Average Medicaid Office Visit Payments in Midland, MI: $56.60
Avg. Paid
$56.60
Range
$0.88 – $247.76
Total Claims
503,950
Providers
57
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 Midland, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen J Mattichak
2660 W Sugnet Rd |
$75.90 | 15 | 12 |
|
Amruth R Palla
4500 Campus Ridge Dr |
$30.62 | 16 | 13 |
|
Comprehensive Pain Specialists, Pllc
4302 Bay City Rd |
$45.47 | 31 | 31 |
|
Alexander A Horbal
555 W Wackerly St Ste 2675 |
$78.08 | 35 | 35 |
|
Rehabilitation Associates Of Midmichigan P L C
555 W Wackerly St |
$59.75 | 43 | 40 |
|
Ten Sixteen Recovery Network
1213 E Isabella Road |
$72.89 | 53 | 50 |
|
Midmichigan Health Services
218 Fast Ice Dr |
$15.29 | 55 | 53 |
|
Advanced Chiropractic Of Midland P.C.
212 W Wackerly St |
$6.15 | 63 | 62 |
|
Laurie Thompson
4201 Campus Ridge Dr Ste 3400 |
$29.44 | 64 | 63 |
|
Samer Ahmad Ali-Hasan
2660 W Sugnet Rd |
$68.59 | 66 | 65 |
|
Wynette Grace Amazona
4009 Orchard Dr |
$25.73 | 71 | 64 |
|
Simmons Specific Chiropractic P C
5108 Eastman Ave Ste 1 |
$4.23 | 83 | 75 |
|
Dennis M Johnson Od Pc
5908 Eastman Ave |
$43.09 | 118 | 112 |
|
Faith D Fuentes
4011 Orchard Dr |
$87.87 | 142 | 140 |
|
Ahmed Abdel-Maksoud
4500 N Campus Ridge Dr |
$15.39 | 197 | 117 |
|
Autumn Elizabeth Dittenber
111 E Wackerly St Ste D |
$56.41 | 214 | 162 |
|
Mymichigan Medical Group
4201 Campus Ridge Dr Ste 2700 |
$48.88 | 215 | 205 |
|
Geri Ann Wieland
2125 Ridgewood Dr |
$83.85 | 223 | 215 |
|
Gateway Healthcare
1549 Washington St |
$80.23 | 227 | 205 |
|
Marianne Ruth Voigt
3016 W. Wackerly St. |
$37.91 | 235 | 179 |
|
Gregory A Daut
4401 Campus Ridge Dr Ste 2200 |
$0.88 | 261 | 226 |
|
Lisa Lynette Miller
4100 Campus Ridge Dr |
$31.43 | 302 | 291 |
|
Obesity Medicine & Metabolic Wellness Clinic Pllc
901 E Indian St |
$71.71 | 366 | 337 |
|
John Blamoun
4201 Campus Ridge Drive |
$24.54 | 396 | 385 |
|
East Central Oncology Associates Plc
4011 Orchard Dr |
$49.19 | 456 | 412 |
|
Sejal C Patel
2618 W Sugnet Rd |
$6.63 | 533 | 522 |
|
Great Lakes Health, Llc
2726 N Saginaw Rd |
$63.56 | 547 | 479 |
|
Rodnick Chiropractic Consultants Pc
4604 N Saginaw Rd |
$7.27 | 581 | 564 |
|
Sydney L Orokunle
4611 Campus Ridge Dr |
$43.97 | 615 | 602 |
|
Midland Express Urgent And Family Care Plc
600 Cambridge St Ste 1 |
$54.72 | 876 | 809 |
|
Zachary E Iles
4009 Orchard Dr |
$29.58 | 890 | 853 |
|
Jennifer Nash, Md Dermatology Associates Of Midland, Plc
2711 W Wackerly St |
$44.62 | 905 | 890 |
|
Brian Mauch
4401 N Campus Ridge Dr |
$247.76 | 1,038 | 962 |
|
Renal Associates Of Mid-Michigan Pc
415 W Wackerly St |
$62.84 | 1,127 | 1,119 |
|
Santiago Fabian Moscoso Martinez
4201 Campus Ridge Dr |
$37.15 | 1,344 | 1,124 |
|
Alexander A Horbal Do Plc
555 W Wackerly St Ste 2675 |
$72.11 | 1,482 | 1,473 |
|
Midmichigan Obstetrics And Gynecology P C
3016 W Wackerly St |
$48.89 | 1,593 | 1,549 |
|
County Of Midland
220 W Ellsworth St |
$12.22 | 1,685 | 1,649 |
|
Curtis S Young Md Plc
728 W Wackerly St Ste 100 |
$58.63 | 1,838 | 1,822 |
|
Hope Urgent Care Midland Pllc
222 N Saginaw Rd |
$62.21 | 2,367 | 2,182 |
|
Midland Family Physicians Pc
920 W Wackerly St |
$64.89 | 2,662 | 2,295 |
|
Gastroenterology & Hepatology Associates Of Midmichigan P.C.
4011 Orchard Dr Ste 3008 |
$55.56 | 3,724 | 3,648 |
|
Susanna Marie Storeng
419 W Wackerly St |
$174.75 | 3,759 | 3,256 |
|
Mymichigan Medical Center Midland
4000 Wellness Drive |
$56.17 | 3,789 | 3,658 |
|
Family Medicine Associates Of Midland, P.C.
419 W. Wackerly St |
$86.60 | 4,156 | 3,707 |
|
Richard J Horbal Md Pc
555 W Wackerly St |
$64.93 | 4,549 | 4,416 |
|
Jonathan M Horbal Do Plc
555 W Wackerly St |
$67.79 | 6,143 | 6,041 |
|
Midland Family Footcare,.L.L.C.
2924 Manor Dr |
$52.20 | 7,019 | 6,722 |
|
Vascular Health Clinics Pllc
2125 Ridgewood Dr |
$54.34 | 7,154 | 6,564 |
|
Euclid Medical Group Pc
4615 Eastman Ave |
$60.38 | 9,057 | 8,411 |
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 Midland, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Midland, MI is $56.60 per claim, based on 503,950 claims from 57 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 Midland, MI?
There are 57 Medicaid providers offering Office Visit related services in Midland, MI according to public payment data.
What is the price range for Office Visit in Midland, MI?
Medicaid reimbursement for Office Visit in Midland, MI ranges from $0.88 to $247.76 per claim, with an average of $56.60. 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 Midland, MI
Blood Work & Lab Tests
Avg $3.48
377,222 claims
Behavioral & Mental Health Therapy
Avg $17.41
269,364 claims
Emergency Room Visit
Avg $116.89
214,603 claims
Vaccines & Immunizations
Avg $10.28
181,166 claims
Physical Therapy
Avg $32.27
151,877 claims
X-Ray
Avg $12.80
135,619 claims
EKG / ECG (Electrocardiogram)
Avg $5.09
102,348 claims
Urinalysis & Urine Tests
Avg $1.32
95,616 claims