Average Medicaid Office Visit Payments in Lambertville, MI: $42.72
Avg. Paid
$42.72
Range
$11.63 – $67.41
Total Claims
16,733
Providers
17
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 Lambertville, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brenda S Schulty
7575 Secor Rd |
$40.73 | 4,423 | 3,517 |
|
Holly Jean Ruttan
7301 Secor Rd |
$45.62 | 2,738 | 2,493 |
|
Matthew James Lazette
7575 Secor Rd |
$37.95 | 2,560 | 2,433 |
|
Lambertville Urgent Care Walk In Clinic
3299 Sterns Rd |
$67.41 | 1,669 | 1,630 |
|
Janine Forche
7581 Secor Rd |
$34.36 | 1,368 | 1,219 |
|
Samantha Louise Masongsong
7575 Secor Rd |
$35.73 | 1,107 | 846 |
|
Kelly Nicole Chisholm
7581 Secor Rd |
$36.58 | 742 | 664 |
|
Kristen Leigh Minard
7575 Secor Rd |
$38.22 | 741 | 615 |
|
John Arthur Crayne
3415 Sterns Rd. |
$36.77 | 350 | 303 |
|
Marian Deames
3175 Smith Rd |
$46.82 | 241 | 232 |
|
Ashley Wilhelm
7301 Secor Rd |
$55.26 | 239 | 222 |
|
Allison Lucille Dollman Kouba
7301 Secor Rd |
$40.26 | 169 | 158 |
|
David R Reames
3175 Smith Rd |
$33.80 | 157 | 148 |
|
Taylor Burger
8351 Waterford Dr |
$37.16 | 138 | 128 |
|
Roger A True
7625 Summerfield Rd |
$38.04 | 48 | 42 |
|
Kurt M Roecker
7581 Secor Rd |
$54.34 | 28 | 25 |
|
Chelsie Crawford
7470 Secor Rd |
$11.63 | 15 | 13 |
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 Lambertville, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lambertville, MI is $42.72 per claim, based on 16,733 claims from 17 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 Lambertville, MI?
There are 17 Medicaid providers offering Office Visit related services in Lambertville, MI according to public payment data.
What is the price range for Office Visit in Lambertville, MI?
Medicaid reimbursement for Office Visit in Lambertville, MI ranges from $11.63 to $67.41 per claim, with an average of $42.72. 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 Lambertville, MI
Psychiatric Evaluation
Avg $74.19
6,844 claims
Eye Exam
Avg $31.41
2,625 claims
Behavioral & Mental Health Therapy
Avg $157.21
1,134 claims
Dental Cleaning & Exam
Avg $37.89
813 claims
Pathology & Lab Services
Avg $27.04
713 claims
Physical Therapy
Avg $25.27
381 claims
Durable Medical Equipment (DME)
Avg $52.80
309 claims
Chiropractic Care
Avg $22.82
256 claims