Average Medicaid Office Visit Payments in Grand Rapids, MI: $56.03
Avg. Paid
$56.03
Range
$0.00 – $695.81
Total Claims
3,306,257
Providers
314
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 Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jesse Frank Hartpence
4100 Lake Dr Se |
$73.98 | 12 | 12 |
|
Rachel Macak
35 Michigan St Ne Ste 5301 |
$60.52 | 12 | 12 |
|
Allergy & Asthma Centers Of West Michigan, P.C.
5055 Plainfield Ave Ne |
$102.22 | 12 | 12 |
|
Thrive Family Chiropractic, Plc
5300 Northland Dr Ne |
$0.00 | 13 | 13 |
|
Alexa Liane Armstrong
330 Barclay Ave Ne Ste 304 |
$33.08 | 13 | 13 |
|
Lohita Nulu
100 Michigan St Ne |
$29.01 | 13 | 12 |
|
Gary Thomas Sniffen
2902 Bradford St Ne |
$92.21 | 13 | 12 |
|
Douglas E Henry
235 Wealthy St Se |
$42.66 | 13 | 13 |
|
Leif Eric Meyers
1000 Monroe Ave Nw # Mc-49 |
$105.97 | 14 | 14 |
|
Richard H Benninger Md Pc
833 Michigan St Ne Ste 101 |
$37.14 | 14 | 13 |
|
Frances Shawn Madden
1900 Wealthy St Se |
$50.40 | 14 | 12 |
|
Chastity Ann Delmoral
310 Lafayette Ave Se Ste 400 |
$4.20 | 15 | 14 |
|
Asad Abdul Qadir
25 Michigan St Ne Ste 4200 |
$97.20 | 15 | 15 |
|
Carina Miranda Mendoza
2750 E Beltline Ave Ne |
$80.33 | 16 | 15 |
|
Megan Nicole Shelby
145 Michigan St Ne Ste 3100 |
$26.44 | 16 | 14 |
|
Edward Yuder Chen
275 Michigan St Ne |
$54.26 | 16 | 16 |
|
Hilary Paige Stevenson
300 68Th St Se |
$0.00 | 16 | 16 |
|
Garett Pangrazzi
2770 E Beltline Ave Ne |
$24.28 | 19 | 12 |
|
Laamy Nassara Tiadjeri
330 Barclay Ave Ne |
$41.81 | 19 | 16 |
|
Julia H Daining
426 Michigan St Ne |
$37.33 | 19 | 18 |
|
Gareth Karl Forde
1000 Monroe Ave Nw |
$6.75 | 20 | 19 |
|
Breast Health & Wellness Center Pc
655 Kenmoor Ave Se Ste 201 |
$60.81 | 24 | 24 |
|
Kurt Ryan Bjorkman
25 Michigan St Ne Ste 4200 |
$52.29 | 26 | 25 |
|
Maria E Sicco
100 Cherry St Se |
$34.46 | 26 | 25 |
|
Jeremiah J Dewitt
1765 3 Mile Rd Ne Unit 150319 |
$69.00 | 27 | 24 |
|
Rachael Fizer
4055 Cascade Rd Se |
$24.02 | 28 | 27 |
|
Nora May Nuala Crotty
1900 Wealthy St Se |
$46.33 | 29 | 24 |
|
Cascade Ophthalmology Pc
791 Kenmoor Ave Se |
$21.18 | 29 | 28 |
|
Shefali Aggarwal
100 Michigan St Ne |
$76.08 | 30 | 29 |
|
Janna Lynn Williams
230 Michigan St Ne Ste 230 |
$47.36 | 31 | 24 |
|
Dominic Pelle
1000 Monroe Ave Nw |
$31.17 | 32 | 29 |
|
Alison Beverly Caffrey
4024 Park East Ct Se |
$74.90 | 32 | 30 |
|
Madeline Rose Vaughn
100 Michigan St Ne Ste 4297 |
$65.99 | 32 | 26 |
|
Kristy Lynn Pilbeam
35 Michigan St Ne Fl 2 |
$122.98 | 34 | 25 |
|
Laura Ashley Most
100 Michigan St Ne |
$51.75 | 36 | 32 |
|
Brittany Nicole Bade
300 Lafayette Ave Se Ste 4000 |
$75.07 | 38 | 37 |
|
Lovell Hand & Orthopedic Center Pllc
2155 E Paris Ave Se Ste 210 |
$62.59 | 39 | 39 |
|
Ashley F Dalstra
4100 Lake Dr Se Ste 300 |
$45.41 | 39 | 35 |
|
Ent Consultants Plc
4880 Cascade Rd Se |
$45.05 | 40 | 37 |
|
Rehabilitation & Physical Medicine Specialists, P.C.
350 Lafayette Ave Se |
$46.57 | 40 | 38 |
|
East Paris Internal Medicine Associates P.C
1000 East Paris Ave. Se |
$49.76 | 40 | 38 |
|
Jobeda Sheuly
1740 28Th St Se |
$60.35 | 41 | 40 |
|
Bennett Institute For Urogynecology And Incontinence Pc
770 Kenmoor Ave Se Ste 301 |
$35.41 | 41 | 40 |
|
Kathryn Irene Benavides
35 Michigan St Ne Ste 3003 |
$71.46 | 42 | 39 |
|
Jason Peter Thomas
35 Michigan St Ne Ste 5201 |
$78.43 | 42 | 26 |
|
Rebecca Marie Loret De Mola
100 Michigan St Ne |
$74.10 | 42 | 40 |
|
Barbara Davenport Frederick
2332 Alpine Ave Nw |
$695.81 | 44 | 43 |
|
Michael Barry Schonberger
275 Michigan St Ne |
$61.09 | 46 | 39 |
|
West Michigan Endocrine, Plc
5060 Cascade Rd Se Ste C1 |
$58.63 | 49 | 48 |
|
Christopher Matthew Madison
100 Michigan St Ne |
$35.75 | 49 | 41 |
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 Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grand Rapids, MI is $56.03 per claim, based on 3,306,257 claims from 314 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 Rapids, MI?
There are 314 Medicaid providers offering Office Visit related services in Grand Rapids, MI according to public payment data.
What is the price range for Office Visit in Grand Rapids, MI?
Medicaid reimbursement for Office Visit in Grand Rapids, MI ranges from $0.00 to $695.81 per claim, with an average of $56.03. 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 Rapids, MI
Blood Work & Lab Tests
Avg $4.19
2,384,351 claims
Substance Abuse Treatment
Avg $24.17
2,223,309 claims
X-Ray
Avg $7.57
2,155,834 claims
Emergency Room Visit
Avg $106.82
1,903,454 claims
Psychiatric Evaluation
Avg $79.32
1,323,354 claims
Physical Therapy
Avg $24.71
1,298,324 claims
Vaccines & Immunizations
Avg $10.34
1,229,009 claims
CT Scan (Computed Tomography)
Avg $43.84
903,891 claims