Average Medicaid Office Visit Payments in Mount Vernon, IN: $46.72
Avg. Paid
$46.72
Range
$28.27 – $74.59
Total Claims
41,735
Providers
13
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 Vernon, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Matthew Lee
1900 W 4Th St |
$47.63 | 10,302 | 7,631 |
|
Matthew R Lee
1900 West Fourth Street |
$48.47 | 9,208 | 6,283 |
|
Kyle Owen Rapp
1900 W 4Th St |
$33.20 | 5,669 | 4,168 |
|
Kathryn M Lee-Kalsch
1900 W 4Th St |
$41.97 | 4,754 | 3,773 |
|
Kimberly Ann Jackson
813 E 4Th St |
$52.59 | 2,880 | 2,617 |
|
Kerrie Rochelle Suits
1210 Tanglewood Dr |
$74.59 | 2,157 | 1,972 |
|
Melody Sue Oeth
1900 W 4Th St |
$42.71 | 2,066 | 1,689 |
|
James Arthur Rice
232 Walnut St |
$53.99 | 1,649 | 1,425 |
|
Joanna Osterman
813 E 4Th St |
$62.47 | 749 | 697 |
|
Shannon Brittany Lee
1900 W 4Th St |
$28.27 | 702 | 606 |
|
William E Sutton
813 E 4Th St |
$36.59 | 672 | 568 |
|
Keely Nicole Brown
813 E 4Th St Ste A |
$51.25 | 664 | 609 |
|
Leigh Ann Fromm
813 E 4Th St Ste A |
$38.03 | 263 | 240 |
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 Vernon, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Vernon, IN is $46.72 per claim, based on 41,735 claims from 13 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 Vernon, IN?
There are 13 Medicaid providers offering Office Visit related services in Mount Vernon, IN according to public payment data.
What is the price range for Office Visit in Mount Vernon, IN?
Medicaid reimbursement for Office Visit in Mount Vernon, IN ranges from $28.27 to $74.59 per claim, with an average of $46.72. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Mount Vernon, IN
Blood Work & Lab Tests
Avg $7.13
14,578 claims
Ambulance Transport
Avg $85.73
11,912 claims
Speech Therapy
Avg $29.10
6,855 claims
Eye Exam
Avg $35.50
5,755 claims
Non-Emergency Medical Transportation
Avg $10.65
5,443 claims
Prescription Medications
Avg $3.02
4,258 claims
Physical Therapy
Avg $17.15
2,205 claims
Vaccines & Immunizations
Avg $10.50
1,918 claims