Average Medicaid Office Visit Payments in Kalamazoo, MI: $46.58
Avg. Paid
$46.58
Range
$0.00 – $191.64
Total Claims
1,300,383
Providers
102
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 Kalamazoo, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ankur Dinesh Bhagat
1000 Oakland Dr |
$0.00 | 12 | 12 |
|
Neelkamal Soares
1000 Oakland Dr |
$100.10 | 14 | 14 |
|
Nicholas Wesley Vryhof
1000 Oakland Dr |
$79.38 | 15 | 15 |
|
Kimberly Anne Mccarty
601 John St Ste W-308 |
$101.69 | 15 | 15 |
|
Colene M. Wade
1000 Oakland Dr |
$49.47 | 16 | 16 |
|
Sound Inpatient Physicians-Michigan, Pllc
1521 Gull Rd |
$28.53 | 18 | 16 |
|
Diane Marie Williams
7110 Stadium Dr |
$47.79 | 26 | 25 |
|
Brock Andrew Hardin
2490 S 11Th St Ste 201 |
$16.17 | 29 | 12 |
|
Bharat L Agrawal
200 N Park St |
$75.00 | 34 | 27 |
|
Yanny Phillips
601 John St |
$64.64 | 45 | 40 |
|
Steven L Keyte Dpm Pc
4415 Duke St |
$37.79 | 50 | 50 |
|
Southwestern Michigan Neonatology, P.C.
601 John St |
$40.38 | 53 | 53 |
|
Holy Family Healthcare
1441 S Westnedge Ave |
$72.55 | 58 | 53 |
|
Shadi Idris
1717 Shaffer St |
$36.58 | 62 | 56 |
|
William Ratigan Ranger
1815 Henson Ave |
$16.75 | 62 | 54 |
|
West Michigan Cancer Center
200 N Park St |
$39.02 | 64 | 64 |
|
Frank Chia-Hong Chen
1722 Shaffer St |
$19.76 | 64 | 59 |
|
Joseph Bruenjes
1000 Oakland Dr |
$49.64 | 65 | 63 |
|
Shawkee Aboualayoui
601 John Street |
$25.88 | 67 | 65 |
|
The Surgical Group Of Sw Michigan Pc
1535 Gull Rd |
$36.36 | 68 | 62 |
|
Carla Essling
1903 W Michigan Ave |
$42.20 | 69 | 53 |
|
Mariam M Ischander
1000 Oakland Dr |
$95.68 | 70 | 70 |
|
Jane E Woodward
2854 S 11Th St |
$57.91 | 77 | 67 |
|
Community Vision Centers Inc
4425 W Main St |
$31.41 | 86 | 86 |
|
Cyle Douglas Rogotzke
1000 Oakland Dr |
$74.59 | 90 | 83 |
|
Peter Zack
1000 Oakland Dr |
$174.51 | 97 | 88 |
|
Michael D. Chafty
900 Peeler St |
$39.81 | 123 | 122 |
|
West Michigan Interventional Pain & Spine, Pllc
6400 W Main St Ste A |
$73.48 | 131 | 126 |
|
Stephanie Ann Ellwood
117 W Paterson St |
$40.88 | 144 | 141 |
|
Janie Katarsky
1000 Oakland Dr |
$6.56 | 144 | 134 |
|
Jodi Midiri
1000 Oakland Dr |
$125.20 | 178 | 147 |
|
Silvia Teresa Linares
601 John St |
$167.49 | 183 | 156 |
|
Elizabeth Theresa Stephens
601 John St Ste M-005 |
$48.62 | 192 | 165 |
|
Santhosh Koshy
1722 Shaffer St Ste 1 |
$28.42 | 193 | 177 |
|
Advanced Vision Care, P.C.
333 Turwill Ln |
$50.29 | 210 | 182 |
|
Christine Bourgeois
1631 S Westnedge Ave |
$3.73 | 223 | 218 |
|
Paragon Health, Pc
1052 Gull Rd |
$55.81 | 225 | 214 |
|
Kerry Storms
601 John St Ste M-351 |
$28.67 | 237 | 218 |
|
Andrew Kurkiewicz
125 S Kalamazoo Mall |
$62.47 | 238 | 229 |
|
David Mahmoudian
1000 Oakland Dr |
$106.71 | 259 | 253 |
|
Kalamazoo Podiatry Pc
333 Turwill Ln |
$34.49 | 279 | 228 |
|
Philip J. Kroth
1000 Oakland Dr |
$29.11 | 280 | 260 |
|
Palak Shah
1000 Oakland Dr |
$0.46 | 292 | 153 |
|
Ascension Borgess Hospital
1521 Gull Rd |
$1.46 | 300 | 272 |
|
Chanel O'Brien
1521 Gull Rd |
$57.74 | 315 | 297 |
|
Katie Que Yang
1000 Oakland Dr |
$43.86 | 338 | 338 |
|
Lori Ann Klopfenstein
1663 S Westnedge Ave |
$12.07 | 346 | 330 |
|
Family Health Center Inc
615 E Crosstown Pkwy |
$7.38 | 379 | 352 |
|
Chaz Johnson
1000 Oakland Dr |
$28.01 | 421 | 361 |
|
Kari Beth Watts
1000 Oakland Dr |
$47.85 | 472 | 421 |
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 Kalamazoo, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kalamazoo, MI is $46.58 per claim, based on 1,300,383 claims from 102 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 Kalamazoo, MI?
There are 102 Medicaid providers offering Office Visit related services in Kalamazoo, MI according to public payment data.
What is the price range for Office Visit in Kalamazoo, MI?
Medicaid reimbursement for Office Visit in Kalamazoo, MI ranges from $0.00 to $191.64 per claim, with an average of $46.58. 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 Kalamazoo, MI
Blood Work & Lab Tests
Avg $5.52
1,338,243 claims
Substance Abuse Treatment
Avg $22.55
1,148,823 claims
Emergency Room Visit
Avg $95.58
1,136,532 claims
Psychiatric Evaluation
Avg $75.96
559,338 claims
Vaccines & Immunizations
Avg $7.25
440,882 claims
Physical Therapy
Avg $22.98
378,641 claims
Case Management Services
Avg $189.11
334,161 claims
X-Ray
Avg $16.53
313,763 claims