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 |
|---|---|---|---|
|
Siju T Chacko
200 E 86Th Pl |
$98.20 | 15 | 12 |
|
Mahendra M Shah
8554 Broadway |
$91.65 | 15 | 12 |
|
Viraj Maniar
400 W 84Th Dr |
$74.32 | 15 | 14 |
|
Eric F Schulte
7863 Broadway |
$65.75 | 17 | 14 |
|
Bruce Edward Williams
8120 Georgia St |
$2.89 | 18 | 13 |
|
Kmlst Moorthi
90 W 86Th Ave |
$55.56 | 24 | 18 |
|
Larry R Brazley
255 E 90Th Dr |
$9.23 | 25 | 25 |
|
Carrie Jo Kamp
8645 Connecticut St |
$32.49 | 25 | 12 |
|
William John Pierce
210 E 90Th Drive |
$6.27 | 26 | 25 |
|
Renato Goreshi
311 E 89Th Ave |
$32.07 | 27 | 25 |
|
Martha F Drake
403 W 81St Ave |
$60.09 | 27 | 27 |
|
Robert T Woodburn
8702 Broadway |
$19.70 | 29 | 25 |
|
Kevin Andre Myrie
90 W 86Th Ave |
$57.94 | 32 | 24 |
|
Ayoola K Gomih
398 W 80Th Pl |
$0.16 | 34 | 13 |
|
Danielle Jackson
8645 Connecticut St |
$54.71 | 34 | 31 |
|
Nancy M White
200 E 89Th Ave |
$26.53 | 36 | 15 |
|
Joseph B Koscielniak
5587 Broadway |
$27.42 | 37 | 29 |
|
Jill Blanchard
8777 Broadway |
$54.73 | 39 | 38 |
|
Pratima M Mehta
5825 Broadway |
$33.54 | 40 | 38 |
|
Sha-Ron Jackson-Johnson
101 E 87Th Ave |
$54.62 | 44 | 41 |
|
Venkat Vavilala
90 W 86Th Ave |
$54.61 | 50 | 38 |
|
Rafael Fletes
90 W 86Th Ave |
$28.52 | 54 | 39 |
|
Tamara Joy Elkins
8895 Broadway |
$38.31 | 57 | 39 |
|
Patricia Viola Olson
8645 Connecticut St |
$63.11 | 59 | 50 |
|
Robert William Moses
70 E 68Th Pl |
$38.77 | 64 | 64 |
|
Michelle Lipton-Carroll
5490 Broadway |
$37.10 | 68 | 62 |
|
Jonathan R Javors
333 W 89Th Ave Ste W5 |
$46.71 | 72 | 61 |
|
Christine Eshak
70 E 68Th Pl |
$71.17 | 74 | 66 |
|
Christopher Micheal Hatch
8701 Broadway |
$45.86 | 76 | 72 |
|
Richard O Oni
5525 Broadway |
$51.43 | 93 | 77 |
|
Husam Hafzah
200 E 89Th Ave Ste 2A |
$43.42 | 94 | 86 |
|
Patty A Meding
200 E 86Th Pl |
$25.29 | 108 | 89 |
|
Mohammed Asgar
5490 Broadway Ste 106 |
$47.36 | 113 | 84 |
|
Amelia H Teas
200 E 89Th Ave |
$38.09 | 116 | 106 |
|
Marisela Varela
90 W 86Th Ave |
$40.59 | 125 | 108 |
|
Ramakrishnan P Unni
400 West 84Th Dr. |
$28.48 | 135 | 123 |
|
Leyna Midkiff
400 W 84Th Dr |
$49.32 | 136 | 117 |
|
James Hong
9001 Broadway |
$6.70 | 137 | 118 |
|
Bruce R Yalowitz
400 W 84Th Dr |
$47.58 | 140 | 118 |
|
Ahmad Bassel Shughoury
8895 Broadway |
$41.61 | 146 | 103 |
|
Saurabh Chawla
6061 Broadway |
$39.68 | 164 | 135 |
|
Brian Robert Billmeyer
400 W 84Th Dr |
$46.22 | 168 | 152 |
|
Cydney Bullock Tipton
6091 Broadway |
$63.78 | 187 | 155 |
|
Jimmy Garala
101 E 87Th Ave Fl A3 |
$47.66 | 225 | 209 |
|
Mohamad Hytham Rifai
200 E 89Th Ave |
$66.43 | 241 | 222 |
|
Katrina E Wright
90 W 86Th Ave |
$35.41 | 241 | 196 |
|
Crystal Morgan
300 W 80Th Pl |
$84.69 | 249 | 199 |
|
Sharon Ann Harig
8895 Broadway |
$20.11 | 256 | 183 |
|
Michael Frampton
9120 Connecticut St |
$0.00 | 287 | 274 |
|
John M Diveris
333 W 89Th Ave |
$13.60 | 290 | 216 |
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