Average Medicaid Office Visit Payments in Madison, IN: $49.14
Avg. Paid
$49.14
Range
$0.00 – $307.76
Total Claims
190,923
Providers
72
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 |
|---|---|---|---|
|
John M Eagleson
441 Green Rd |
$14.08 | 12 | 12 |
|
Michael Shane Lundergan
110 Holt Dr |
$25.15 | 18 | 14 |
|
Joshua Bronson
110 Holt Dr |
$42.84 | 30 | 24 |
|
Sara Nicole Thorpe
1373 E State Road 62 |
$31.43 | 57 | 53 |
|
Gwendolyn Heaton
711 Green Rd |
$65.90 | 92 | 80 |
|
Eduardo G Rivera
122 Demaree Dr |
$0.00 | 106 | 105 |
|
Nilda E Durany
311 E Clifty Dr |
$307.76 | 116 | 116 |
|
Paul S Rosenberg
1373 E Sr 62 |
$24.87 | 138 | 126 |
|
Kelsey L Goodin
1373 E State Road 62 Ste 2E |
$63.44 | 144 | 133 |
|
Keith A Mclean
630 Broadway St Ste 1A |
$42.64 | 183 | 158 |
|
Jennifer Gail Nay
1373 E State Road 62 Ste 2A |
$34.11 | 194 | 164 |
|
Eugene S. Pawlak
160 Demaree Dr |
$11.07 | 198 | 193 |
|
Catherine Green
2580 Michigan Rd |
$62.18 | 198 | 137 |
|
Tyler Charles Pietrykowski
2580 Michigan Rd Ste 2 |
$59.15 | 232 | 169 |
|
Robin L Hudson
1373 E State Road 62 Ste 2A |
$42.75 | 245 | 169 |
|
Daniel Long
1373 E State Road 62 |
$40.53 | 255 | 237 |
|
Norton - Kings Daughters Health Inc
1373 E State Road 62 |
$61.39 | 264 | 244 |
|
Kenneth Mackinlay
1373 E State Road 62 Ste 2A |
$38.66 | 282 | 258 |
|
Alicia D Mincher
1373 E State Road 62 |
$39.27 | 305 | 276 |
|
Jennifer D Roney
1373 E State Road 62 Ste 2F |
$42.84 | 320 | 245 |
|
Samantha Jo Sparks
1373 E State Road 62 |
$79.35 | 358 | 245 |
|
Matthew Charles Golden
1373 E State Road 62 Ste 2C |
$24.46 | 458 | 411 |
|
Jennifer A Stone
1373 E State Road 62 |
$33.93 | 474 | 441 |
|
Sarah Leanne Mahoney
445 Clifty Dr |
$46.31 | 641 | 538 |
|
Natalie M Hill
1373 E State Road 62 Ste 2F |
$45.34 | 670 | 582 |
|
Andrea Grace Casey
1373 E State Road 62 |
$35.32 | 726 | 462 |
|
Bryan E Maddox
445 Clifty Dr |
$57.09 | 737 | 701 |
|
Regina Ann James
1373 E State Road 62 |
$36.18 | 928 | 841 |
|
Tracie L Davis
1373 E State Road 62 |
$62.20 | 1,045 | 396 |
|
Eric J Berseth
2432 Clifty Dr |
$63.25 | 1,151 | 1,035 |
|
David Eugene Henderson
1 Carpet Alley |
$9.86 | 1,162 | 1,111 |
|
David L Schumacher
1373 E State Road 62 Ste 2C |
$41.47 | 1,346 | 1,199 |
|
Susan M Berns
1373 E State Road 62 |
$47.28 | 1,376 | 1,230 |
|
Mandy Corinne Althoff
1373 E State Road 62 Ste 2C |
$48.89 | 1,410 | 1,224 |
|
Gabriel Adam Borisuk
445 Clifty Dr |
$46.42 | 1,539 | 1,383 |
|
Thomas C Eckert
1373 E State Road 62 Ste 1C |
$42.51 | 1,643 | 1,485 |
|
William Allan Francis
1373 E State Road 62 |
$43.29 | 1,757 | 1,618 |
|
Cassandra Meyer
1 Kings Daughters Dr |
$42.81 | 1,914 | 1,775 |
|
Susan M Stack
1373 E Sr 62 |
$51.63 | 1,926 | 1,718 |
|
Deborah Jean Dilk
1373 E State Road 62 Ste 2F |
$28.60 | 1,984 | 1,594 |
|
Melissa Kay Meyer
1373 E Sr 62 |
$47.94 | 2,038 | 1,904 |
|
Brandy J Smith
110 Holt Dr |
$98.39 | 2,057 | 1,511 |
|
Kayla M Meister
1373 E State Road 62 |
$44.69 | 2,128 | 1,782 |
|
Dawn M Meacham
630 Broadway St # 2 |
$57.00 | 2,222 | 1,953 |
|
Mary Victoria Conners
630 Broadway St |
$44.92 | 2,227 | 1,962 |
|
Phillip A Ross
630 Broadway St # 2 |
$46.29 | 2,347 | 2,125 |
|
Robert M. Ellis
1373 E Sr 62 |
$31.29 | 2,588 | 2,171 |
|
Patrick W Stack
1373 E Sr 62 |
$48.04 | 2,816 | 2,519 |
|
Tyler Patton
311 E Clifty Dr |
$61.06 | 3,199 | 2,727 |
|
Mark D Totten
630 Broadway St # 2 |
$47.44 | 3,385 | 2,975 |
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.
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, IN
Substance Abuse Treatment
Avg $21.63
370,835 claims
Behavioral & Mental Health Therapy
Avg $104.89
164,426 claims
Blood Work & Lab Tests
Avg $6.53
136,502 claims
Psychiatric Evaluation
Avg $58.05
76,683 claims
Durable Medical Equipment (DME)
Avg $23.98
70,991 claims
Case Management Services
Avg $34.69
66,033 claims
Vaccines & Immunizations
Avg $9.63
62,404 claims
Emergency Room Visit
Avg $81.98
45,046 claims