Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lapeer, MI: $60.15

Avg. Paid

$60.15

Range

$0.00 – $150.01

Total Claims

333,737

Providers

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 Lapeer, MI

Provider	Avg. Paid	Claims	Patients
Mclaren Medical Group 1254 N Main St	$59.65	85,495	80,893
Lapeer Pediatrics, P.C. 1083 Suncrest Dr	$69.37	58,512	51,866
Mclaren Lapeer Region 1375 N Main St	$27.61	38,052	35,610
Lapeer Community Urgent Care Pllc 1225 Summit St	$35.47	26,454	25,331
County Of Lapeer 1570 Suncrest Dr	$150.01	23,760	22,266
Anesthesia Services Associates, Pc 1375 N Main St	$37.77	13,829	13,211
Hamilton Community Health Network, Inc 1570 Suncrest Dr	$16.18	12,608	11,527
Fred Wurster Do Pc 1257 N Main St	$67.76	11,554	10,743
Lapeer Medical Associates Pc 944 Baldwin Rd	$65.15	9,567	8,956
Arja Md Pc 1739 N Saginaw St Ste 104A	$66.70	6,924	6,252
Hurley Health Services 1794 N Lapeer Rd	$53.07	6,722	6,494
Heart & Vascular Institute Of Mi P.C. 1075 Suncrest Dr	$55.41	6,489	6,333
Lapeer Women S Health Pllc 1254 N Main St	$82.99	4,995	4,831
Zachary Hillman Do Pllc 1500 N Main St	$79.99	4,435	4,234
Zarka Dermatology Pllc 1057 Suncrest Dr	$61.71	4,237	4,159
Hisham I Ahmed Md Pllc 1457 Suncrest Dr	$51.10	4,044	3,545
Hurley Medical Center 1794 N Lapeer Rd Ste D	$49.41	2,695	2,635
Hurley Medical Center 1794 N Lapeer Rd	$51.90	2,588	2,430
Gunda S. Reddy Md Pc 3273 Davison Rd Ste 1	$51.56	1,824	1,797
Hasan & Hasan Neurology Group Pc 237 Davis Lake Rd Ste B	$57.69	1,396	1,362
List Psychological Services, Plc 624 W Nepessing St	$55.08	1,386	1,292
Lapeer Neurology Associates Pc 237 Davis Lake Rd	$46.68	1,323	1,293
Lapeer County Eye Associates Inc 333 W Nepessing St	$44.21	1,136	1,020
Lisa Marie Allen 3257 Davison Rd Ste 102	$44.11	896	832
Darlene F Daly Do Pc 3257 Davison Rd Ste 203	$47.01	733	628
Ashraf Mostafa Md Pllc 1257 N Main St	$59.78	685	670
Michigan Rheumatology Group Pc 1254 N Main St	$53.93	299	295
Npscm Medical Holdings Llc 1245 N Main St Ste B	$57.92	278	254
Robert M Stenz Do Pc 3273 Davison Rd	$53.27	238	231
Global Family Care, P.L.C. 1500 N Main St	$55.43	141	132
Eager Internal Medicine, Pllc 1193 S Lapeer Rd	$60.79	120	110
Foot Clinic Of Lapeer Pllc 1187 S Lapeer Rd	$51.46	90	88
Bina Karnani 1254 N Main St	$0.00	66	65
Cinnamon Bice 1375 N Main St	$30.58	65	65
Sharma Clinic Pllc 3257 Davison Rd	$29.46	32	32
Shikha Sharma 1031 Suncrest Dr	$26.23	15	15
Mohammad Al-Harastani 1083 Suncrest Dr	$64.97	15	14
Mclaren Medical Group 1254 N Main St	$46.42	14	14
East Michigan Infectious Disease Pllc 1375 N Main St	$40.60	13	12
Wellness Within Chiropractic Pllc 520 Imlay City Rd	$8.48	12	12

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 Lapeer, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lapeer, MI is $60.15 per claim, based on 333,737 claims from 40 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 Lapeer, MI?

There are 40 Medicaid providers offering Office Visit related services in Lapeer, MI according to public payment data.

What is the price range for Office Visit in Lapeer, MI?

Medicaid reimbursement for Office Visit in Lapeer, MI ranges from $0.00 to $150.01 per claim, with an average of $60.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lapeer, MI: $60.15

Providers Offering Office Visit in Lapeer, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Lapeer, MI

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

X-Ray

Emergency Room Visit

Psychiatric Evaluation

CT Scan (Computed Tomography)

Vaccines & Immunizations

Case Management Services