Average Medicaid Office Visit Payments in Holland, MI: $62.09
Avg. Paid
$62.09
Range
$0.00 – $386.40
Total Claims
256,005
Providers
54
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 Holland, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Holland Community Hospital
602 Michigan Ave |
$44.35 | 33,891 | 32,970 |
|
Michigan Ear, Nose, Throat, And Allergy Specialists, Pc
3100 N. Wellness Dr |
$55.55 | 24,896 | 23,934 |
|
Intercare Community Health Network
285 James St |
$1.89 | 24,789 | 22,809 |
|
County Of Ottawa
12265 James St |
$204.14 | 20,454 | 19,615 |
|
Holland Community Health Center
336 S River Ave |
$65.71 | 19,151 | 17,583 |
|
Lakewood Family Medicine Plc
382 N 120Th Ave |
$61.77 | 18,055 | 16,851 |
|
Holland Pediatric Associates, Plc
926 S. Washington Ave |
$71.18 | 17,673 | 16,395 |
|
Shoreline Orthopaedic & Sports Medicine Clinic,Plc
370 120Th Ave |
$53.32 | 14,380 | 13,896 |
|
Holland Community Hospital
854 Washington Ave Ste 330 |
$44.24 | 12,484 | 11,961 |
|
Ob/Gyn Associates Of Holland, Pc
664 Michigan Ave |
$53.72 | 7,635 | 7,105 |
|
Holland Community Hospital
904 Washington Ave |
$50.52 | 6,874 | 6,499 |
|
Holland Community Hospital
577 Michigan Ave Ste 101 |
$47.14 | 6,345 | 6,181 |
|
Suzette Sanchez, Do Dermatology, Pc
3290 N Wellness Dr |
$60.32 | 6,143 | 6,096 |
|
Holland Foot And Ankle Center Pc
904 S Washington Ave |
$43.70 | 5,751 | 5,366 |
|
Holland Community Hospital
3235 N Wellness Dr Ste 120A |
$47.70 | 4,747 | 4,441 |
|
Holland Community Hospital
3235 N Wellness Dr Ste 120B |
$39.40 | 3,830 | 3,614 |
|
Nathanial Ray Chumley
250 E 8Th St |
$82.75 | 3,636 | 2,322 |
|
Lakeshore Internal Medicine And Pediatric Associates
437 North 120Th Ave |
$67.35 | 3,308 | 3,075 |
|
Holland Community Hospital
844 Washington Ave Ste 1200 |
$43.86 | 2,775 | 2,736 |
|
Holland Community Hospital
844 Washington Ave Ste 1200 |
$53.78 | 2,289 | 2,269 |
|
Hao Shen
588 E Lakewood Blvd |
$51.13 | 2,130 | 2,017 |
|
Betsy Joy Breuker Beckman
588 E Lakewood Blvd Fl 1 |
$70.41 | 2,052 | 1,946 |
|
Holland Community Hospital
577 Michigan Ave Ste 201 |
$37.17 | 1,627 | 1,583 |
|
Reach For Recovery, Inc.
483 Century Ln |
$86.22 | 1,272 | 973 |
|
Donald Morris Chaffee
588 E Lakewood Blvd |
$72.20 | 1,254 | 1,074 |
|
Theodore Anthony Kostiuk
370 N 120Th Ave Ste 20 |
$64.82 | 991 | 811 |
|
West Michigan Psychological Services Llc
400 136Th Ave Ste 416 |
$70.86 | 765 | 653 |
|
Kelly Borgman
904 Washington Ave Ste 120 |
$52.72 | 760 | 715 |
|
County Of Ottawa
12251 James St |
$12.36 | 700 | 692 |
|
Rachel Lee Danks
588 E Lakewood Blvd Fl 1 |
$41.74 | 651 | 553 |
|
Vanessa Doty
588 E Lakewood Blvd Fl 1 |
$103.69 | 576 | 531 |
|
Holland Eye Clinic, Pc
999 Washington Ave |
$58.41 | 538 | 513 |
|
Salubrious Health Pllc
91 Douglas Ave Ste 110 |
$89.18 | 521 | 519 |
|
Anna Killeen
588 E Lakewood Blvd |
$94.37 | 453 | 441 |
|
Holland Community Hospital
3235 N Wellness Dr Bldg A |
$54.08 | 449 | 447 |
|
Elizabeth Ann Otter
3290 N Wellness Dr Ste 240 |
$34.52 | 418 | 372 |
|
Tracy C Orton
3100 N Wellness Dr |
$37.11 | 333 | 322 |
|
Lakeshore Allergy Pc
3290 N Wellness |
$47.46 | 231 | 223 |
|
Holland Family Medicine Pc
601 Michigan Ave Ste 104 |
$64.44 | 216 | 193 |
|
Holland Community Hospital
602 Michigan Ave |
$46.94 | 183 | 112 |
|
Christina Marie Houck-Smith
12460 Riley St |
$30.79 | 157 | 143 |
|
Holland Community Hospital
3299 N Wellness Dr Ste 150 |
$29.77 | 148 | 140 |
|
Kassem Khreis
3235 N Wellness Dr Bldg A |
$32.61 | 145 | 111 |
|
Holland Community Hospital
854 Washington Ave Ste 150 |
$60.26 | 141 | 141 |
|
Sarah Ann Talbott
588 E Lakewood Blvd Fl 2 |
$23.95 | 38 | 37 |
|
Kristin M Baier
430 E 8Th St # 5134 |
$72.97 | 28 | 27 |
|
Parkhurst Chiropractic Life Center Plc
364 Garden Ave |
$0.00 | 25 | 25 |
|
Bethany Christian Services
12048 James St |
$386.40 | 15 | 15 |
|
Northwood Foot And Ankle Center, Pc
388 Garden Ave |
$44.70 | 15 | 13 |
|
Ronald Garett Shook
926 Washington Ave |
$55.13 | 15 | 15 |
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 Holland, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Holland, MI is $62.09 per claim, based on 256,005 claims from 54 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 Holland, MI?
There are 54 Medicaid providers offering Office Visit related services in Holland, MI according to public payment data.
What is the price range for Office Visit in Holland, MI?
Medicaid reimbursement for Office Visit in Holland, MI ranges from $0.00 to $386.40 per claim, with an average of $62.09. 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 Holland, MI
Dental Cleaning & Exam
Avg $40.00
226,949 claims
Blood Work & Lab Tests
Avg $3.77
220,621 claims
Psychiatric Evaluation
Avg $114.61
167,546 claims
Physical Therapy
Avg $24.22
134,816 claims
Vaccines & Immunizations
Avg $8.21
129,042 claims
Emergency Room Visit
Avg $115.14
126,522 claims
Home Health Visit
Avg $108.33
98,984 claims
Dental Filling
Avg $105.99
68,292 claims