Average Medicaid Office Visit Payments in Mishawaka, IN: $54.11
Avg. Paid
$54.11
Range
$0.00 – $265.92
Total Claims
452,845
Providers
203
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 Mishawaka, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arnold Del Pilar
270 E Day Rd Ste 280 |
$60.61 | 29,740 | 21,279 |
|
Katherine Lisoni
420 W 4Th St |
$47.59 | 18,623 | 15,236 |
|
Ralph F Carbone
212 W Edison Rd Ste F |
$32.17 | 18,475 | 15,254 |
|
Eugene Huang
301 E Day Rd |
$85.78 | 17,750 | 15,975 |
|
Debra R Mcclain
270 E Day Rd Ste 280 |
$63.73 | 12,017 | 9,661 |
|
Kathleen A Long
420 W 4Th St |
$46.35 | 11,612 | 9,770 |
|
Alexander C Gatzimos
212 West Edison Road |
$37.34 | 11,399 | 7,499 |
|
Lois Wagley
420 W 4Th St |
$57.78 | 10,764 | 7,033 |
|
John S Gilbert
810 Park Place |
$67.92 | 9,770 | 8,522 |
|
Stephen Ralph Ribaudo
229 Red Coach Dr |
$35.24 | 9,486 | 8,508 |
|
Kevin R Ericson
611 E Douglas Rd |
$66.37 | 8,861 | 7,769 |
|
Rashid Khan
5340 Holy Cross Pkwy |
$44.91 | 8,634 | 7,046 |
|
Milcah Wanjiku Gichuru
420 W 4Th St |
$46.23 | 8,018 | 6,739 |
|
John Walter Bulger
303 S Main St |
$45.36 | 7,502 | 5,889 |
|
Abhishek Das
5314 Lincolnway E |
$66.84 | 7,440 | 6,729 |
|
Yevheniy Shubin
611 E Douglas Rd Ste 401 |
$65.14 | 7,302 | 6,216 |
|
Susana Lagunas
420 W 4Th St |
$48.93 | 6,961 | 5,756 |
|
Joshua Daniel Avery
420 W 4Th St |
$54.17 | 6,818 | 5,798 |
|
Laura Satka Gettler
60101 Bodnar Blvd Ste 100B |
$60.26 | 6,205 | 5,035 |
|
Bilal Ansari
5340 Holy Cross Pkwy |
$38.02 | 6,204 | 5,080 |
|
Kevin R Kristl
1710 E Day Rd |
$90.62 | 5,911 | 5,200 |
|
Michele Nicole Collins
611 E Douglas Rd Ste 406 |
$69.27 | 5,842 | 5,253 |
|
Daniel Walter Abel
4630 Vistula Rd |
$64.85 | 5,541 | 4,882 |
|
David Wyncott
611 E Douglas Rd |
$67.26 | 5,374 | 4,707 |
|
Daniel Curnyn
611 E Douglas Rd Ste 406 |
$73.16 | 4,945 | 4,362 |
|
Laura Lee Helman
1207 Lincolnway W |
$49.03 | 4,778 | 4,260 |
|
Kelly Marszalek
611 E Douglas Rd Ste 407 |
$64.30 | 4,543 | 4,004 |
|
Kevin Ray Baxter
230 E Day Rd |
$52.06 | 4,495 | 3,441 |
|
Jason R Grove
611 E Douglas Rd Ste 101 |
$38.81 | 4,452 | 3,574 |
|
Shaukat Ali Chaudhry
303 S Main St Ste 209 |
$41.46 | 4,425 | 3,667 |
|
Rolan A Pascual
5340 Holy Cross Pkwy |
$42.29 | 4,158 | 3,388 |
|
Maryjo Meier
611 E Douglas Rd Ste 401 |
$65.14 | 4,069 | 3,587 |
|
Jose A Bufill
5340 Holy Cross Pkwy |
$43.60 | 3,974 | 3,220 |
|
Theodore R Neumann
611 E Douglas Rd Ste 406 |
$61.95 | 3,971 | 3,495 |
|
Brian M Huber
5314 Lincolnway E |
$63.16 | 3,671 | 3,034 |
|
Kevin Gene Drew
3740 Edison Lakes Pkwy |
$22.15 | 3,620 | 2,261 |
|
Kathaleen L Thomas
60205 Bodnar Blvd |
$64.12 | 3,563 | 2,529 |
|
Shawn Phillip Naranjo
5215 Holy Cross Pkwy |
$44.88 | 3,550 | 2,873 |
|
Jason P Palmateer
5340 Holy Cross Pkwy |
$42.46 | 3,358 | 2,626 |
|
Sachin R. Patel
611 E Douglas Rd Ste 208 |
$33.81 | 3,346 | 2,467 |
|
Miles Burton Andrew
230 E Day Rd |
$56.60 | 3,190 | 2,526 |
|
Janet Ann Galanes
60101 Bodnar Blvd |
$54.23 | 3,171 | 2,560 |
|
Ajit V Pai
3212 Hickory Rd |
$31.29 | 3,094 | 2,518 |
|
Christiane Nwawock Mbianda
710 Park Pl |
$32.84 | 3,075 | 2,415 |
|
Linda S Holcomb
615 Fulmer Rd |
$33.88 | 2,955 | 2,217 |
|
Michiana Spine, Sports & Occupational Rehab, Pc
3740 Edison Lakes Pkwy |
$59.58 | 2,907 | 2,689 |
|
Deborah Lynn Wickenden
420 W 4Th St |
$53.55 | 2,808 | 2,379 |
|
Pravin Pratap
611 E Douglas Rd Ste 208 |
$41.53 | 2,756 | 2,133 |
|
Henry Wu
710 Park Pl |
$27.57 | 2,703 | 2,164 |
|
Jessica Grace Glassman
611 E Douglas Rd Ste 305 |
$50.37 | 2,512 | 1,772 |
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 Mishawaka, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mishawaka, IN is $54.11 per claim, based on 452,845 claims from 203 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 Mishawaka, IN?
There are 203 Medicaid providers offering Office Visit related services in Mishawaka, IN according to public payment data.
What is the price range for Office Visit in Mishawaka, IN?
Medicaid reimbursement for Office Visit in Mishawaka, IN ranges from $0.00 to $265.92 per claim, with an average of $54.11. 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 Mishawaka, IN
Blood Work & Lab Tests
Avg $8.62
267,352 claims
X-Ray
Avg $12.03
188,989 claims
Psychiatric Evaluation
Avg $62.49
117,424 claims
Emergency Room Visit
Avg $111.42
113,054 claims
Eye Exam
Avg $49.20
112,254 claims
Physical Therapy
Avg $27.36
78,745 claims
Speech Therapy
Avg $47.97
78,198 claims
CT Scan (Computed Tomography)
Avg $42.14
69,062 claims