Average Medicaid Office Visit Payments in Marion, IN: $55.91
Avg. Paid
$55.91
Range
$2.25 – $112.44
Total Claims
324,360
Providers
114
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 Marion, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Harold Conn
505 Wabash Ave |
$68.35 | 39,491 | 34,467 |
|
Paul D Wolfe
2620 S Western Ave |
$65.51 | 35,290 | 28,054 |
|
Stephen Daniel Conrad
925 S Nebraska St |
$41.50 | 13,963 | 11,407 |
|
Emily Barrido-Kabigting
330 N Wabash Ave |
$62.22 | 13,803 | 11,194 |
|
Melissa Ann Wood-Heller
1103 N Baldwin Avenue |
$59.06 | 12,298 | 10,531 |
|
Kalee Dunkle
1700 E 38Th St |
$64.37 | 9,066 | 5,185 |
|
Trina L Greenwald
515 N Bradner Ave |
$52.23 | 8,380 | 7,296 |
|
Colt Allen Cansler
1130 N Baldwin Ave |
$55.60 | 7,934 | 6,870 |
|
Edmond A. Bendaly
831 Theatre Drive |
$40.36 | 7,377 | 4,699 |
|
Sree Valli Aparna Srishti
330 N Wabash |
$40.53 | 6,710 | 5,548 |
|
Robert Keith Dawson
925 S Nebraska St |
$42.38 | 6,338 | 5,537 |
|
Jason D Gray
330 N Wabash Ave Ste 460A |
$40.74 | 6,317 | 5,566 |
|
Randi D Bragg
925 S Nebraska St |
$53.37 | 5,766 | 4,797 |
|
Kristan L Higginbotham
1391 N Baldwin Ave |
$65.01 | 5,428 | 4,551 |
|
Jennifer R Hite
706 N River Dr |
$60.35 | 4,888 | 4,325 |
|
Virginia Kay Delon
815 N Western Ave |
$43.63 | 4,632 | 3,621 |
|
Karl Cytrynowicz
330 N Wabash Ave Ste 430 |
$41.91 | 4,527 | 3,136 |
|
L'Erin Leigh-Anne Garner
3510 S Western Ave |
$56.06 | 4,107 | 3,684 |
|
Kyle R. Speakman
1391 N Baldwin Avenue |
$54.18 | 4,009 | 3,096 |
|
Avelina Te Vitug
1700 E 38Th St |
$18.03 | 3,965 | 3,628 |
|
Kimberly Ann Lovelady
1399 N Baldwin Avenue |
$58.53 | 3,930 | 3,176 |
|
Karen J Jacobs
1509 Hawksview Dr |
$37.06 | 3,914 | 2,913 |
|
Porcha Leggett
1406 W Bella Dr |
$68.53 | 3,832 | 3,296 |
|
Prakash Karna
330 N Wabash Ave Ste 320 |
$64.74 | 3,817 | 3,369 |
|
Supriya Shamsunder Kumar
330 N Wabash Ave |
$34.72 | 3,809 | 2,845 |
|
Timothy G Gillum
801 W Gardner Dr |
$39.14 | 3,670 | 3,039 |
|
Sara J Nevil
119 S Washington St |
$56.24 | 3,617 | 3,187 |
|
Lindsey Leeana Cook
441 N Wabash |
$60.85 | 3,588 | 3,239 |
|
Kelly J Barsha
505 N Wabash Ave |
$84.40 | 3,377 | 3,065 |
|
Eric Emery
441 N Wabash Ave |
$61.69 | 3,323 | 2,968 |
|
Nagesh Anjinappa
1419 W Bella Dr |
$83.91 | 3,104 | 2,746 |
|
Craig Peel
801 W Gardner Dr |
$40.36 | 3,095 | 2,541 |
|
Annalise Kathleen Michaud
515 N Bradner Ave |
$73.99 | 3,059 | 2,745 |
|
Melissa Sue Lora
1411 W Bella Dr |
$63.32 | 3,005 | 2,433 |
|
Kristine D Colyer
1391 N Baldwin Avenue |
$53.18 | 2,918 | 2,518 |
|
Philip R Renfroe
925 S Nebraska St |
$61.69 | 2,916 | 2,411 |
|
Michelle Hart
1399 N Baldwin Avenue |
$50.05 | 2,776 | 2,158 |
|
Brenda K Woods
1391 N Baldwin Avenue |
$41.33 | 2,765 | 1,982 |
|
Vinodha Nagesh
1419 W Bella Drive |
$75.54 | 2,704 | 2,322 |
|
Rathipriya Mahendran
831 Theatre Drive |
$31.03 | 2,447 | 1,677 |
|
Mohammad Nabi Sharif
330 N Wabash Ave Ste 110 |
$31.07 | 2,337 | 1,635 |
|
Nikolina Wiler
441 N Wabash Ave |
$61.23 | 2,320 | 2,183 |
|
Jacob M Schlosser
1105 N Western Ave |
$51.41 | 2,282 | 2,043 |
|
Kavita Raj
1399 N Baldwin Avenue |
$55.12 | 2,255 | 1,709 |
|
Carole Wilson
1130 N Baldwin Ave |
$58.37 | 2,237 | 2,019 |
|
Ihab Ajaaj
330 N Wabash Ave Ste 110 |
$53.68 | 2,206 | 1,789 |
|
Dawn D Lagerkvist
1320 W Spencer Ave |
$42.83 | 2,195 | 1,790 |
|
Adam Jay Patrick
1406 W Bella Dr |
$39.57 | 2,117 | 1,497 |
|
Jitendra I Patel
330 N Wabash |
$23.99 | 2,070 | 1,393 |
|
Thomasina Marie Wrangham
6484 E 100 S |
$42.89 | 2,068 | 1,962 |
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 Marion, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marion, IN is $55.91 per claim, based on 324,360 claims from 114 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 Marion, IN?
There are 114 Medicaid providers offering Office Visit related services in Marion, IN according to public payment data.
What is the price range for Office Visit in Marion, IN?
Medicaid reimbursement for Office Visit in Marion, IN ranges from $2.25 to $112.44 per claim, with an average of $55.91. 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 Marion, IN
Substance Abuse Treatment
Avg $16.68
1,299,424 claims
Blood Work & Lab Tests
Avg $5.29
309,976 claims
Psychiatric Evaluation
Avg $61.92
203,331 claims
Emergency Room Visit
Avg $93.56
175,596 claims
Behavioral & Mental Health Therapy
Avg $69.94
154,477 claims
Ambulance Transport
Avg $48.61
123,263 claims
Vaccines & Immunizations
Avg $9.30
116,555 claims
Urinalysis & Urine Tests
Avg $2.90
89,819 claims