Average Medicaid Office Visit Payments in Lincoln Park, MI: $61.18
Avg. Paid
$61.18
Range
$2.38 – $94.00
Total Claims
276,156
Providers
19
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 Lincoln Park, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Get Well Urgent Care Downriver Plc
1770 Fort St |
$61.75 | 74,624 | 69,979 |
|
Acadian Medical Provider
1158 Fort St |
$56.46 | 51,748 | 46,130 |
|
Community Care Services
26184 W Outer Drive |
$94.00 | 41,396 | 39,569 |
|
Western Wayne Family Health Centers
25650 Outer Dr |
$2.38 | 26,712 | 24,253 |
|
Junaid Ghadai Md Pc
4152 Dix Hwy |
$45.51 | 24,400 | 14,878 |
|
Joseph A. George,Md,Pc
4006 Fort St |
$67.36 | 17,864 | 11,309 |
|
Metro Urgent Care & Family Medical Center Pc
752 Southfield Rd |
$86.02 | 13,488 | 13,052 |
|
Downriver Family Physicians Pc
25880 Outer Dr |
$87.48 | 11,695 | 10,959 |
|
Nusrat Rahman Md Pc
3781 Fort St |
$66.64 | 7,578 | 7,133 |
|
Advanced Healthcare Associates, Pllc
25050 Outer Dr Ste 102 |
$51.96 | 2,492 | 2,305 |
|
Mahmood Khan M.D., P.C.
25880 Outer Dr |
$82.14 | 1,070 | 1,039 |
|
Luis Felipe Fanego
3180 Fort St |
$81.43 | 995 | 882 |
|
Bushra Haider
25650 Outer Dr |
$41.30 | 845 | 524 |
|
Primary Healthcare Doctors Pllc
2176 Fort St |
$65.56 | 784 | 665 |
|
Women'S Center Healthcare Physicians, Pllc
25050 Outer Dr |
$46.91 | 248 | 220 |
|
Dr. D. M. Elem Pc
1111 Fort St |
$50.50 | 151 | 151 |
|
Oakman Medical Clinic Pllc
3755 Fort St |
$72.20 | 31 | 29 |
|
Vps Of Mi Pllc
25880 Outer Dr Ste 1 |
$74.24 | 21 | 20 |
|
Eye Care Optometry Inc.
1755 Dix Hwy |
$58.07 | 14 | 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 Lincoln Park, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lincoln Park, MI is $61.18 per claim, based on 276,156 claims from 19 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 Lincoln Park, MI?
There are 19 Medicaid providers offering Office Visit related services in Lincoln Park, MI according to public payment data.
What is the price range for Office Visit in Lincoln Park, MI?
Medicaid reimbursement for Office Visit in Lincoln Park, MI ranges from $2.38 to $94.00 per claim, with an average of $61.18. 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 Lincoln Park, MI
Psychiatric Evaluation
Avg $115.42
76,356 claims
Case Management Services
Avg $150.14
61,860 claims
Dental Cleaning & Exam
Avg $49.33
61,149 claims
Ambulance Transport
Avg $108.42
55,731 claims
Behavioral & Mental Health Therapy
Avg $157.28
42,444 claims
Blood Work & Lab Tests
Avg $15.74
40,682 claims
Urinalysis & Urine Tests
Avg $2.90
26,378 claims
Dental Filling
Avg $113.56
18,603 claims