Average Medicaid Office Visit Payments in Lafayette, IN: $56.15
Avg. Paid
$56.15
Range
$0.00 – $143.70
Total Claims
714,113
Providers
438
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 Lafayette, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Karen T Regan
5177 Mccarty Ln |
$77.55 | 12 | 12 |
|
Keivan Shalileh
5165 Mccarty Ln |
$52.30 | 12 | 12 |
|
Carmen H Gonzalez
2600 Greenbush St |
$123.72 | 12 | 12 |
|
Steven Rudolf Steinhubl
5177 Mccarty Ln |
$109.10 | 12 | 12 |
|
Douglas Lawrence Williams
134 Executive Dr |
$50.00 | 12 | 12 |
|
Sarah Roth
3750 Landmark Dr Ste B |
$104.00 | 13 | 13 |
|
Gary E Schraut
100 Professional Ct |
$71.14 | 13 | 12 |
|
Daniel Edwards
2600 Greenbush St |
$88.93 | 13 | 12 |
|
Victoria Logan Mccain
2600 Ferry St |
$53.30 | 13 | 12 |
|
Ramona Bass
3743 Landmark Dr |
$44.27 | 13 | 12 |
|
James Michael Sutton
915 Mezzanine Dr |
$25.41 | 14 | 14 |
|
Raud Duane Estep
3743 Landmark Drive, Ste 200 |
$57.51 | 14 | 12 |
|
William Brian Kuhn
3750 Landmark Dr Ste B |
$29.39 | 14 | 14 |
|
Donald Eugene Clayton
2600 Greenbush St |
$68.03 | 14 | 13 |
|
Jessica Avery Karns
3806 Amelia Ave |
$13.54 | 14 | 12 |
|
Marisa Cohen
2600 Ferry St |
$59.45 | 14 | 14 |
|
Joseph Raymond Shinn
3920 St Francis Way Ste 100 |
$39.82 | 15 | 12 |
|
Alisha Rockette
5165 Mccarty Ln |
$60.13 | 15 | 12 |
|
Richard C Berg
2600 Greenbush St |
$56.32 | 15 | 12 |
|
Lafayette Pain Care, P.C.
770 Park East Blvd Ste B |
$0.00 | 15 | 15 |
|
Shaheen R Alanee
5165 Mccarty Ln |
$27.83 | 15 | 12 |
|
Nanette Renee Julian
1 Walter Scholer Dr |
$56.51 | 16 | 14 |
|
Vicki Nees
3920 St Francis Way |
$50.38 | 17 | 15 |
|
Donald R. Westerhausen
3900 St Francis Way Ste 205 |
$55.09 | 18 | 14 |
|
Ashley Garrett
833 Park East Blvd |
$35.97 | 20 | 17 |
|
Scott William Hoyer
2600 Ferry St |
$36.20 | 21 | 12 |
|
Hector C Torres
1501 Hartford St |
$0.00 | 21 | 20 |
|
Arnett Clinic, Llc
5165 Mccarty Ln |
$74.14 | 24 | 24 |
|
Karisa Bowman
1221 S Creasy Ln Ste A |
$30.85 | 26 | 24 |
|
Neil Craine Estabrook
420 N 26Th St |
$40.79 | 26 | 24 |
|
John S Wagner
3778 Union St |
$38.21 | 27 | 24 |
|
Thomas L Summer
1345 Unity Pl |
$42.21 | 28 | 25 |
|
Jasmine Kaur Sidhu
2600 Greenbush St |
$23.95 | 28 | 27 |
|
Erin K Ramirez
3920 St Francis Way Ste 110 |
$82.99 | 28 | 24 |
|
Cara Marie Plake
427 Main St. |
$76.18 | 29 | 24 |
|
Eben M True
1345 Unity Pl |
$56.05 | 31 | 25 |
|
Betty Ann Demko
3920 St Francis Way Ste 220 |
$70.38 | 31 | 25 |
|
Wasima Hassan
3750 Landmark Dr |
$39.26 | 31 | 28 |
|
James C Sloan
5165 Mccarty Ln |
$35.03 | 32 | 29 |
|
Kaitlyn Gohn
2600 Greenbush St |
$31.02 | 32 | 29 |
|
Thomas I Jones
420 N 26Th St |
$28.17 | 32 | 29 |
|
Sherman Anthony Williams
3900 St Francis Way Ste 200 |
$16.84 | 33 | 26 |
|
Amy Elizabeth Spear
5177 Mccarty Ln |
$74.12 | 34 | 28 |
|
Michelle B Herberts
2600 Greenbush St |
$58.61 | 36 | 30 |
|
Priit Jaagosild
1116 N 16Th St |
$35.41 | 38 | 38 |
|
Mehboob A Kalani
5165 Mccarty Ln |
$46.20 | 40 | 37 |
|
Jenna N Becker
1 Walter Scholer Dr |
$61.14 | 41 | 39 |
|
Andrew Anthony Alaimo
1701 S Creasy Ln |
$64.83 | 43 | 38 |
|
Patricia M Dymek
2600 Ferry St |
$44.42 | 43 | 40 |
|
Aaron Joel Duberstein
2320 Concord Rd Ste A |
$29.87 | 44 | 38 |
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 Lafayette, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lafayette, IN is $56.15 per claim, based on 714,113 claims from 438 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 Lafayette, IN?
There are 438 Medicaid providers offering Office Visit related services in Lafayette, IN according to public payment data.
What is the price range for Office Visit in Lafayette, IN?
Medicaid reimbursement for Office Visit in Lafayette, IN ranges from $0.00 to $143.70 per claim, with an average of $56.15. 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 Lafayette, IN
Behavioral & Mental Health Therapy
Avg $111.97
1,010,125 claims
Blood Work & Lab Tests
Avg $7.87
391,463 claims
Emergency Room Visit
Avg $102.68
388,358 claims
Psychiatric Evaluation
Avg $51.61
310,280 claims
Case Management Services
Avg $33.68
242,892 claims
Vaccines & Immunizations
Avg $8.51
219,237 claims
EKG / ECG (Electrocardiogram)
Avg $14.07
162,809 claims
Ambulance Transport
Avg $75.14
150,288 claims