Average Medicaid Office Visit Payments in Madison Heights, MI: $52.53
Avg. Paid
$52.53
Range
$14.82 – $98.80
Total Claims
207,550
Providers
24
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 Madison Heights, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Madison Heights Urgent Care, Pc
28037 Dequindre Rd |
$46.86 | 68,675 | 55,078 |
|
Get Well Urgent Care Madison Heights Plc
350 E 12 Mile Rd |
$58.60 | 63,478 | 58,858 |
|
Madison Heights Pediatrics Pc
28037 Dequindre Rd |
$50.42 | 27,055 | 21,280 |
|
Sacred Heart Rehabilitation Center, Inc
28303 Dequindre Rd |
$64.80 | 9,312 | 8,108 |
|
Bc Podiatry Pllc
30775 Stephenson Hwy |
$44.32 | 5,912 | 5,596 |
|
Tri-County Counseling Services Pllc
711 W 13 Mile Rd |
$33.07 | 5,508 | 5,109 |
|
Henry Ford Health Macomb-Oakland Hospital
27351 Dequindre Rd |
$50.67 | 5,245 | 5,005 |
|
Robert Hasbany Md Pllc
28200 John R Rd |
$80.10 | 5,130 | 4,523 |
|
Yasir Khan
27351 Dequindre Rd |
$49.62 | 4,632 | 4,504 |
|
John R Medical Clinic, Pc
26505 John R Rd |
$65.91 | 3,661 | 3,505 |
|
Catholic Charities Of Southeast Michigan
515 E 11 Mile Rd |
$46.27 | 2,963 | 2,758 |
|
American Oncologic Associates Of Michigan, Pc
30365 Dequindre Rd |
$39.24 | 1,100 | 1,075 |
|
As Medical Group Madison Heights Urgent Care Plc
32600 John R Rd |
$14.82 | 1,061 | 942 |
|
Medpro Urgent Care Pllc
31005 John R Rd Ste A |
$67.57 | 825 | 787 |
|
Sinan Albear
301 W 13 Mile Rd |
$25.43 | 684 | 657 |
|
Seton Health Corporation Of Southeastern Michigan
27483 Dequindre Rd |
$98.80 | 673 | 646 |
|
James Carnell Sibbett
27351 Dequindre Rd |
$30.12 | 520 | 511 |
|
Davincii Obstetrics & Gynecology Plc
1435 E 12 Mile Rd |
$61.99 | 414 | 395 |
|
Saurabh Gupta, M.D., Plc
610 E 12 Mile Rd |
$45.51 | 315 | 301 |
|
Madison Cardiology Pc
610 East 12 Mile Road |
$38.02 | 220 | 196 |
|
Brian L Kerman D P M P C
27031 Dequindre Rd |
$15.55 | 58 | 50 |
|
Aminur Rahman
350 E Twelve Mile Rd |
$53.37 | 41 | 36 |
|
Crystal Vision Consultants, Llc
29273 Dequindre Rd |
$53.60 | 37 | 37 |
|
Joseph Gregory Protacio
27351 Dequindre Rd |
$28.04 | 31 | 30 |
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 Madison Heights, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison Heights, MI is $52.53 per claim, based on 207,550 claims from 24 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 Madison Heights, MI?
There are 24 Medicaid providers offering Office Visit related services in Madison Heights, MI according to public payment data.
What is the price range for Office Visit in Madison Heights, MI?
Medicaid reimbursement for Office Visit in Madison Heights, MI ranges from $14.82 to $98.80 per claim, with an average of $52.53. 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 Madison Heights, MI
Substance Abuse Treatment
Avg $13.78
753,940 claims
Emergency Room Visit
Avg $135.11
219,384 claims
Blood Work & Lab Tests
Avg $2.94
216,659 claims
Durable Medical Equipment (DME)
Avg $72.73
143,508 claims
Physical Therapy
Avg $23.05
116,116 claims
Home Health Visit
Avg $70.05
77,514 claims
Urinalysis & Urine Tests
Avg $1.20
73,362 claims
Psychiatric Evaluation
Avg $62.20
73,223 claims