Average Medicaid Office Visit Payments in Marshall, MI: $57.27
Avg. Paid
$57.27
Range
$20.39 – $130.45
Total Claims
188,032
Providers
23
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 Marshall, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ella E M Brown Charitable Circle
200 N Madison St |
$59.13 | 151,273 | 140,600 |
|
Christopher Moore Gaffga
215 E Mansion St Ste 2D |
$41.72 | 13,222 | 11,974 |
|
David Michael Byrens
215 E Mansion St Ste 2F |
$45.42 | 4,790 | 4,312 |
|
Marshall Medical Associates Pc
1174 W Michigan Ave |
$61.79 | 4,181 | 3,913 |
|
Megan Floyd
215 E. Mansion Street |
$48.29 | 3,221 | 1,756 |
|
Kurt Rudiger Piatkowski
203 Winston Dr |
$38.99 | 3,040 | 2,301 |
|
Ella E M Brown Charitable Circle
15209 W Michigan Ave |
$47.15 | 1,939 | 1,866 |
|
Thomas Neidlinger
215 E Mansion St |
$40.44 | 1,658 | 1,512 |
|
Hirenkumar P Patel
215 E Mansion St Ste 1E |
$122.21 | 1,528 | 1,402 |
|
Alicia Deborah Ann Julovich
212 Winston Dr |
$61.80 | 967 | 719 |
|
Mansion Street Womens Health Pllc
215 E Mansion St. |
$40.36 | 842 | 786 |
|
Vincent Shen Md Plc
215 E Mansion St |
$33.71 | 351 | 312 |
|
Marshall Ophthalmology, Pllc
215 E Mansion St Ste 2B |
$89.44 | 270 | 270 |
|
Jamie Lynn Longhurst
800 Industrial Rd |
$74.54 | 262 | 247 |
|
Spartan Podiatry Pc
1600 South Kalamazoo Ave. |
$53.50 | 139 | 135 |
|
Advanced Gynecology Specialist Of Marshall Pllc
139 West Mansion Street |
$52.25 | 98 | 92 |
|
Shobhana Sharad Joshi
15209 W Michigan Ave |
$82.85 | 61 | 54 |
|
Alexia Marie Smith
15209 W Michigan Ave |
$34.76 | 59 | 54 |
|
Vincent Shen
215 E Mansion St |
$39.67 | 42 | 40 |
|
Khurram Jehangir Khan
200 N Madison St |
$130.45 | 32 | 32 |
|
Rick Arias
1174 W Michigan Ave Ste A |
$78.47 | 29 | 28 |
|
Caron Warnsby
215 E Mansion St |
$20.39 | 16 | 12 |
|
Dawson Family Chiropractic Practice
1170 W Michigan Ave |
$27.15 | 12 | 12 |
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 Marshall, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marshall, MI is $57.27 per claim, based on 188,032 claims from 23 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 Marshall, MI?
There are 23 Medicaid providers offering Office Visit related services in Marshall, MI according to public payment data.
What is the price range for Office Visit in Marshall, MI?
Medicaid reimbursement for Office Visit in Marshall, MI ranges from $20.39 to $130.45 per claim, with an average of $57.27. 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 Marshall, MI
Blood Work & Lab Tests
Avg $3.45
165,706 claims
Emergency Room Visit
Avg $158.49
54,903 claims
Physical Therapy
Avg $26.04
53,607 claims
Vaccines & Immunizations
Avg $9.28
50,049 claims
Urinalysis & Urine Tests
Avg $1.76
35,171 claims
X-Ray
Avg $26.19
16,595 claims
EKG / ECG (Electrocardiogram)
Avg $2.60
11,312 claims
Chiropractic Care
Avg $21.15
9,642 claims