Average Medicaid Office Visit Payments in Kendallville, IN: $57.37
Avg. Paid
$57.37
Range
$20.21 – $104.78
Total Claims
78,206
Providers
36
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 Kendallville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elizabeth A Schowe
326 N Sawyer Rd |
$64.05 | 7,089 | 6,446 |
|
David C. Willyard
512 Professional Way |
$58.10 | 7,083 | 6,458 |
|
Braion Chapman
512 Professional Way |
$61.77 | 6,737 | 6,295 |
|
Christopher P. Frazier
326 N Sawyer Rd |
$62.48 | 5,190 | 4,580 |
|
Sarah M Kintz
326 N Sawyer Rd |
$60.68 | 4,278 | 3,830 |
|
Bridget Joseph
512 Professional Way |
$58.37 | 4,023 | 3,674 |
|
Rex A. Flenar
130 Lake Terrace Dr |
$71.69 | 3,542 | 3,198 |
|
Sadaf Bangash
410 N Sawyer Rd |
$53.25 | 3,491 | 3,112 |
|
Rachel Scholten
512 Professional Way |
$57.06 | 3,478 | 3,074 |
|
Abigail Masters
326 N Sawyer Rd |
$58.65 | 3,342 | 3,013 |
|
Nicholas L Fox
326 N Sawyer Rd |
$67.70 | 2,644 | 2,403 |
|
Abdali S. Jan
610 N Sawyer Rd |
$47.56 | 2,593 | 2,006 |
|
Ron L. Sloan
326 N Sawyer Rd |
$64.35 | 2,569 | 2,258 |
|
Megan Jackson
410 N Sawyer Rd |
$48.15 | 2,389 | 2,113 |
|
Leslie Angel
512 Professional Way |
$61.55 | 2,188 | 2,014 |
|
Michelle M Diss
401 N Sawyer Rd |
$26.67 | 2,118 | 1,415 |
|
Micah Spencer
401 N Sawyer Rd Ste C |
$33.87 | 2,071 | 1,449 |
|
Dandrae Douse
401 N Sawyer Rd |
$29.53 | 1,506 | 891 |
|
Gary P Brazel
512 Professional Way |
$52.34 | 1,405 | 1,207 |
|
Brian Lamar
410 N Sawyer Rd |
$77.05 | 1,375 | 1,271 |
|
Laura Bolen
512 Professional Way |
$52.87 | 1,330 | 1,162 |
|
Jason D Dedoes
213 Fairview Blvd |
$31.70 | 1,212 | 938 |
|
Vincent J Coda
410 E Mitchell St |
$57.80 | 1,076 | 1,030 |
|
Laura K Silver
410 N Sawyer Rd |
$71.90 | 1,066 | 973 |
|
David K Bunde
401 N Sawyer Rd |
$45.51 | 1,002 | 851 |
|
Kiersa Diane Durfee
420 N Sawyer Rd |
$55.45 | 1,001 | 838 |
|
Wendy J Walmsley
420 N Sawyer Rd |
$57.73 | 608 | 544 |
|
Denise E Blad
326 N Sawyer Rd |
$73.76 | 569 | 496 |
|
Catherine Hause
401 N Sawyer Rd |
$27.52 | 434 | 303 |
|
Sandra Sue Charles
326 N Sawyer Rd |
$65.59 | 331 | 305 |
|
Luis M Velasco
420 N Sawyer Rd |
$20.21 | 162 | 138 |
|
Lauren Kay Carlisle
1732 W North St |
$104.78 | 75 | 74 |
|
Brittany Altimus
301 W Ohio St |
$67.40 | 74 | 69 |
|
Meleah Shull
402 N Riley St |
$46.78 | 62 | 60 |
|
Craig Michael Lichlyter
781 E North St |
$51.57 | 58 | 37 |
|
Bobby Tolosa
420 N Sawyer Rd |
$74.73 | 35 | 30 |
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 Kendallville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kendallville, IN is $57.37 per claim, based on 78,206 claims from 36 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 Kendallville, IN?
There are 36 Medicaid providers offering Office Visit related services in Kendallville, IN according to public payment data.
What is the price range for Office Visit in Kendallville, IN?
Medicaid reimbursement for Office Visit in Kendallville, IN ranges from $20.21 to $104.78 per claim, with an average of $57.37. 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 Kendallville, IN
Behavioral & Mental Health Therapy
Avg $127.62
54,477 claims
Ambulance Transport
Avg $96.00
20,418 claims
Blood Work & Lab Tests
Avg $4.30
20,279 claims
Emergency Room Visit
Avg $110.82
12,185 claims
Eye Exam
Avg $46.51
11,512 claims
Vaccines & Immunizations
Avg $10.36
10,222 claims
Nursing Facility Care
Avg $9.33
10,038 claims
Physical Therapy
Avg $31.23
8,764 claims