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Based on public Medicaid payment data.

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

Other Procedures in Marion, IN