Average Medicaid Office Visit Payments in Lake Orion, MI: $56.02
Avg. Paid
$56.02
Range
$0.00 – $78.89
Total Claims
127,554
Providers
20
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 Lake Orion, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Women'S Healthcare Associates Of Oakland Pllc
1428 S Lapeer Rd |
$53.71 | 84,464 | 76,294 |
|
Elite Healthcare Plc
1455 S Lapeer Rd |
$68.54 | 9,735 | 9,287 |
|
Sg Pediatrics Of Lake Orion
1455 S Lapeer Rd Ste 134 |
$71.19 | 6,228 | 5,521 |
|
Neighborhood Primary Care Pllc
1261 S Lapeer Rd Ste 202 |
$73.89 | 5,106 | 4,578 |
|
Iha Ooma Primary Llc
1375 S Lapeer Rd Ste 210 |
$60.29 | 4,395 | 3,999 |
|
Vincenzo Guglielmetti
1375 S. Lapeer Rd. |
$15.24 | 3,795 | 2,567 |
|
Sunil K. Das Md Pc
256 S Broadway St |
$64.30 | 3,349 | 3,053 |
|
Endometriosis Treatment Center Of America - Michigan Pllc
1430 S Lapeer Rd |
$62.17 | 2,315 | 2,114 |
|
John Kitzmiller M.D. Pc
1455 S Lapeer Rd Ste 200 |
$41.69 | 2,083 | 1,871 |
|
Pro-Health Medical Fp
3003 S Baldwin Rd Ste B |
$78.89 | 1,739 | 1,561 |
|
Madeline Turner Do Pc
1261 S Lapeer Rd |
$43.12 | 1,473 | 1,377 |
|
Kevin Do
Iha Lake Orion Primary Care |
$77.07 | 905 | 830 |
|
Diana L. Cohen, D.O., P.C.
1240 S Lapeer Rd |
$51.53 | 630 | 547 |
|
John D Arsen Dpm Inc
1251 S Lapeer Rd Ste 101 |
$38.26 | 468 | 427 |
|
East West Pain Institute, Pllc
425 N Park Blvd |
$32.73 | 444 | 417 |
|
Karolyn A Rodgers
1428 S Lapeer Rd |
$53.54 | 218 | 207 |
|
Haneet Multani
1455 S Lapeer Rd Ste 102 |
$0.00 | 106 | 61 |
|
Andrea Hartford
1428 S Lapeer Rd |
$63.12 | 43 | 42 |
|
Lake Orion Vision Pc
81 Indianwood Rd |
$51.29 | 33 | 32 |
|
Nashwan Yousif Md Pllc
1261 S Lapeer Rd |
$46.35 | 25 | 25 |
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 Lake Orion, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lake Orion, MI is $56.02 per claim, based on 127,554 claims from 20 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 Lake Orion, MI?
There are 20 Medicaid providers offering Office Visit related services in Lake Orion, MI according to public payment data.
What is the price range for Office Visit in Lake Orion, MI?
Medicaid reimbursement for Office Visit in Lake Orion, MI ranges from $0.00 to $78.89 per claim, with an average of $56.02. 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 Lake Orion, MI
Ultrasound
Avg $66.09
42,256 claims
Urinalysis & Urine Tests
Avg $4.21
28,475 claims
Psychiatric Evaluation
Avg $81.16
12,995 claims
Vaccines & Immunizations
Avg $10.22
9,972 claims
Chiropractic Care
Avg $21.27
9,804 claims
Blood Work & Lab Tests
Avg $8.06
8,177 claims
Dental Cleaning & Exam
Avg $38.00
6,985 claims
Pregnancy & Prenatal Care
Avg $623.92
6,874 claims