Average Medicaid Office Visit Payments in Greenville, MI: $12.70
Avg. Paid
$12.70
Range
$0.40 – $116.18
Total Claims
140,940
Providers
17
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 Greenville, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spectrum Health United
1202 W Oak St |
$7.74 | 58,234 | 54,277 |
|
Cherry Street Services Inc
1003 N Lafayette St |
$7.42 | 27,881 | 25,138 |
|
Spectrum Health United
707 S Greenville West Dr |
$3.68 | 15,642 | 14,449 |
|
Sparrow Carson Hospital
1014 E Washington St |
$7.01 | 13,200 | 12,089 |
|
Samaritan Health Care, Pc
811 E Kent Rd |
$50.31 | 8,187 | 6,061 |
|
Samaritan Health Care Pc
811 E Kent Rd |
$7.28 | 3,806 | 2,580 |
|
Spectrum Health United
421 S Baldwin St |
$42.61 | 3,055 | 2,877 |
|
Laura Van Duker
1202 W Oak St |
$66.30 | 2,969 | 2,612 |
|
Greenville Family Foot Care P C
917 N Lafayette St |
$38.01 | 2,201 | 2,121 |
|
John N Campbell Md Pc
811 E Kent Rd |
$0.40 | 1,990 | 1,543 |
|
David Jonathan Cutter
1202 W Oak St Ste 200 |
$52.12 | 1,611 | 1,477 |
|
Hayes Chiropractic Clinic Pc
710 E Washington St |
$3.52 | 863 | 830 |
|
William A. Fabricius
615 S Bower St |
$25.14 | 716 | 618 |
|
Precision Podiatry Pllc
917 N Lafayette St |
$51.39 | 266 | 254 |
|
Spectrum Health United
615 S Bower St |
$25.41 | 224 | 211 |
|
Domenico S Ausiello
200 S Franklin St |
$38.23 | 54 | 41 |
|
David Yanoschik
707 S Greenville West Dr |
$116.18 | 41 | 40 |
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 Greenville, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Greenville, MI is $12.70 per claim, based on 140,940 claims from 17 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 Greenville, MI?
There are 17 Medicaid providers offering Office Visit related services in Greenville, MI according to public payment data.
What is the price range for Office Visit in Greenville, MI?
Medicaid reimbursement for Office Visit in Greenville, MI ranges from $0.40 to $116.18 per claim, with an average of $12.70. 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 Greenville, MI
Blood Work & Lab Tests
Avg $3.96
182,311 claims
Emergency Room Visit
Avg $179.58
57,923 claims
Physical Therapy
Avg $21.54
53,148 claims
Psychiatric Evaluation
Avg $74.04
52,648 claims
Urinalysis & Urine Tests
Avg $0.66
47,110 claims
Vaccines & Immunizations
Avg $4.57
44,554 claims
Durable Medical Equipment (DME)
Avg $47.79
34,822 claims
Chiropractic Care
Avg $21.47
34,680 claims