Average Medicaid Office Visit Payments in Merrillville, IN: $54.67
Avg. Paid
$54.67
Range
$0.00 – $139.52
Total Claims
626,977
Providers
205
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 Merrillville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mario M Robbins
3903 E Lincoln Hwy |
$44.03 | 39,302 | 31,927 |
|
Geeta Kurra
200 E 89Th Ave |
$67.96 | 36,869 | 25,276 |
|
Madhumita Bhojraj
6091 Broadway |
$54.52 | 28,418 | 23,091 |
|
Ahmad Kassem El-Samad
9239 Broadway |
$15.59 | 22,803 | 13,298 |
|
Jose Lorenzo Ramirez
8555 Taft St |
$67.61 | 22,561 | 20,017 |
|
Matthew Jason Tipton
6091 Broadway |
$67.23 | 20,252 | 17,023 |
|
Bharat H. Barai
200 E 89Th Ave |
$53.14 | 16,880 | 12,089 |
|
Tarek H Shahbandar
8687 Connecticut St |
$28.64 | 16,675 | 12,474 |
|
Vanessa M Rodriguez
205 E 86Th Ct |
$53.31 | 15,130 | 11,303 |
|
Faiqa Mohyuddin
6091 Broadway |
$55.16 | 14,947 | 11,642 |
|
Yaser Alobeid
3903 E Us Highway 30 |
$63.90 | 13,088 | 9,943 |
|
Daksha C Vyas
200 E. 89Th Ave. |
$55.04 | 12,113 | 10,747 |
|
Augustine I Izah
5857 Broadway |
$44.33 | 11,524 | 9,370 |
|
Oranu G Ibekie
1574 E 85Th Ave |
$60.80 | 11,079 | 5,123 |
|
Halah Hamzeh
99 E 86Th Ave Ste D |
$67.05 | 10,743 | 9,370 |
|
Dennis P Han
99 E 86Th Ave |
$63.99 | 10,067 | 9,100 |
|
Shawn Mcclure
8555 Taft St |
$68.53 | 9,214 | 8,072 |
|
Aaron William Longale
8601 Connecticut St |
$74.72 | 8,834 | 5,779 |
|
Thomas T Tarin
99 E 86Th Ave |
$65.37 | 7,522 | 6,894 |
|
Rakesh N Parikh
5490 Broadway Ste 106 |
$43.08 | 7,182 | 5,226 |
|
Ryan C Cmejrek
99 E 86Th Ave |
$61.62 | 7,177 | 6,473 |
|
Andre K Artis
5800 Broadway |
$43.84 | 6,930 | 5,673 |
|
Mihas Mamu Kodenchery
5800 Broadway |
$51.48 | 6,729 | 5,497 |
|
Larry M Salberg
521 E 86Th Ave |
$61.20 | 6,016 | 4,813 |
|
Srikietr Dhana
8300 Broadway |
$66.86 | 5,796 | 4,898 |
|
Harish A Shah
200 E 86Th Pl |
$48.09 | 5,720 | 4,443 |
|
Luwanga Uzoma Okoro
200 E 86Th Pl |
$56.06 | 5,554 | 4,714 |
|
Perry Earl Zack
751 E 81St Ave |
$52.70 | 5,515 | 4,808 |
|
Jeffrey Lynn Nelson
303 W 89Th Ave |
$61.10 | 5,508 | 5,013 |
|
Richard L. Cristea
521 E 86Th Ave |
$53.63 | 5,458 | 4,437 |
|
Thach N Nguyen
200 E 86Th Pl |
$37.48 | 5,402 | 4,186 |
|
Judson Booker Wood
200 E 89Th Ave |
$79.51 | 5,110 | 4,656 |
|
Justin William Kucsera
70 E 68Th Pl |
$64.32 | 4,999 | 4,516 |
|
Angelique D Brown
6111 Harrison St |
$62.24 | 4,886 | 4,213 |
|
Gerald C Lewis
9120 Connecticut St Ste A |
$34.21 | 4,831 | 4,423 |
|
Prinn Kay Stang
99 E 86Th Ave. |
$65.06 | 4,789 | 3,837 |
|
Anupama Subramanian
751 E 81St Pl |
$62.80 | 4,593 | 2,329 |
|
Louis Teodori
521 E 86Th Aveune |
$48.01 | 4,368 | 3,359 |
|
Jazmine Kara Larson
8555 Taft St |
$74.88 | 4,279 | 3,682 |
|
Surendra J Shah
5825 Broadway |
$35.01 | 4,263 | 3,598 |
|
Perkin Knot Stang
99 E 86Th Ave |
$54.23 | 4,255 | 2,987 |
|
Adaora Gabriella Asoegwu
5043 E 81St Ave |
$72.58 | 4,252 | 3,627 |
|
Kristen M Giacomin
118 E 90Th Dr |
$57.14 | 4,232 | 3,743 |
|
Anekal B Sreeram
255 E 90Th Dr |
$35.88 | 4,206 | 3,341 |
|
John Joseph Pomponi
333 W 89Th Ave Ste W5 |
$64.99 | 4,088 | 3,420 |
|
James Arthur Eadie
8679 Connecticut St Ste A |
$61.21 | 3,930 | 3,602 |
|
Kristina Mcclellan
5043 E 81St Ave |
$69.68 | 3,889 | 3,379 |
|
Vijay Dave
200 E 86Th Pl |
$44.52 | 3,846 | 3,184 |
|
Kristy Darnell
200 E 89Th Ave |
$42.39 | 3,625 | 3,270 |
|
Mustafa Nakawa
8777 Broadway Ste B |
$72.57 | 3,577 | 2,991 |
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 Merrillville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Merrillville, IN is $54.67 per claim, based on 626,977 claims from 205 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 Merrillville, IN?
There are 205 Medicaid providers offering Office Visit related services in Merrillville, IN according to public payment data.
What is the price range for Office Visit in Merrillville, IN?
Medicaid reimbursement for Office Visit in Merrillville, IN ranges from $0.00 to $139.52 per claim, with an average of $54.67. 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 Merrillville, IN
Substance Abuse Treatment
Avg $47.16
798,378 claims
Blood Work & Lab Tests
Avg $5.00
262,934 claims
Psychiatric Evaluation
Avg $70.12
234,092 claims
Eye Exam
Avg $43.63
161,213 claims
Physical Therapy
Avg $35.48
134,950 claims
Durable Medical Equipment (DME)
Avg $28.49
111,037 claims
Nursing Facility Care
Avg $10.54
87,122 claims
EKG / ECG (Electrocardiogram)
Avg $8.42
72,379 claims