Average Medicaid Office Visit Payments in Hammond, IN: $53.84
Avg. Paid
$53.84
Range
$0.46 – $81.91
Total Claims
243,570
Providers
69
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 Hammond, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony D Wilko
5454 Hohman Ave |
$81.91 | 13 | 12 |
|
Chie-Hong Chyung
5454 Hohman Ave |
$23.21 | 15 | 15 |
|
Elaine Kelly
6850 Hohman Ave |
$57.06 | 16 | 14 |
|
Tamika Banks
5818 Columbia Ave |
$2.47 | 19 | 17 |
|
Eric S Moon
5454 Hohman Ave |
$9.96 | 21 | 16 |
|
Marla Krukowski
5529 Hohman Ave |
$37.63 | 32 | 17 |
|
Ronald Dennis Stanis
608 165Th St |
$40.54 | 37 | 29 |
|
Ann Katherine Williams Md
6850 Hohman Ave |
$29.17 | 61 | 59 |
|
Soyong Lee
1828 165Th St |
$57.84 | 68 | 66 |
|
Kraunsta Family Healthcare Llc
5908 Columbia Ave |
$13.54 | 69 | 58 |
|
Julie Stelzel
5818 Columbia Ave |
$0.46 | 73 | 67 |
|
Naresh K Upadhyay
5500 S Hohman Ave Ste 1E |
$37.64 | 89 | 82 |
|
Megan Rose Silas
6850 Hohman Ave |
$33.26 | 93 | 89 |
|
Jason Mcburnie
1229 165Th St |
$58.66 | 113 | 105 |
|
Krishn Mohan
5818 Columbia Ave |
$66.10 | 202 | 156 |
|
Yolanda A Spencer
5818 Columbia Ave |
$0.98 | 206 | 188 |
|
Midwest Express Care 4 Llc
31 Sibley St |
$3.38 | 219 | 172 |
|
Jillian Nelson
5818 Columbia Ave |
$34.69 | 245 | 199 |
|
Joseph Gerard Hofferth
1828 165Th St Ste A |
$45.16 | 251 | 156 |
|
Blake Williams
6850 Hohman Ave |
$61.42 | 281 | 257 |
|
Kimberly D Arthur
3432-196Th Str |
$65.61 | 284 | 244 |
|
Syed Sohail Ahmed
5500 Hohman Avenue |
$44.05 | 294 | 250 |
|
Ramin Ghazizadeh
5818 Columbia Ave |
$25.89 | 328 | 285 |
|
Jose Antonio Lusancarez
5500 Hohman Ave |
$7.36 | 348 | 216 |
|
Suyin Chi
5529 Hohman Ave |
$41.85 | 397 | 280 |
|
Lindsey Renee King
7131 Indianapolis Blvd |
$50.01 | 445 | 388 |
|
Queen A Marsh
6920 Indianapolis Boulevard |
$35.23 | 526 | 418 |
|
Matthew Lorenzo Trinidad
1828 165Th St Ste A |
$54.48 | 529 | 465 |
|
Asim Chughtai
7 Sibley St |
$37.94 | 543 | 355 |
|
John Phillip Cosgrove
559 State St |
$41.30 | 597 | 422 |
|
Kristen Karanovic
31 Sibley St Ste A |
$71.78 | 710 | 684 |
|
Martha Socorro Kozub
5514 Hohman Ave. |
$70.87 | 810 | 668 |
|
Dana Joy Hiskes
31 Sibley St Ste A |
$54.15 | 884 | 757 |
|
Vietta Louise Johnson
5454 S Hohman Ave |
$32.23 | 919 | 685 |
|
Frank J Stirlacci
559 State St |
$43.88 | 1,000 | 742 |
|
Donna Marie Zemen
5530 Hohman Ave |
$70.40 | 1,110 | 951 |
|
Taryn Petty
31 Sibley St |
$57.83 | 1,116 | 933 |
|
Alaa Atieh
5454 Hohman Ave |
$63.43 | 1,218 | 969 |
|
Donna Lynn Zloza
4022 Hohman Ave |
$50.95 | 1,223 | 966 |
|
Susan Wallace Barton
777 Casino Center Dr |
$31.78 | 1,332 | 1,251 |
|
James L Goldyn
3432-169Th Str |
$51.14 | 1,341 | 1,135 |
|
Vanessa R Foster
6920 Indianapolis Blvd |
$80.90 | 1,419 | 1,023 |
|
Christopher John Mcintire
3831 Hohman Ave |
$37.05 | 1,544 | 950 |
|
Khaled A Reheem-Farag
7330 Indianapolis Blvd |
$45.02 | 1,590 | 1,168 |
|
Miyako S Streeter
31 Sibley St Ste A |
$60.28 | 1,882 | 1,557 |
|
Bianca Yasmin Rafidia Vargas
5818 Columbia Ave |
$49.92 | 2,142 | 1,775 |
|
Amanda Vagelatos
2250 173Rd St |
$35.92 | 2,203 | 1,762 |
|
Jennifer Bosak
31 Sibley St Ste A |
$72.75 | 2,330 | 2,074 |
|
Brittany Press
31 Sibley St Ste A |
$65.14 | 2,603 | 2,225 |
|
Olivia A Cooley
2200 169Th St |
$62.81 | 2,648 | 2,269 |
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 Hammond, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hammond, IN is $53.84 per claim, based on 243,570 claims from 69 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 Hammond, IN?
There are 69 Medicaid providers offering Office Visit related services in Hammond, IN according to public payment data.
What is the price range for Office Visit in Hammond, IN?
Medicaid reimbursement for Office Visit in Hammond, IN ranges from $0.46 to $81.91 per claim, with an average of $53.84. 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 Hammond, IN
Blood Work & Lab Tests
Avg $8.47
1,238,760 claims
Urinalysis & Urine Tests
Avg $4.50
192,151 claims
Vaccines & Immunizations
Avg $7.81
121,434 claims
Emergency Room Visit
Avg $77.94
103,729 claims
Culture & Microbiology Tests
Avg $6.11
101,954 claims
Pathology & Lab Services
Avg $23.52
73,508 claims
Speech Therapy
Avg $25.14
40,233 claims
Ambulance Transport
Avg $88.68
30,461 claims