Average Medicaid Office Visit Payments in Hastings, MI: $50.91
Avg. Paid
$50.91
Range
$5.43 – $188.47
Total Claims
100,338
Providers
19
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 Hastings, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southside Pediatrics Pc
300 Meadow Run Dr |
$66.26 | 17,708 | 15,869 |
|
Cherry Street Services, Inc
200 S Boltwood St |
$6.24 | 14,517 | 13,236 |
|
Hastings Emergency Physicians Plc
1009 W Green St |
$37.48 | 12,813 | 12,339 |
|
Pennock Hospital
1009 W Green St |
$53.84 | 11,932 | 11,069 |
|
Pennock Hospital
1108 W State St |
$5.43 | 8,923 | 8,316 |
|
Bright Start Pediatrics, P.C.
1375 W Green St |
$64.55 | 7,091 | 6,402 |
|
Barry County Community Mental Health Authority
500 Barfield Dr |
$166.72 | 6,669 | 6,434 |
|
Thornapple Valley Family Physicians Pc
1005 W Green St |
$76.20 | 6,447 | 5,875 |
|
Pennock Hospital
1005 W Green St |
$6.45 | 3,813 | 3,694 |
|
Hastings Internal Medicine Plc
225 S M 37 Hwy Ste 1 |
$69.08 | 3,674 | 3,334 |
|
Pennock Hospital
840 Cook Rd |
$41.83 | 2,222 | 2,038 |
|
Grandview Foot And Ankle Pc
1005 W Green St |
$49.77 | 2,085 | 1,967 |
|
Thornapple Ophthalmology Assoc Pc
915 W Green St |
$54.19 | 1,569 | 1,453 |
|
Family Tree Medical Associates Pc
1375 W Green St |
$78.43 | 307 | 293 |
|
Creekside Vision & Hearing, Plc
1761 W M-43 Hwy |
$50.67 | 211 | 198 |
|
Thomas Marvin Hoffman
1005 W Green St |
$63.35 | 153 | 142 |
|
Pennock Hospital
1005 W Green St |
$16.28 | 137 | 135 |
|
David W Mansky Dpm, Pc
1127 W State St |
$32.73 | 43 | 40 |
|
Travis David Swartz
1005 W Green St Ste 300 |
$188.47 | 24 | 13 |
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 Hastings, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hastings, MI is $50.91 per claim, based on 100,338 claims from 19 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 Hastings, MI?
There are 19 Medicaid providers offering Office Visit related services in Hastings, MI according to public payment data.
What is the price range for Office Visit in Hastings, MI?
Medicaid reimbursement for Office Visit in Hastings, MI ranges from $5.43 to $188.47 per claim, with an average of $50.91. 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 Hastings, MI
Blood Work & Lab Tests
Avg $4.80
141,528 claims
Emergency Room Visit
Avg $133.82
81,042 claims
Psychiatric Evaluation
Avg $109.53
38,270 claims
Urinalysis & Urine Tests
Avg $1.05
34,285 claims
Physical Therapy
Avg $29.79
23,781 claims
X-Ray
Avg $31.42
19,416 claims
Case Management Services
Avg $237.16
17,622 claims
Culture & Microbiology Tests
Avg $2.12
15,388 claims