Average Medicaid Office Visit Payments in Grand Haven, MI: $61.27
Avg. Paid
$61.27
Range
$2.92 – $801.74
Total Claims
25,105
Providers
18
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 Grand Haven, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Synanon Inc
1091 S Beacon Blvd |
$52.83 | 10,916 | 10,560 |
|
Noch Physician Billing Company Llc
1309 Sheldon Rd |
$42.93 | 8,342 | 7,506 |
|
Todd Owen Savidge
1091 S Beacon Blvd |
$87.19 | 1,700 | 1,630 |
|
L Michael Sterenberg Do Pllc
600 Park Ave |
$49.39 | 751 | 674 |
|
James Peter Heyboer
1310 Wisconsin St Ste 100 |
$66.32 | 568 | 540 |
|
Matthew Alan Schoeck
1310 Wisconsin St Ste 100 |
$66.03 | 502 | 432 |
|
Privamd Physicians Pllc
16986 Robbins Rd Ste 180 |
$67.68 | 497 | 451 |
|
Holland Community Hospital
1600 S Beacon Blvd Ste 240 |
$58.55 | 441 | 413 |
|
Trinity Health Grand Haven Hospital
1309 Sheldon Rd |
$2.92 | 317 | 292 |
|
William T Miller
15100 Whittaker Way |
$801.74 | 295 | 263 |
|
Reach For Recovery, Inc.
700 Washington Ave Ste 220 |
$96.66 | 226 | 182 |
|
Bradley A Martino
1091 S Beacon Blvd |
$35.55 | 165 | 162 |
|
Forefront Dermatology, S.C.
1600 S Beacon Blvd |
$38.49 | 143 | 137 |
|
Logan Walker
15100 Whittaker Way |
$44.90 | 64 | 60 |
|
West Shore Otolaryngology Pc
16760 Lincoln St |
$43.87 | 56 | 56 |
|
Kelly Perez
15100 Whittaker Way |
$152.59 | 52 | 52 |
|
Sydne Williams
15100 Whittaker Way |
$48.05 | 43 | 39 |
|
Robbi A Young Dpm Pc
600 Park Ave |
$65.29 | 27 | 26 |
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 Grand Haven, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grand Haven, MI is $61.27 per claim, based on 25,105 claims from 18 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 Grand Haven, MI?
There are 18 Medicaid providers offering Office Visit related services in Grand Haven, MI according to public payment data.
What is the price range for Office Visit in Grand Haven, MI?
Medicaid reimbursement for Office Visit in Grand Haven, MI ranges from $2.92 to $801.74 per claim, with an average of $61.27. 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 Grand Haven, MI
Blood Work & Lab Tests
Avg $2.66
75,209 claims
Dental Cleaning & Exam
Avg $38.26
59,671 claims
Emergency Room Visit
Avg $110.83
53,350 claims
Psychiatric Evaluation
Avg $79.68
40,024 claims
Urinalysis & Urine Tests
Avg $0.88
19,103 claims
X-Ray
Avg $16.33
16,954 claims
Dental Filling
Avg $113.31
14,865 claims
Physical Therapy
Avg $26.97
11,782 claims