Average Medicaid Office Visit Payments in Mount Pleasant, MI: $48.15
Avg. Paid
$48.15
Range
$16.20 – $114.13
Total Claims
105,782
Providers
17
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 Pleasant, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberly Ruth Anderson
2591 South Leaton Road |
$16.20 | 57 | 53 |
|
Mclaren Health Management Group
1309 S Mission St |
$43.02 | 99 | 99 |
|
Janet Marie Nunn
600 E Preston Street Foust Hall 249 |
$114.13 | 125 | 119 |
|
Lena Widman
4851 E Pickard St |
$38.62 | 136 | 135 |
|
Benjamin Cox Do Pllc
2600 Three Leaves Dr |
$58.81 | 417 | 388 |
|
Health Partners Of Central Michigan Pllc
2853 Health Pkwy Ste B |
$82.77 | 612 | 580 |
|
Constanza I Fox
1205 S Mission St |
$49.99 | 833 | 746 |
|
Charles J Lilly Md Pc
2890 Health Parkway |
$47.20 | 1,414 | 1,350 |
|
Michael J Moutsatson Do Pllc
2890 Health Parkway |
$50.96 | 2,156 | 2,022 |
|
Central Michigan Headache And Neurology Pc
1234 E Broomfield St |
$62.44 | 2,805 | 2,540 |
|
Central Michigan District Health Department
2012 E Preston Ave |
$47.18 | 3,228 | 3,171 |
|
Mount Pleasant Medical Associates, Pllc
4639 E Pickard St |
$60.29 | 5,068 | 4,818 |
|
Michigan Therapeutic Consultants Pc
4273 Corporate Way |
$87.79 | 8,206 | 7,650 |
|
Mymichigan Medical Center Alma
4851 E Pickard St Ste 1300 |
$54.62 | 8,673 | 8,376 |
|
Fox Pediatrics,Plc
1205 S Mission St |
$63.67 | 10,383 | 9,692 |
|
Mclaren Central Michigan
1221 South Dr |
$42.79 | 29,855 | 27,871 |
|
Mymichigan Medical Center Alma
4851 E Pickard St |
$31.85 | 31,715 | 29,517 |
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 Pleasant, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Pleasant, MI is $48.15 per claim, based on 105,782 claims from 17 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 Pleasant, MI?
There are 17 Medicaid providers offering Office Visit related services in Mount Pleasant, MI according to public payment data.
What is the price range for Office Visit in Mount Pleasant, MI?
Medicaid reimbursement for Office Visit in Mount Pleasant, MI ranges from $16.20 to $114.13 per claim, with an average of $48.15. 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 Pleasant, MI
Substance Abuse Treatment
Avg $12.40
1,684,532 claims
Behavioral & Mental Health Therapy
Avg $28.99
110,950 claims
Vaccines & Immunizations
Avg $10.02
64,381 claims
Psychiatric Evaluation
Avg $82.41
41,254 claims
Non-Emergency Medical Transportation
Avg $17.19
21,320 claims
Blood Work & Lab Tests
Avg $7.16
19,837 claims
Case Management Services
Avg $43.64
13,758 claims
EKG / ECG (Electrocardiogram)
Avg $5.04
13,543 claims