Based on public Medicaid payment data.

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
Sayf Al-Khazraji 420 W 4Th St	$42.59	14	13
Mary-Kate Oatman 250 E Day Rd	$35.42	14	13
Nicholas Raymond Pechin 5314 Lincolnway E	$46.99	15	14
Mark S Borenstein 250 E Day Rd Ste 300	$17.67	16	12
Robert Charles Binkley 1540 Trinity Pl	$15.58	17	15
William Hanley 611 E Douglas Rd Ste 200	$51.16	23	19
Melissa Anne Douthit 3665 Park Pl W Ste 300	$59.62	24	16
Judith A. Weaver-Yoder 420 W 4Th St	$38.54	25	24
Bryon Wesley Thomas 303 S Main St	$37.98	26	24
Anne Lise Sullivan Musselman 3005 Grape Rd Ste B	$85.09	28	24
Frank C Wang 230 E Day Rd Ste 100	$57.11	31	26
Lyndsay Gable 611 E Douglas Rd	$50.56	35	25
Katherine Oleary 611 E Douglas Rd Ste 408	$98.04	39	38
Kyla M Schauss 413 W Mckinley Ave Ste D	$56.54	42	36
Dahan Hussein Al-Fadhl 611 E Douglas	$27.87	43	37
Aerie Chung 3838 N Main St Ste 1C	$36.26	49	39
Luis Felipe Gomez 611 E Douglas Rd	$29.86	57	44
Jasmine Christine Christopher 611 E Douglas Rd Ste 408	$75.99	65	59
Emily Brown 303 S Main St Ste 212	$70.76	71	55
Pamela M Wise 230 E Day Rd	$45.42	72	49
V Durga Madhusudana Murthy Rao 615 Fulmer Rd	$0.00	75	43
Melinda C Nwanganga 4501 Lincolnway E	$43.14	82	70
Austin William Vonasek 611 E Douglas Rd Ste 101	$50.97	85	78
Paul N Kuria 5215 Holy Cross Pkwy	$27.76	88	52
Loraine A Fisher 3740 Edison Lakes Pkwy	$11.43	90	58
Jacqueline Sue Lenfestey 5340 Holy Cross Pkwy	$41.69	93	62
James E Reidy 303 S Main	$14.48	101	76
Andrew R Anderson 230 E Day Rd	$46.93	105	81
Dawn Marie Johnson 215 W 4Th St	$39.88	114	71
David William Parker 611 E Douglas Rd	$83.20	121	96
Michael Englert 611 E Douglas Rd	$42.25	125	101
Hasan A Salam 230 E Day Rd Ste 100	$45.98	126	100
Jana Schenkel 420 W 4Th St	$42.28	131	123
Janet Eileen Robinson 524 E Mckinley Ave	$19.59	139	107
Christopher John Eberle 301 E Day Rd	$52.50	150	131
Joseph J Pulvirenti 611 E Douglas Rd Ste 310	$53.17	168	129
Mark Paul Priebe 422 W Mckinley Ave Ste B	$38.85	169	147
David Phillip Sonnenburg 230 E Day Rd Ste 100	$43.09	172	130
Lacy Katowich 1802 Day Rd	$77.97	173	161
Marybeth Francis Mcclure 1411 Lincoln Way W	$44.06	183	153
Motasem Afyouni 611 E Douglas	$68.08	196	179
Loren Michelle Calderone 710 Park Pl	$30.54	212	183
Devin Dene Zimmerman 611 E Douglas Rd	$87.62	232	180
Philip Kurochkin 303 S Main St Ste 215	$65.52	242	220
Aroba Sadaf 4630 Vistula Rd	$59.38	242	226
April Rozycki 1802 Day Rd	$39.44	243	173
Benjamin Louis Troy 230 East Day Road	$39.35	247	208
David R Imes 611 E Douglas Rd	$79.07	247	215
Ziad Youssef Fayad 611 E Douglas Rd Ste 200	$25.14	250	211
Lauren Sanchez 230 E Day Rd	$43.71	257	203

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.

Average Medicaid Office Visit Payments in Mishawaka, IN: $54.11

Providers Offering Office Visit in Mishawaka, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Mishawaka, IN

Blood Work & Lab Tests

X-Ray

Psychiatric Evaluation

Emergency Room Visit

Eye Exam

Physical Therapy

Speech Therapy

CT Scan (Computed Tomography)