Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Madison, IN: $49.14

Avg. Paid

$49.14

Range

$0.00 – $307.76

Total Claims

190,923

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 Madison, IN

Provider	Avg. Paid	Claims	Patients
Sarah R. Marshall 630 Broadway St	$44.76	14,818	12,712
Kimberly Elisa Hall 1373 E State Road 62	$46.45	14,706	13,391
Michael D Foster 711 Green Rd	$55.11	9,445	7,771
George L. Alcorn 1373 E State Road 62 Ste 1D	$34.14	9,193	7,866
Abdelmessiah K Guirguis 1373 E State Road 62	$47.67	8,331	7,369
Colleen Ryan Madison State Hospital	$64.06	8,162	6,312
Diamond N Harris 1373 E State Road 62	$66.97	7,032	6,269
Branden A Bledsoe 311 E Clifty Dr	$53.93	6,220	5,532
April Y Barr 630 North Broadway Street, Level 2	$54.30	6,049	5,337
Steven Lee Vorhies 1373 E State Road 62	$51.63	6,031	5,353
Matthew L Mcroberts 1373 E State Road 62	$63.15	5,433	4,696
Melissa H Courtney 1373 E State Road 62 Ste 2F	$30.99	4,958	3,641
Gail Mcknight Turner 311 E Clifty Dr	$31.73	4,684	4,066
Hannah Marie Lair 804 W 3Rd St	$55.56	4,545	3,941
Lawrence Hastings Schoch 2580 Michigan Rd	$27.80	4,140	2,403
Michael E Israel 630 Broadway St	$38.36	3,850	3,458
Nathan W Polley 1373 E State Road 62 Ste 2A	$44.89	3,679	3,348
Philip N Hall 630 Broadway St # 2	$62.22	3,674	3,290
Jonathan B Hanson 1373 E State Road 62 Ste 2E	$60.58	3,635	3,260
Jenna Aleea Ali 1373 E Sr 62	$71.86	3,627	3,087
Kristen Elisabeth Brewster 445 Clifty Dr	$41.47	3,595	3,310
Ajay K Kandra 1373 E State Road 62	$46.63	3,475	2,824
Mark D Totten 630 Broadway St # 2	$47.44	3,385	2,975
Tyler Patton 311 E Clifty Dr	$61.06	3,199	2,727
Patrick W Stack 1373 E Sr 62	$48.04	2,816	2,519
Robert M. Ellis 1373 E Sr 62	$31.29	2,588	2,171
Phillip A Ross 630 Broadway St # 2	$46.29	2,347	2,125
Mary Victoria Conners 630 Broadway St	$44.92	2,227	1,962
Dawn M Meacham 630 Broadway St # 2	$57.00	2,222	1,953
Kayla M Meister 1373 E State Road 62	$44.69	2,128	1,782
Brandy J Smith 110 Holt Dr	$98.39	2,057	1,511
Melissa Kay Meyer 1373 E Sr 62	$47.94	2,038	1,904
Deborah Jean Dilk 1373 E State Road 62 Ste 2F	$28.60	1,984	1,594
Susan M Stack 1373 E Sr 62	$51.63	1,926	1,718
Cassandra Meyer 1 Kings Daughters Dr	$42.81	1,914	1,775
William Allan Francis 1373 E State Road 62	$43.29	1,757	1,618
Thomas C Eckert 1373 E State Road 62 Ste 1C	$42.51	1,643	1,485
Gabriel Adam Borisuk 445 Clifty Dr	$46.42	1,539	1,383
Mandy Corinne Althoff 1373 E State Road 62 Ste 2C	$48.89	1,410	1,224
Susan M Berns 1373 E State Road 62	$47.28	1,376	1,230
David L Schumacher 1373 E State Road 62 Ste 2C	$41.47	1,346	1,199
David Eugene Henderson 1 Carpet Alley	$9.86	1,162	1,111
Eric J Berseth 2432 Clifty Dr	$63.25	1,151	1,035
Tracie L Davis 1373 E State Road 62	$62.20	1,045	396
Regina Ann James 1373 E State Road 62	$36.18	928	841
Bryan E Maddox 445 Clifty Dr	$57.09	737	701
Andrea Grace Casey 1373 E State Road 62	$35.32	726	462
Natalie M Hill 1373 E State Road 62 Ste 2F	$45.34	670	582
Sarah Leanne Mahoney 445 Clifty Dr	$46.31	641	538
Jennifer A Stone 1373 E State Road 62	$33.93	474	441

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, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison, IN is $49.14 per claim, based on 190,923 claims from 72 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, IN?

There are 72 Medicaid providers offering Office Visit related services in Madison, IN according to public payment data.

What is the price range for Office Visit in Madison, IN?

Medicaid reimbursement for Office Visit in Madison, IN ranges from $0.00 to $307.76 per claim, with an average of $49.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Madison, IN: $49.14

Providers Offering Office Visit in Madison, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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