Average Medicaid Office Visit Payments in Martinsville, IN: $64.69
Avg. Paid
$64.69
Range
$15.74 – $110.21
Total Claims
83,847
Providers
26
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 Martinsville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jian Li
1949 Hospital Dr |
$61.05 | 16,962 | 15,246 |
|
Justin Timothy Fuller
2209 John R Wooden Dr |
$81.72 | 13,749 | 12,339 |
|
Barbara A Mickler
1030 E Morgan St |
$71.22 | 7,519 | 5,845 |
|
Alexandra B Freeman
2209 John R Wooden Dr |
$68.79 | 7,303 | 6,619 |
|
Ruth Ellen Dwyer
1949 Hospital Dr |
$55.51 | 6,146 | 5,095 |
|
Lori Wronowicz Frasher
2209 John R Wooden Dr |
$57.91 | 4,651 | 4,171 |
|
Tracy Ann Everman
1949 Hospital Dr |
$54.53 | 4,554 | 3,821 |
|
Lu H Sclair
1949 Hospital Dr |
$58.42 | 4,264 | 3,556 |
|
Melissa Mae Willis
2209 John R Wooden Dr |
$57.42 | 2,765 | 2,395 |
|
Mary Claire Greco
2209 John R Wooden Dr |
$79.95 | 2,343 | 2,166 |
|
Fnu Taneem Sultana
2209 John R Wooden Dr |
$61.32 | 1,997 | 1,766 |
|
Amy E Simpson
1949 Hospital Dr |
$58.02 | 1,838 | 1,652 |
|
Donna Marie Everman
293 Grand Valley Blvd |
$47.83 | 1,756 | 1,499 |
|
Barbara Darlene Newell
1949 Hospital Dr |
$28.96 | 1,429 | 1,209 |
|
Patrick Pek Thar
2209 John R Wooden Dr |
$88.39 | 1,381 | 1,218 |
|
Michael E. Teague
1949 Hospital Dr |
$65.51 | 1,362 | 1,134 |
|
Thomas Harmes
3630 Meadows Dr |
$58.24 | 1,196 | 791 |
|
Stephen L Hardin
2209 John R Wooden Dr |
$45.66 | 1,176 | 970 |
|
Haley L Mifflin
293 Grand Valley Blvd |
$52.55 | 583 | 459 |
|
Emilee Anne Arens
2209 John R Wooden Dr |
$65.19 | 198 | 170 |
|
Barbara Ann Winningham
1525 W Shore Dr |
$31.57 | 150 | 108 |
|
Arlene M. Parker
504 Grand Valley Blvd |
$74.40 | 131 | 89 |
|
Emma L Rice
2209 John R Wooden Drive |
$110.21 | 125 | 117 |
|
Claire Scheele
2200 John R Wooden Dr |
$15.74 | 111 | 57 |
|
Nanette Lana Richards
1605 Fox Dr |
$54.75 | 99 | 91 |
|
Curtis Andrew Legg
1100 In-39 Bypass |
$88.40 | 59 | 58 |
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 Martinsville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Martinsville, IN is $64.69 per claim, based on 83,847 claims from 26 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 Martinsville, IN?
There are 26 Medicaid providers offering Office Visit related services in Martinsville, IN according to public payment data.
What is the price range for Office Visit in Martinsville, IN?
Medicaid reimbursement for Office Visit in Martinsville, IN ranges from $15.74 to $110.21 per claim, with an average of $64.69. 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 Martinsville, IN
Physical Therapy
Avg $37.49
49,848 claims
Substance Abuse Treatment
Avg $421.08
33,560 claims
Vaccines & Immunizations
Avg $10.28
32,255 claims
Blood Work & Lab Tests
Avg $7.13
31,020 claims
Speech Therapy
Avg $17.22
26,300 claims
Psychiatric Evaluation
Avg $56.58
24,180 claims
Chiropractic Care
Avg $23.36
19,144 claims
Ambulance Transport
Avg $112.95
17,871 claims