021 W 5Th Ave |
$42.48 | 427 | 309 |
|
Candace Kapranos
600 Grant St |
$43.07 | 428 | 361 |
|
Kovilparambil Xavier Antony
1100 W 6Th Avenue |
$25.48 | 447 | 343 |
|
Darnell Rather
4900 Broadway |
$5.51 | 532 | 469 |
|
Gerri C Browning
4900 Broadway |
$8.19 | 630 | 520 |
|
Kevin Scott Bodkin
4900 Broadway |
$3.25 | 631 | 536 |
|
Nicole Yvette Richards
3900 Calhoun St |
$49.06 | 753 | 646 |
|
Michelle Wathier
4900 Broadway |
$66.34 | 807 | 536 |
|
Raied Abdullah
3229 Broadway |
$30.10 | 853 | 758 |
|
Simran K. Arora
4900 Broadway |
$6.62 | 855 | 711 |
|
Hanifa Waarith
1701 Broadway |
$55.98 | 1,012 | 830 |
|
David Enoch Nelson
4900 Broadway |
$4.13 | 1,118 | 933 |
|
Karin Adine Warden-Thomas
3535 Broadway |
$46.96 | 1,159 | 1,061 |
|
Alexx Puckett
600 Grant St |
$53.36 | 1,170 | 1,063 |
|
Douge Barthelemy
720 W 5Th Ave |
$41.03 | 1,194 | 1,060 |
|
Amanda Joy Dech
3229 Broadway Ste 205 |
$41.03 | 1,343 | 1,093 |
|
Merlene T Richardson
3195 Grant St |
$52.61 | 1,348 | 1,053 |
|
Michelle L Vorice
650 Grant St |
$55.81 | 1,502 | 1,349 |
|
Debra Ann Equihua
2269 W 25Th Ave |
$67.03 | 1,545 | 1,188 |
|
Sharelle Nicole Bishop
4900 Broadway |
$65.61 | 1,713 | 1,603 |
|
Laresse Harris
1100 W 6Th Ave |
$59.72 | 1,733 | 1,347 |
|
Adeyemi Oluremi Oyegbade
2269 W 25Th Ave |
$80.24 | 2,151 | 1,719 |
|
Muhammad Butt
1100 W 6Th Ave |
$29.19 | 2,577 | 1,631 |
|
Olusegun Apata
650 Grant St Ste 7 |
$44.82 | 2,611 | 2,287 |
|
Lashawn Freeman
650 Grant St |
$25.39 | 2,893 | 2,489 |
|
Channae Watkins
3229 Broadway Ste 205 |
$55.53 | 2,987 | 2,465 |
|
Anthony O Iwuagwu
2200 Richard Gordon Hatcher Blvd Ste 207 |
$57.58 | 3,027 | 2,365 |
|
Arnita Reed
2269 W 25Th Ave |
$60.22 | 3,323 | 2,791 |
|
Tonya A. Harvey
4900 Broadway |
$40.34 | 3,588 | 3,157 |
|
Cynthia M Hoess
1021 W 5Th Ave |
$47.16 | 4,060 | 3,528 |
|
Mindy Kay Krsak
3229 Broadway Ste 205 |
$44.57 | 4,116 | 3,713 |
|
Leah Lynn Staples
1201 W 5Th Ave |
$50.17 | 4,216 | 2,785 |
|
Paul L. Hannah
3787 Grant St |
$59.39 | 4,233 | 3,179 |
|
Pamela V. Tran
1100 W 6Th Ave |
$65.46 | 4,838 | 3,930 |
|
Nancy Cox
6400 Melton Rd |
$32.40 | 4,859 | 4,074 |
|
Brenda J Thompson
1021 W 5Th Ave |
$46.18 | 5,153 | 3,852 |
|
Steve Simpson
1021 W 5Th Ave |
$51.69 | 5,680 | 4,128 |
|
Karen Rose Rohrman
215 Broadway |
$26.53 | 5,916 | 4,439 |
|
Alexander Grantsaris
600 Grant St |
$76.34 | 6,193 | 5,334 |
|
Ileana Green
1400 Broadway |
$49.59 | 6,786 | 5,118 |
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