Average Medicaid Office Visit Payments in Monroe, MI: $68.45
Avg. Paid
$68.45
Range
$2.19 – $183.00
Total Claims
391,016
Providers
78
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 Monroe, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monroe Urgent Care Inc
337 Stewart Rd |
$62.37 | 48,992 | 45,139 |
|
Mercy Memorial Hospital Corporation
718 N Macomb St |
$59.72 | 35,110 | 32,411 |
|
Ped Pc
307 Stewart Rd |
$64.40 | 31,417 | 26,125 |
|
Mahmood Fattooh Moosa
15506 S Telegraph Rd |
$54.89 | 30,884 | 28,774 |
|
Monroe County Community Mental Health Authority
1001 S Raisinville Rd |
$183.00 | 30,129 | 28,987 |
|
Arun Gupta Md Pc
1094 N Monroe St |
$77.38 | 20,465 | 16,045 |
|
Kelly Kinsey
718 N Macomb St |
$88.97 | 18,083 | 16,321 |
|
Monroe Pediatrics Pllc
1052 N Monroe St |
$74.42 | 15,126 | 12,117 |
|
Passion Of Mind Healing Center
14930 Laplaisance Rd Ste 127 |
$59.60 | 13,187 | 11,723 |
|
Family Medical Center Of Michigan,Inc
901 N Macomb St |
$3.04 | 12,937 | 11,723 |
|
Moulton Group Pc
2246 N Monroe St |
$60.14 | 11,217 | 10,647 |
|
Endocrine Specialists, P.C.
15506 S Telegraph Rd |
$64.49 | 10,959 | 10,474 |
|
Monroe Health Center Llc
901 N Macomb St |
$56.33 | 10,460 | 9,677 |
|
Soudabeh Ahadi Md Pc
55 Cole Rd |
$54.24 | 7,407 | 6,004 |
|
Toledo Clinic Incorporated
800 Stewart Rd |
$50.20 | 7,157 | 6,530 |
|
Tanvir I Qureshi Md Pc
5290 W Brookshire St |
$88.94 | 6,747 | 6,149 |
|
H George Levy Md Pc
2246 N Monroe St |
$68.39 | 6,718 | 6,065 |
|
Family Medical Center Of Michigan
901 N Macomb St |
$2.19 | 5,020 | 4,621 |
|
Aaron Deen
3751 N Dixie Hwy |
$48.25 | 5,017 | 3,883 |
|
Farah Ahmed
718 N Macomb St |
$46.69 | 4,795 | 4,175 |
|
Rehabilitation Specialists Of Monroe P C
905 N Macomb St Ste 3 |
$56.54 | 3,960 | 3,614 |
|
Foot And Ankle Specialists Pc
1042 N Monroe St |
$46.76 | 3,855 | 3,387 |
|
Mubeen A Memon
2092 S Custer Rd |
$42.47 | 3,841 | 3,441 |
|
Thomas O Osinowo
730 N Monroe St # 200 |
$56.81 | 3,481 | 3,126 |
|
Advanced Heart & Vascular Care Pllc
465 N Telegraph Rd |
$48.42 | 2,907 | 2,852 |
|
Ashwin H Shah Md Pc
718 N Macomb St |
$37.32 | 2,866 | 2,659 |
|
G M Felhandler Dpm Pc
1092 N Monroe Street |
$36.69 | 2,497 | 2,034 |
|
Amimul Choudhury,Md.Pc.
1052 N Monroe St |
$55.75 | 2,477 | 1,779 |
|
Kathleen Reinhart Do Pc
14930 Laplaisance Rd Ste 127 |
$63.10 | 2,378 | 2,279 |
|
Navin K Jain
1084 N Monroe St |
$34.03 | 1,854 | 1,720 |
|
Promedica Monroe Cardiology, Pllc
730 N Macomb St |
$54.98 | 1,775 | 1,674 |
|
James A Miller
1397 N Monroe St |
$74.04 | 1,712 | 1,500 |
|
Monroe Ear, Nose And Throat Associates, P.C.
730 N Macomb St |
$45.49 | 1,679 | 1,585 |
|
Lane Bernice Judge
15506 S Telegraph Rd |
$48.97 | 1,640 | 1,518 |
|
Murthy S Madhira Md Pc
1042 N Monroe St |
$61.66 | 1,410 | 1,389 |
|
Mary Sharon Noel
718 N Macomb St |
$42.65 | 1,346 | 1,309 |
|
Andrea R Rinker Dpm Pc
721 N Macomb St |
$39.00 | 1,335 | 1,290 |
|
Vijayalakshmi I Ranganatha
814 N Macomb St |
$54.33 | 1,239 | 1,102 |
|
Madaiah Kusuma-Talakadu
814 N Macomb St |
$53.43 | 1,218 | 1,061 |
|
Azadeh Khaghany
313 Stewart Rd |
$53.84 | 1,150 | 1,007 |
|
Emerge Health And Wellness
1397 N Monroe St |
$64.43 | 1,129 | 1,019 |
|
Matthew Michael Fourman
730 N Macomb St Ste 415 |
$52.50 | 1,129 | 1,068 |
|
Susan Hilborn Mccutcheon
1180 N Monroe St |
$35.83 | 1,099 | 973 |
|
Kanti H. Shah, M.D., P.C.
814 N Macomb St |
$51.43 | 989 | 816 |
|
Associates In Womens Health
1046 N Monroe Street |
$48.19 | 981 | 904 |
|
Judy A Macy Md Pc
167 Cole Rd |
$54.43 | 748 | 696 |
|
Pulmonary N Sleep Specialists Pc
1084 N Monroe St |
$55.42 | 747 | 738 |
|
Priya Shendge
2246 N Monroe St |
$59.83 | 740 | 592 |
|
Manal Peracha-Riyaz
725 N Monroe St |
$32.54 | 690 | 480 |
|
Jonathan E. Pasko,Md,Pc
730 N Macomb St |
$70.43 | 655 | 635 |
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 Monroe, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monroe, MI is $68.45 per claim, based on 391,016 claims from 78 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 Monroe, MI?
There are 78 Medicaid providers offering Office Visit related services in Monroe, MI according to public payment data.
What is the price range for Office Visit in Monroe, MI?
Medicaid reimbursement for Office Visit in Monroe, MI ranges from $2.19 to $183.00 per claim, with an average of $68.45. 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 Monroe, MI
Substance Abuse Treatment
Avg $34.19
401,284 claims
Blood Work & Lab Tests
Avg $4.03
358,215 claims
Behavioral & Mental Health Therapy
Avg $73.35
275,059 claims
Emergency Room Visit
Avg $122.39
179,511 claims
Case Management Services
Avg $199.65
93,654 claims
Psychiatric Evaluation
Avg $150.36
80,310 claims
Urinalysis & Urine Tests
Avg $0.93
69,035 claims
Vaccines & Immunizations
Avg $10.18
58,335 claims