Average Medicaid Office Visit Payments in Macomb, MI: $70.35
Avg. Paid
$70.35
Range
$11.53 – $112.02
Total Claims
23,956
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 Macomb, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rodas Md Pllc
19928 Edinberg Dr |
$81.76 | 7,522 | 5,754 |
|
Romeo Plank Urgent Care Pllc
45194 Romeo Plank Rd |
$68.60 | 4,410 | 4,282 |
|
Y Hassane Md Pc
21840 23 Mile Rd |
$72.84 | 2,819 | 2,380 |
|
Partridge Creek Obstetrics & Gynecology,P.C.
19991 Hall Rd |
$44.63 | 2,010 | 1,929 |
|
Farmbrooke Family Physicians Pc
48924 Hayes Rd |
$85.71 | 1,750 | 1,523 |
|
Yasser Mohamed Hassane
21840 23 Mile Rd |
$78.22 | 1,596 | 1,385 |
|
Summit Urgent Care Pc
21844 23 Mile Rd |
$59.92 | 1,423 | 1,220 |
|
Nicholas J Faiver
46591 Romeo Plank Rd Ste 111A |
$11.53 | 880 | 510 |
|
Dr. Zef Markaj Cosmetic Foot&Ankle Surgery P.C.
45449 Yorkshire Dr |
$60.65 | 462 | 461 |
|
Auburn Neurology And Sleep Associates Pc
46813 Garfield Rd |
$67.23 | 383 | 382 |
|
Peter Joseph Maceroni
46591 Romeo Plank Rd Ste 220 |
$51.89 | 168 | 163 |
|
Healthpoint Management Llc
46591 Romeo Plank Rd Ste 133 |
$68.64 | 164 | 159 |
|
Seton Health Corporation Of Southeastern Michigan
17900 23 Mile Rd Ste 101 |
$68.79 | 128 | 122 |
|
Aaron Kobernick
48801 Romeo Plank Rd Ste 103A |
$112.02 | 107 | 99 |
|
Urgent Care Aid Macomb Pllc
16820 21 Mile Rd |
$68.74 | 59 | 55 |
|
Premier Foot & Ankle Pllc
17900 23 Mile Rd |
$38.73 | 33 | 27 |
|
Ashley Marie Decaluwe
45441 Heydenreich Rd |
$61.77 | 15 | 15 |
|
Poley Sports Medicine, Pllc
15959 Hall Rd Ste 405 |
$60.42 | 14 | 14 |
|
Macomb Prompt Care Pllc
15959 Hall Rd |
$65.74 | 13 | 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 Macomb, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Macomb, MI is $70.35 per claim, based on 23,956 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 Macomb, MI?
There are 19 Medicaid providers offering Office Visit related services in Macomb, MI according to public payment data.
What is the price range for Office Visit in Macomb, MI?
Medicaid reimbursement for Office Visit in Macomb, MI ranges from $11.53 to $112.02 per claim, with an average of $70.35. 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 Macomb, MI
Dental Cleaning & Exam
Avg $40.42
54,294 claims
Physical Therapy
Avg $18.24
17,919 claims
Dental Filling
Avg $110.29
10,332 claims
Chiropractic Care
Avg $24.41
7,661 claims
Emergency Room Visit
Avg $86.18
7,038 claims
Blood Work & Lab Tests
Avg $20.14
6,581 claims
Psychiatric Evaluation
Avg $80.02
3,122 claims
Tooth Extraction
Avg $91.76
3,032 claims