Average Medicaid Office Visit Payments in Marquette, MI: $76.21
Avg. Paid
$76.21
Range
$0.00 – $258.54
Total Claims
260,031
Providers
50
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 Marquette, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dlp Marquette Physician Practices Inc
1414 W Fair Ave |
$66.12 | 148,961 | 139,421 |
|
Orthopaedic Surgery Associates Of Marquette Pc
1414 W Fair Ave |
$49.62 | 20,279 | 19,623 |
|
Pathways
200 W Spring St |
$258.54 | 18,741 | 18,427 |
|
Upper Great Lakes Family Health Center
1414 W Fair Ave Ste 249 |
$30.41 | 12,039 | 10,537 |
|
Stevens & Hardie Family Practice Pc
107 W Main St |
$73.34 | 6,439 | 5,915 |
|
Dlp Marquette Physician Practices Inc
580 W College Ave |
$59.31 | 6,022 | 5,737 |
|
Superior Ear, Nose & Throat Specialists. P.C.
712 Chippewa Sq Ste 130 |
$63.14 | 6,013 | 5,945 |
|
Marquette Internal Medicine Associates, P.C.
1414 W Fair Ave |
$61.74 | 4,470 | 4,284 |
|
Ob-Gyn Assoc Of Marquette Pc
1414 W Fair Ave |
$51.23 | 4,113 | 3,858 |
|
Singletrack Health, Pc
107 W Main St |
$71.92 | 4,070 | 3,621 |
|
Chasity C Caperton
1414 W Fair Ave Ste 226 |
$66.39 | 2,882 | 2,649 |
|
Dlp Marquette Physician Practices Inc
1414 W Fair Ave |
$54.00 | 2,251 | 2,221 |
|
Great Lakes Recovery Centers
241 Wright St Bldg 1 |
$53.07 | 2,247 | 1,835 |
|
Heritage Health, Pc
1007 Harbor Hills Dr Ste B |
$77.60 | 2,070 | 1,915 |
|
Catholic Social Services Of The U.P.
347 Rock St |
$70.80 | 1,860 | 1,416 |
|
Shruthi Edunuri
1414 W Fair Ave |
$71.64 | 1,585 | 1,463 |
|
Dickinson County Healthcare System
1414 W Fair Ave |
$73.00 | 1,412 | 1,320 |
|
Forefront Dermatology, S.C.
1007 Harbor Hills Dr |
$51.96 | 1,384 | 1,371 |
|
Pierce C. Park
1414 W Fair Ave |
$26.90 | 1,219 | 1,088 |
|
Marquette Medical Pllc
1025 W Washington St Ste A |
$61.00 | 1,096 | 1,065 |
|
Jeffrey S Karr Mdpc
1414 W Fair Ave |
$75.91 | 1,057 | 982 |
|
Upper Peninsula Rehabilitation Medicine Associates P.C.
580 West Baraga Avenue Suite 30 |
$63.61 | 1,011 | 995 |
|
Access Family Medicine Pllc
1001 M 28 E Ste 10 |
$93.99 | 1,001 | 951 |
|
Christopher James O'Connor
1414 W Fair Ave Ste 390 |
$30.24 | 932 | 898 |
|
Northern Michigan University
1401 Presque Isle Avenue |
$46.85 | 884 | 763 |
|
Ivy Marie Vachon
1414 W Fair Ave |
$44.18 | 825 | 749 |
|
Lisa Lee Smith
1414 W Fair Ave Ste 35 |
$66.30 | 591 | 561 |
|
Fred L Groos
1414 W Fair Ave Ste 242 |
$23.18 | 557 | 417 |
|
Gregory L. Sulik
150 W. Ridge St. |
$99.26 | 495 | 474 |
|
Superior Ear Nose Throat - Audiology & Allergy Pc
712 Chippewa Sq Ste 100 |
$72.98 | 446 | 443 |
|
Annie Skewis, Llc
545 County Road Hq |
$58.13 | 321 | 307 |
|
Great Lakes Recovery Centers
241 Wright Street |
$60.89 | 310 | 245 |
|
Saswat Sahu
1414 W Fair Ave |
$42.77 | 285 | 273 |
|
Suunta Integrative Health
1209 N 3Rd St |
$54.96 | 252 | 207 |
|
Monarch Healthcare
545 County Road Hq |
$81.91 | 228 | 216 |
|
U P Asthma And Allergy Center
1414 W Fair Ave Ste 216 |
$56.10 | 215 | 211 |
|
Christian M Dinsmore
580 W College Ave |
$19.43 | 211 | 199 |
|
James Lee Christiansen
1414 West Fair Ave |
$117.52 | 201 | 177 |
|
Colleen Mary Dupuis
1414 W Fair Ave Ste 190 |
$64.30 | 168 | 152 |
|
Cassie Bluhm
1414 W Fair Ave Ste 36 |
$0.00 | 143 | 135 |
|
Jeon W Lee
1414 W Fair Ave |
$25.45 | 137 | 107 |
|
Surgical Associates Of Marquette, P.C.
1414 W Fair Avenue3 |
$57.47 | 127 | 127 |
|
Gregory Walter Hayne
107 W Main St |
$34.00 | 114 | 111 |
|
Ann M Skewis
1414 W Fair Ave |
$63.43 | 98 | 92 |
|
Access Psychological Pc
1014 N 3Rd St |
$64.90 | 93 | 83 |
|
Dr Heidi Johnson Od Pc
2822 Venture Dr |
$62.96 | 62 | 61 |
|
Amy Martyanov
580 W College Ave |
$68.66 | 60 | 44 |
|
Lacy Williams
545 County Road Hq |
$79.50 | 26 | 24 |
|
Eye Associates Of Marquette Inc
1414 W Fair Ave |
$52.69 | 15 | 12 |
|
U. P. Digestive Disease Associates, P.C.
1414 W Fair Ave |
$44.27 | 13 | 13 |
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 Marquette, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marquette, MI is $76.21 per claim, based on 260,031 claims from 50 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 Marquette, MI?
There are 50 Medicaid providers offering Office Visit related services in Marquette, MI according to public payment data.
What is the price range for Office Visit in Marquette, MI?
Medicaid reimbursement for Office Visit in Marquette, MI ranges from $0.00 to $258.54 per claim, with an average of $76.21. 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 Marquette, MI
Blood Work & Lab Tests
Avg $4.69
208,197 claims
Psychiatric Evaluation
Avg $159.83
119,066 claims
Emergency Room Visit
Avg $113.23
89,658 claims
Vaccines & Immunizations
Avg $9.76
77,335 claims
Physical Therapy
Avg $32.80
75,163 claims
Case Management Services
Avg $267.58
71,052 claims
X-Ray
Avg $10.34
67,428 claims
Urinalysis & Urine Tests
Avg $1.77
40,085 claims