Average Medicaid Office Visit Payments in Jackson, MI: $57.59
Avg. Paid
$57.59
Range
$0.00 – $307.47
Total Claims
830,886
Providers
108
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 Jackson, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Center For Family Health
505 N Jackson St |
$2.48 | 240,012 | 217,802 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$49.26 | 89,376 | 83,281 |
|
Jackson-Hillsdale Community Mental Health Board
1200 N. West Avenue |
$307.47 | 64,190 | 58,698 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$46.26 | 53,081 | 49,835 |
|
Wa Foote Memorial Hospital Inc
205 N East Ave |
$56.19 | 50,792 | 47,998 |
|
Iep Urgent Care - Jackson Pllc
729 E Michigan Ave |
$70.42 | 24,208 | 22,630 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$51.62 | 16,233 | 15,740 |
|
Jackson Urgent Care Pllc
1407 E Michigan Ave |
$66.21 | 15,140 | 14,543 |
|
Pediatric Center Of Jackson
1418 E Michigan Ave |
$73.15 | 13,517 | 12,250 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$46.98 | 12,943 | 12,474 |
|
Matt T Rosenberg Pc
214 N West Ave |
$58.39 | 12,759 | 10,494 |
|
Victory Clinical Services Iii Llc
3300 Lansing Ave |
$80.43 | 11,830 | 11,803 |
|
Parkside Pediatric Clinic,P.C.
2100 4Th St |
$71.96 | 11,258 | 9,827 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$60.71 | 10,978 | 10,421 |
|
Mercy Christian Health
1310 Greenwood Ave |
$70.34 | 10,433 | 9,691 |
|
Donald C Jones Md Pc
2600 Spring Arbor Rd |
$56.83 | 10,397 | 9,660 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$52.02 | 8,491 | 7,930 |
|
W.A. Foote Memorial Hospital, Inc
205 N.East Ave |
$50.11 | 8,097 | 7,972 |
|
Arthur R Vendola Md Pc
1100 E Michigan Ave |
$54.89 | 7,620 | 6,894 |
|
Jackson Cardiology Consultants Pllc
205 Page Ave |
$54.58 | 7,453 | 7,132 |
|
Mid Michigan Eye Care Center, Pc
1116 W. Ganson Street |
$63.44 | 6,699 | 6,536 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$52.94 | 6,682 | 5,502 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$56.67 | 6,611 | 6,575 |
|
Center For Family Health
300 S Blackstone St |
$1.27 | 6,451 | 5,992 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$48.80 | 6,345 | 6,229 |
|
Donna M O'Neill M.D. P.C.
1100 E Michigan Ave |
$42.20 | 5,987 | 4,117 |
|
Recovery Technology,Llc
1200 N West Ave |
$80.57 | 5,823 | 4,974 |
|
Center For Family Health
6700 Rives Junction Rd |
$2.74 | 5,804 | 5,233 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$52.73 | 5,231 | 5,180 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave. |
$48.99 | 5,031 | 4,917 |
|
Center For Family Health
1200 N West Ave |
$1.37 | 5,010 | 4,771 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$58.33 | 4,990 | 4,869 |
|
Center For Family Health
2400 4Th St |
$2.13 | 4,732 | 4,261 |
|
Moses Muzquiz Jr, M.D., P.C.
1041 Laurence Avenue |
$88.11 | 4,702 | 2,496 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$52.94 | 4,679 | 4,594 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$36.28 | 4,648 | 4,491 |
|
Rangarao Panguluri
205 N East Ave |
$20.80 | 4,378 | 4,362 |
|
Gail Burke
2200 Springport Rd |
$54.29 | 4,250 | 3,650 |
|
Carissa J May
3305 Spring Arbor Rd Ste 200 |
$9.45 | 3,964 | 2,889 |
|
Center For Family Health
1024 Fleming Ave |
$2.81 | 3,947 | 3,584 |
|
Pulmonary Clinics Of Southern Michigan
900 E Michigan Ave |
$52.96 | 3,884 | 3,802 |
|
Center For Family Health
544 Wildwood Ave |
$1.58 | 3,878 | 3,435 |
|
Segue Inc
212 E. Biddle Street |
$95.94 | 3,044 | 2,887 |
|
Jackson Cardiology & Associates
205 Page Ave |
$45.58 | 2,642 | 2,418 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$47.22 | 2,626 | 2,588 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$40.11 | 2,104 | 2,065 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$58.09 | 1,814 | 1,466 |
|
Max Chen
505 N Jackson St |
$0.18 | 1,795 | 1,539 |
|
W.A. Foote Memorial Hospital, Inc
205 N. East Ave |
$31.69 | 1,712 | 1,711 |
|
David Lee Halsey
1310 Greenwood Ave |
$85.81 | 1,663 | 1,653 |
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 Jackson, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jackson, MI is $57.59 per claim, based on 830,886 claims from 108 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 Jackson, MI?
There are 108 Medicaid providers offering Office Visit related services in Jackson, MI according to public payment data.
What is the price range for Office Visit in Jackson, MI?
Medicaid reimbursement for Office Visit in Jackson, MI ranges from $0.00 to $307.47 per claim, with an average of $57.59. 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 Jackson, MI
Substance Abuse Treatment
Avg $20.71
923,639 claims
Blood Work & Lab Tests
Avg $4.28
552,604 claims
Psychiatric Evaluation
Avg $85.96
403,365 claims
Emergency Room Visit
Avg $149.03
275,855 claims
Physical Therapy
Avg $25.82
265,862 claims
Vaccines & Immunizations
Avg $5.49
246,758 claims
X-Ray
Avg $10.91
245,240 claims
Dental Cleaning & Exam
Avg $40.56
227,634 claims