Average Medicaid Office Visit Payments in Mount Clemens, MI: $53.67
Avg. Paid
$53.67
Range
$0.00 – $71.50
Total Claims
268,977
Providers
20
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 Mount Clemens, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Svs Vision Inc
118 Cass Ave |
$69.85 | 54 | 54 |
|
Allyson Bowes Rivard
1000 Harrington Blvd. |
$69.09 | 95 | 84 |
|
Michael Dirkx
1000 Harrington St |
$30.74 | 121 | 114 |
|
Mclaren Macomb
1000 Harrington St |
$0.00 | 159 | 155 |
|
Carol Mariam Fischer
1030 Harrington St |
$50.31 | 216 | 185 |
|
Select Surgical Pllc
1030 Harrington St |
$59.18 | 322 | 297 |
|
Surgical Consultants Pllc
1030 Harrington St |
$61.43 | 749 | 733 |
|
Carol M Fischer Do Pllc
1030 Harrington St |
$53.26 | 856 | 770 |
|
Oncologic Specialists Pc
1080 Harrington St |
$27.13 | 940 | 905 |
|
Mohammed T Masri
1080 Harrington St Ste 202 |
$25.80 | 1,105 | 866 |
|
County Of Macomb
43525 Elizabeth St |
$16.88 | 1,289 | 1,281 |
|
Comprehensive Youth Services Inc
2 Crocker Blvd Ste 205 |
$55.22 | 2,026 | 1,954 |
|
Glps Staffing Solutions Llc
1000 Harrington St |
$44.21 | 2,158 | 2,114 |
|
Gladstone A. Payton, D.O.,Pc
247 Northbound Gratiot Ave |
$65.47 | 3,227 | 2,886 |
|
Renewal Christian Counseling Inc
100 Nb Gratiot Ave |
$43.59 | 6,073 | 5,734 |
|
Henry Ford Physician Partners
133 S Main St |
$71.50 | 11,281 | 10,439 |
|
Allergy And Asthma Physicians Of Commerce Township
1030 Harrington St Ste 301 |
$65.19 | 12,029 | 11,868 |
|
Mycare Health Center
18 Market Street |
$5.88 | 21,484 | 19,514 |
|
Alliance Health Professionals, Pllc
133 S Main St |
$57.99 | 33,798 | 30,974 |
|
Mclaren Macomb
1000 Harrington Blvd. |
$57.68 | 170,995 | 157,992 |
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 Mount Clemens, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Clemens, MI is $53.67 per claim, based on 268,977 claims from 20 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 Mount Clemens, MI?
There are 20 Medicaid providers offering Office Visit related services in Mount Clemens, MI according to public payment data.
What is the price range for Office Visit in Mount Clemens, MI?
Medicaid reimbursement for Office Visit in Mount Clemens, MI ranges from $0.00 to $71.50 per claim, with an average of $53.67. 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 Mount Clemens, MI
Blood Work & Lab Tests
Avg $3.62
480,308 claims
Emergency Room Visit
Avg $150.30
286,845 claims
Vaccines & Immunizations
Avg $7.74
228,794 claims
X-Ray
Avg $11.22
156,420 claims
EKG / ECG (Electrocardiogram)
Avg $5.48
105,386 claims
Psychiatric Evaluation
Avg $62.73
98,340 claims
CT Scan (Computed Tomography)
Avg $48.28
84,075 claims
Urinalysis & Urine Tests
Avg $1.68
80,267 claims