Average Medicaid Office Visit Payments in Kokomo, IN: $57.56
Avg. Paid
$57.56
Range
$1.80 – $115.64
Total Claims
596,793
Providers
233
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 Kokomo, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Olatubosun Olasupo Oguntoye
1907 W Sycamore St |
$63.95 | 47,497 | 39,384 |
|
Jeffrey K Wilson
5111 Clinton Dr |
$76.76 | 19,035 | 16,374 |
|
Kristina K Glick
3118 S Lafountain St |
$48.85 | 18,562 | 14,929 |
|
Laxeshkumar Bubulal Patel
322 N Main St |
$77.28 | 16,594 | 14,395 |
|
John Francis Schiltz
322 N Main St |
$76.02 | 15,422 | 13,857 |
|
Elizabeth Dulmes
3118 S Lafountain St |
$52.38 | 13,376 | 10,966 |
|
Kellie Ann Kilrain
3118 S Lafountain St |
$46.72 | 10,432 | 8,840 |
|
Gregory Spangler
3611 S Reed Rd |
$63.08 | 8,850 | 7,951 |
|
Monika Bhagat
3118 S Lafountain St |
$52.97 | 8,131 | 6,909 |
|
Michelle Vazquez
3505 S Reed Rd |
$55.74 | 7,970 | 6,687 |
|
Rose Paul
138 N Dixon Rd |
$68.23 | 7,325 | 6,539 |
|
Nathan Graves
209 Corwin Ln |
$27.22 | 7,219 | 5,149 |
|
Jared A Miller
138 N Dixon Rd |
$62.72 | 6,992 | 5,212 |
|
Susan John Moore
3118 South Lafountain |
$43.75 | 6,414 | 5,439 |
|
Kathleen Mccracken
3611 S Reed Rd |
$51.71 | 6,411 | 5,578 |
|
John Padraic Allbritton
1907 W Sycamore St |
$48.81 | 6,393 | 5,014 |
|
Kushagra Pundir
188 E Southway Blvd |
$70.76 | 6,187 | 4,604 |
|
Hannah Cher Jamlig Samonte
3611 S Reed Rd Ste 214 |
$52.63 | 6,142 | 5,445 |
|
Robert Zentz
3118 S Lafountain St |
$53.52 | 6,051 | 5,225 |
|
Samatha Madhavarapu
3118 S Lafountain St |
$47.34 | 6,010 | 5,154 |
|
Anshu Sidana
3118 S Lafountain St |
$76.45 | 6,003 | 4,248 |
|
Victoria L Moyer
138 N Dixon Rd |
$58.94 | 5,671 | 4,532 |
|
Josephine Nkechi Okwechime
1542 S Dixon Rd |
$63.32 | 5,593 | 4,852 |
|
Lindsey Carol Roberts
3728 S Reed Rd |
$80.74 | 5,415 | 4,164 |
|
Michelle L. Carter
322 N Main St |
$39.42 | 5,242 | 4,575 |
|
Changjian Chen
3505 S Reed Rd |
$73.97 | 5,203 | 4,856 |
|
Aaron Jon Legrand
1907 W Sycamore St Ste 200 |
$54.93 | 5,194 | 4,042 |
|
Josephine K Lilla
3508 S Lafountain St |
$57.72 | 5,093 | 4,577 |
|
Debra Kay Perkins
2354 W Boulevard |
$52.72 | 4,959 | 4,042 |
|
Michael J Carl
107 S Washington St Ste C |
$53.63 | 4,906 | 4,427 |
|
Martha Kinney
3506 S Lafountain St |
$54.43 | 4,797 | 4,185 |
|
Hardik B Shah
3508 S Lafountain St |
$52.48 | 4,797 | 4,268 |
|
Breanna Lynn Lee
138 N Dixon Rd |
$60.78 | 4,785 | 3,934 |
|
Sridhar Jatla
2330 S Dixon Rd Ste 325 |
$65.58 | 4,762 | 4,016 |
|
Colin James Blackburn
2341 W Lincoln Rd |
$33.66 | 4,606 | 3,505 |
|
J Benjamin Matheny
3508 S Lafountain St |
$41.22 | 4,602 | 4,171 |
|
Rajesh Mallela
208 Corwin Ln |
$62.37 | 4,508 | 4,104 |
|
Karyn Jett
2340 W Sycamore St |
$55.65 | 4,391 | 3,675 |
|
Anuradha Thumuluri
322 N Main St |
$44.81 | 4,303 | 3,530 |
|
Jason C Watters
3510 S Lafountain St |
$63.46 | 4,255 | 3,598 |
|
Kristyn J Tekulve
2330 S Dixon Rd Ste 325 |
$115.64 | 4,201 | 3,649 |
|
Marley A Griffin Fagg
138 N Dixon Rd |
$58.87 | 4,164 | 3,174 |
|
Alyssa Marie Cartin
3118 S Lafountain St |
$61.31 | 4,082 | 3,317 |
|
Emily Ann Boyle
188 E Southway Blvd |
$62.08 | 4,079 | 3,318 |
|
Donna Campbell
186 E Southway Blvd |
$46.88 | 4,078 | 3,166 |
|
Amber Barney
3611 S Lafountain St |
$53.00 | 3,955 | 3,557 |
|
Lora E Marshall
188 E Southway Blvd |
$62.75 | 3,871 | 3,116 |
|
Nathan Wheeler
107 S Washington St Ste C |
$54.63 | 3,846 | 3,264 |
|
Kathy Ann Ehler
513 W Lincoln Rd |
$63.96 | 3,828 | 2,736 |
|
Sheryar Sarwar
138 N Dixon Rd |
$44.87 | 3,824 | 2,803 |
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 Kokomo, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kokomo, IN is $57.56 per claim, based on 596,793 claims from 233 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 Kokomo, IN?
There are 233 Medicaid providers offering Office Visit related services in Kokomo, IN according to public payment data.
What is the price range for Office Visit in Kokomo, IN?
Medicaid reimbursement for Office Visit in Kokomo, IN ranges from $1.80 to $115.64 per claim, with an average of $57.56. 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 Kokomo, IN
Psychiatric Evaluation
Avg $59.19
233,105 claims
Physical Therapy
Avg $31.97
204,887 claims
Blood Work & Lab Tests
Avg $6.21
186,583 claims
Vaccines & Immunizations
Avg $9.72
141,743 claims
Behavioral & Mental Health Therapy
Avg $93.35
115,049 claims
Emergency Room Visit
Avg $99.17
104,685 claims
Speech Therapy
Avg $40.07
69,574 claims
Durable Medical Equipment (DME)
Avg $26.31
68,100 claims