Average Medicaid Office Visit Payments in Hillsdale, MI: $39.88
Avg. Paid
$39.88
Range
$2.19 – $70.45
Total Claims
196,229
Providers
24
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 Hillsdale, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hillsdale Pulmonary Critical Care And Sleep Medicine Pc
3271 W Carleton Rd |
$58.47 | 69,995 | 60,128 |
|
Hillsdale Community Health Center
168 S Howell St |
$50.45 | 39,160 | 36,278 |
|
Hillsdale Medical Associates, Plc
1456 Hudson Rd |
$2.19 | 37,285 | 32,764 |
|
Hillsdale Community Health Center
240 W Carleton Rd |
$3.25 | 22,184 | 20,627 |
|
Hillsdale Medical Associates, Plc
32 S Broad St |
$62.46 | 8,515 | 7,749 |
|
Jon C. Herbener, M.D.,P.C.
187 S Howell St |
$69.70 | 4,794 | 3,681 |
|
Ravi David Yarid Do Pllc
12 E Bacon St |
$66.24 | 2,162 | 1,979 |
|
Hillsdale Cardiology Pc
17 S Manning St |
$70.45 | 2,099 | 2,013 |
|
Patricia Hall
3271 W Carleton Rd |
$55.95 | 1,735 | 1,527 |
|
Advanced Veins And Vascular Management Plc
3271 W Carleton Rd |
$46.05 | 1,580 | 1,379 |
|
Eugene D Rohacz
241 W Carleton Rd |
$43.25 | 1,387 | 1,239 |
|
Hillsdale Ob/Gyn, P.C.
1711 S Hillsdale Rd |
$38.91 | 976 | 851 |
|
Center For Family Health
240 W Carleton Rd |
$2.89 | 890 | 820 |
|
Nichole Kristine Ellis
187 S Howell St |
$58.25 | 884 | 693 |
|
Ldk Iii Holdings, Llc
451 Hidden Meadows Dr |
$59.65 | 789 | 761 |
|
Gossage Eye Institute, Plc
50 W Carleton Rd |
$52.71 | 595 | 559 |
|
Karen Lindower Do Pllc
451 Hidden Meadows Dr Ste 120 |
$51.77 | 578 | 521 |
|
Hillsdale Family Chiropractic Llc
79 Hillsdale St |
$10.90 | 332 | 332 |
|
Leslie M Bennett Md Pc
12 E Bacon St |
$69.04 | 78 | 74 |
|
Lance Artiba Wells
168 S Howell St |
$8.59 | 56 | 53 |
|
Jon C. Herbener
187 S Howell St |
$42.38 | 52 | 37 |
|
Karen Lindower
451 Hidden Meadows Dr |
$50.77 | 50 | 45 |
|
Randal R Podoll
143 South Main Street |
$39.71 | 37 | 36 |
|
Debra A Lusty
451 Hidden Meadows Dr |
$50.97 | 16 | 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 Hillsdale, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hillsdale, MI is $39.88 per claim, based on 196,229 claims from 24 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 Hillsdale, MI?
There are 24 Medicaid providers offering Office Visit related services in Hillsdale, MI according to public payment data.
What is the price range for Office Visit in Hillsdale, MI?
Medicaid reimbursement for Office Visit in Hillsdale, MI ranges from $2.19 to $70.45 per claim, with an average of $39.88. 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 Hillsdale, MI
Blood Work & Lab Tests
Avg $3.12
191,760 claims
Emergency Room Visit
Avg $107.75
110,044 claims
Urinalysis & Urine Tests
Avg $1.44
55,253 claims
Chiropractic Care
Avg $19.47
31,823 claims
X-Ray
Avg $23.61
31,344 claims
EKG / ECG (Electrocardiogram)
Avg $3.53
17,989 claims
Behavioral & Mental Health Therapy
Avg $131.83
17,347 claims
Prescription Medications
Avg $1.84
17,225 claims