Average Medicaid Office Visit Payments in Michigan City, IN: $56.30
Avg. Paid
$56.30
Range
$0.00 – $256.51
Total Claims
461,375
Providers
161
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 Michigan City, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Olusola Akintunde Olowe
10176 W 400 N Ste C |
$70.11 | 38,624 | 19,262 |
|
Adam Sergiwa
9856 W 400 N |
$55.96 | 30,315 | 25,962 |
|
Ossama Hosney Zorub
3500 Franciscan Way |
$62.32 | 20,666 | 16,390 |
|
John S Kelly
710 Franklin St |
$52.56 | 14,590 | 11,607 |
|
Natalie S Opanasets
4111 Franklin St |
$87.15 | 12,101 | 10,906 |
|
Kumud Aggarwal
450 Saint John Rd |
$41.32 | 12,069 | 10,552 |
|
Jagjeevan Rao Gandra
3723 Franklin St |
$74.14 | 10,684 | 7,942 |
|
Jaroslaw Kuna
4111 Franklin St |
$68.52 | 10,430 | 9,215 |
|
Gerard S Roberts
710 Franklin St |
$59.27 | 10,320 | 8,631 |
|
Roland Hayes Walker
601 W Kieffer Rd |
$58.69 | 10,289 | 8,223 |
|
Debra A Zack
200 Alfred St |
$54.06 | 9,947 | 7,875 |
|
Matthew J Provenzano
1225 E Coolspring Ave Ste 300 |
$71.05 | 9,478 | 7,979 |
|
Kathy Nobles
710 Franklin St |
$54.25 | 9,453 | 6,439 |
|
Nikole Pennington
1225 E Coolspring Ave |
$56.09 | 8,553 | 7,595 |
|
Dineke Francis
710 Franklin St |
$37.34 | 8,502 | 5,933 |
|
Vassilios A. Dimitropoulos
10282 W 400 N |
$56.73 | 8,404 | 7,578 |
|
Vidya Kora
3723 Franklin St |
$41.75 | 7,916 | 6,093 |
|
Nasar Katariwala
130 Commerce Sq |
$58.78 | 7,530 | 5,621 |
|
Syed Mohammed Quadri
10176 W 400 N |
$67.70 | 7,487 | 6,512 |
|
Jennifer Evans
613 Franklin St Ste C |
$41.89 | 6,467 | 5,142 |
|
Shanon Lee Mekola
10176 W 400 N Ste C |
$43.54 | 6,161 | 4,264 |
|
Maria Brown
1225 E Coolspring Ave Ste 2D |
$59.81 | 5,995 | 4,031 |
|
Lisa Neil
3777 N Frontage Rd |
$61.14 | 5,799 | 5,142 |
|
Carrie Yvonne Robison
130 Commerce Sq |
$50.68 | 5,774 | 4,422 |
|
Jessica Sophia Bronner
1225 E Coolspring Ave Ste 2B |
$56.00 | 5,539 | 4,324 |
|
Chantal L Walker
1225 E Coolspring Ave Ste 1C |
$64.27 | 5,051 | 3,877 |
|
Jason Bruno
4111 Franklin St |
$57.72 | 5,046 | 4,545 |
|
Josephine Renae Chambers
10176 W 400 N Ste B |
$60.42 | 4,904 | 4,305 |
|
Kristin Osan
8865 W 400 N Ste 120 |
$55.94 | 4,890 | 4,249 |
|
Hitendrakumar M Patel
3723 Franklin St |
$44.58 | 4,799 | 3,791 |
|
Laura Beach
8865 W 400 N Ste 155 |
$60.51 | 4,709 | 3,865 |
|
Matthew John Rachwalski
1225 E Coolspring Ave Ste 200 |
$61.31 | 4,704 | 3,960 |
|
Rebecca Louise Kray
710 Franklin St Ste 200 |
$53.35 | 4,664 | 3,812 |
|
James O Hartson
1225 E Coolspring Ave Ste 200 |
$67.04 | 4,493 | 3,579 |
|
Robert P Marino
4111 Franklin St |
$26.10 | 4,439 | 3,953 |
|
Jeffrey Paul Wiencek
3723 Franklin St |
$51.92 | 4,422 | 3,371 |
|
Victoria Tiemens
4111 Franklin St |
$57.41 | 4,131 | 3,649 |
|
Aamir Mahmood
10176 W 400 N Ste D |
$36.57 | 4,103 | 2,697 |
|
Michele L Loughren
1225 E Coolspring Ave |
$7.98 | 4,048 | 3,888 |
|
Courtney Elizabeth Glos
200 Alfred St |
$60.87 | 4,037 | 3,498 |
|
Hardeep S Minhas
8733 W 400 N |
$51.77 | 3,905 | 3,096 |
|
Sammi M Dali
1507 Wabash St |
$35.83 | 3,654 | 2,680 |
|
Michael J Best
8865 W 400 N Ste 165 |
$51.99 | 3,613 | 2,677 |
|
Monica Renee Gomez
200 Alfred St |
$65.01 | 3,585 | 2,991 |
|
Melissa L Wilson
710 Franklin St Ste 200 |
$46.21 | 3,408 | 2,870 |
|
Carol Joan Grobner
1225 E Coolspring Ave Ste 2B |
$44.55 | 3,182 | 2,363 |
|
Neel Pramod Jain
1225 E Coolspring Ave Ste 200 |
$54.67 | 3,140 | 2,595 |
|
Abul W Basher
3500 Franciscan Way Ste 400 |
$38.05 | 3,008 | 2,167 |
|
Bernardo Israel Yahuaca
3500 Franciscan Way |
$58.42 | 2,999 | 2,548 |
|
Daniel Cole
3500 Franciscan Way |
$60.95 | 2,960 | 2,714 |
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 Michigan City, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Michigan City, IN is $56.30 per claim, based on 461,375 claims from 161 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 Michigan City, IN?
There are 161 Medicaid providers offering Office Visit related services in Michigan City, IN according to public payment data.
What is the price range for Office Visit in Michigan City, IN?
Medicaid reimbursement for Office Visit in Michigan City, IN ranges from $0.00 to $256.51 per claim, with an average of $56.30. 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 Michigan City, IN
Blood Work & Lab Tests
Avg $18.84
132,370 claims
Behavioral & Mental Health Therapy
Avg $79.17
122,390 claims
Vaccines & Immunizations
Avg $9.18
89,862 claims
Emergency Room Visit
Avg $91.31
82,120 claims
Psychiatric Evaluation
Avg $51.56
71,751 claims
Physical Therapy
Avg $24.42
62,572 claims
EKG / ECG (Electrocardiogram)
Avg $10.31
42,949 claims
Eye Exam
Avg $48.32
42,474 claims