Average Medicaid Office Visit Payments in Gaylord, MI: $33.00
Avg. Paid
$33.00
Range
$4.36 – $77.71
Total Claims
158,118
Providers
15
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 Gaylord, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Munson Healthcare Otsego Memorial Hospital
829 N Center Ave |
$17.77 | 62,899 | 59,603 |
|
Munson Healthcare Otsego Memorial Hospital
1996 Walden Dr |
$15.04 | 29,554 | 27,781 |
|
Bear River Primary Care
829 W Main St Ste G |
$64.23 | 27,962 | 22,278 |
|
Donald P. Cousineau Do Pc
994 N Center Ave |
$53.06 | 12,921 | 8,362 |
|
Munson Healthcare Otsego Memorial Hospital
829 N Center Ave |
$47.30 | 11,538 | 10,866 |
|
Mclaren Central Michigan
1320 E M 32 |
$60.62 | 2,837 | 2,757 |
|
Kevin M Smith
829 N Center Ave |
$43.43 | 2,346 | 2,165 |
|
Alpine Family Medicine Plc
652 N Otsego Ave |
$77.71 | 2,068 | 1,951 |
|
Cousineau Chiropractic Center Pllc
997 N Center Ave |
$4.36 | 1,801 | 1,774 |
|
Boyne Country Urgent Care P.C.
1951 S Otsego Ave |
$57.49 | 1,627 | 1,534 |
|
Northern Michigan Substance Abuse Services, Inc.
2136 W M 32 |
$31.31 | 1,405 | 1,319 |
|
Jeffrey K Chaulk Md Pc
350 W North St |
$39.97 | 1,064 | 983 |
|
Family First Medicine Pllc
101 Jenson St |
$66.05 | 43 | 41 |
|
Purehealth Medical Inc
1723 W M 32 Ste B |
$62.59 | 29 | 29 |
|
Alpine Cardiology, Pllc
101 E Mitchell St |
$71.13 | 24 | 24 |
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 Gaylord, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gaylord, MI is $33.00 per claim, based on 158,118 claims from 15 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 Gaylord, MI?
There are 15 Medicaid providers offering Office Visit related services in Gaylord, MI according to public payment data.
What is the price range for Office Visit in Gaylord, MI?
Medicaid reimbursement for Office Visit in Gaylord, MI ranges from $4.36 to $77.71 per claim, with an average of $33.00. 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 Gaylord, MI
Substance Abuse Treatment
Avg $15.80
343,163 claims
Blood Work & Lab Tests
Avg $2.16
174,977 claims
Emergency Room Visit
Avg $147.17
47,671 claims
Urinalysis & Urine Tests
Avg $1.24
41,924 claims
Physical Therapy
Avg $24.42
38,767 claims
Vaccines & Immunizations
Avg $2.49
33,194 claims
Chiropractic Care
Avg $24.24
32,588 claims
Psychiatric Evaluation
Avg $77.86
28,822 claims