Average Medicaid Office Visit Payments in Houghton, MI: $99.92
Avg. Paid
$99.92
Range
$23.45 – $379.22
Total Claims
61,178
Providers
8
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 Houghton, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aspirus Keweenaw
1000 Cedar St |
$32.94 | 21,496 | 19,863 |
|
Portage Physician Practices Inc.
921 W Sharon Ave |
$45.02 | 16,212 | 15,258 |
|
Upper Great Lakes Family Health Center
600 Macinnes Drive |
$37.40 | 11,245 | 10,318 |
|
Copper Country Community Mental Health Services
901 W. Memorial Dr. |
$379.22 | 11,138 | 10,646 |
|
Shannon Isaacson
921 W Sharon Ave |
$23.45 | 871 | 862 |
|
Daniel L Reminga
801 Memorial Rd |
$42.23 | 124 | 116 |
|
Beki Asti
901 Memorial Rd |
$69.20 | 51 | 49 |
|
Aspirus Keweenaw
1000 Cedar St |
$30.32 | 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 Houghton, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Houghton, MI is $99.92 per claim, based on 61,178 claims from 8 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 Houghton, MI?
There are 8 Medicaid providers offering Office Visit related services in Houghton, MI according to public payment data.
What is the price range for Office Visit in Houghton, MI?
Medicaid reimbursement for Office Visit in Houghton, MI ranges from $23.45 to $379.22 per claim, with an average of $99.92. 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 Houghton, MI
Home Health Visit
Avg $79.75
130,209 claims
Behavioral & Mental Health Therapy
Avg $188.56
28,828 claims
Case Management Services
Avg $268.24
22,998 claims
Psychiatric Evaluation
Avg $188.63
22,969 claims
Physical Therapy
Avg $41.48
20,767 claims
Vaccines & Immunizations
Avg $7.49
4,235 claims
Chiropractic Care
Avg $22.71
2,891 claims
Dental Cleaning & Exam
Avg $27.88
1,464 claims