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
Douglas Aaron Rex 330 N Wabash Ave	$112.44	12	12
Jessica Robin Gudgel 1114 N Western Ave	$44.57	12	12
Gregory V. Richardson 505 N. Wabash Ave	$23.30	14	12
Tamara K Pylawka 1389 N Baldwin Ave	$11.85	16	15
Marc T Campos 1103 N Baldwin Avenue	$30.96	17	14
Richard Sandefur Murphy 317 S Norton St	$55.32	17	14
Chau N. Jackson 1700 E 38Th St	$34.29	18	17
Christina Robles 330 N Wabash Ave Ste 110	$19.31	22	15
Stephen Keller 1130 N Baldwin Ave	$23.16	22	12
Thomas J Chowattukunnel 711 W Gardner Dr	$88.87	27	27
Danielle E Hamlin 1130 N Baldwin Ave	$48.32	29	28
Jack Derby 506 S Washington St	$54.03	32	26
Miranda Jo Mitchell 1130 N Baldwin Ave	$56.61	34	31
Isaac Gottschalk 1400 N Baldwin Ave	$60.23	35	27
Riley D Rose 1406 W Bella Dr	$24.42	36	24
William David Moore 1127 N Western Avenue	$53.66	45	42
Derek Price 506 S Washington St	$61.54	47	38
Andrea Lynn Detamore 441 N Wabash	$51.66	77	64
Faisal Noorzad 441 N Wabash Ave	$66.03	92	82
William Michael Roper 1389 N Baldwin Ave	$24.03	105	87
Salil Rajmaira 1389 N Baldwin Ave	$21.72	115	97
Chelsea Faye Kolodziej 441 N Wabash Ave	$63.81	116	103
Kristine A Hess 330 N Wabash Ave	$19.15	125	83
Kristine A Knapp 1419 W Bella Dr	$27.18	126	103
John Wayne Kennedy 1614 N Baldwin Ave	$88.89	126	110
Heather D Brady 119 S Washington St	$43.19	139	126
Tamy E Perng 330 N Wabash	$15.98	198	94
Trina L. Greenwald Llc 515 N Bradner Ave	$74.85	198	188
Nitin R Sharma 330 N Wabash Ave Ste 370	$65.55	225	202
Kayla Marie Key 441 N Wabash Ave	$63.10	231	180
Lisa A Decker 1136 N Baldwin Ave	$39.20	237	159
Elizabeth Huffman 925 S Nebraska St	$63.24	263	228
Daniel T Barrido 610 N River Dr	$94.68	292	275
George E Geier 330 N Wabash Ave	$27.32	300	205
Arthur Kupersmith 101 S Washington St	$33.72	325	196
Charles W Bemm 3783 E State Road 18	$2.25	330	312
Kelsi Fulda 330 N Wabash Ave Ste 210	$67.55	387	346
Leah Broyles 1391 N Baldwin Ave	$47.79	391	336
Noreen C Faulkner 1419 W Bella Dr	$43.16	453	364
Amjad Shahir Ata Alrashdan 330 N Wabash Ave Ste 110	$78.31	508	445
Lani B Stearns 831 N Theatre Dr	$39.21	509	449
James P Mackrell 330 N Wabash Ave Ste 110	$36.80	528	391
Hannah Renfrow 1411 W Bella Drive	$67.08	567	490
Shawn T Swan 1419 W Bella Dr	$86.88	598	527
Megan Marie Krom 1411 W Bella Drive	$49.88	622	548
Madison A Sprunger 3510 S Western Ave	$62.20	690	576
Mark A Westfall 1391 N Baldwin Ave	$64.05	725	627
Adrienne M. Howard 1320 W Spencer Ave	$31.77	745	535
Marion General Hospital 330 N Wabash Avenue	$68.70	787	712
Patrick Murathimi Mutugu 505 N Wabash Ave	$48.05	820	751

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.

Average Medicaid Office Visit Payments in Marion, IN: $55.91

Providers Offering Office Visit in Marion, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Marion, IN

Substance Abuse Treatment

Blood Work & Lab Tests

Psychiatric Evaluation

Emergency Room Visit

Behavioral & Mental Health Therapy

Ambulance Transport

Vaccines & Immunizations

Urinalysis & Urine Tests