Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Mt Pleasant, MI: $125.04

Avg. Paid

$125.04

Range

$0.00 – $297.64

Total Claims

248,964

Providers

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 Mt Pleasant, MI

Provider	Avg. Paid	Claims	Patients
Community Mental Health For Central Michigan 301 S Crapo St	$297.64	75,064	71,764
Isabella Citizens For Health, Inc. 2790 Health Pkwy	$29.45	53,896	50,111
Bhekumusa Msibi 1970 Ashland Dr	$72.97	35,825	31,505
Medical Rehabilitation Physicians Plc 2935 Health Parkway	$49.76	13,126	11,996
Isabella Urgent Care, Pllc 4950 E Blue Grass Rd	$59.13	12,588	12,056
Children'S Health Care, Pllc 709 S Adams St	$72.24	9,113	8,164
Central Michigan University 202 Foust Hall	$56.79	7,091	6,438
Womens Medical Center, Pc 1201 South Dr	$49.57	3,859	3,681
Isabella Citizens For Health, Inc. 2935 Health Pkwy	$21.08	3,438	2,938
Safe Health Pc 2981 Health Pkwy	$66.35	3,338	3,042
Saginaw Chippewa Indian Tribe 2591 South Leaton Rd	$0.00	3,232	2,849
Mid-Michigan Neurology Center, Pllc 4595 Jennifer Ln	$55.32	3,051	3,003
Mclaren Central Michigan 5115 E Pickard St	$52.45	3,036	2,925
Mclaren Central Michigan 1523 S Mission St	$45.85	2,843	2,743
Mclaren Central Michigan 1201 South Dr	$61.44	2,437	2,350
Annu Mohan Md Pllc 2480 Rosewood Dr	$86.39	1,928	1,709
Total Kidney Care 411 W Broadway St	$54.96	1,913	1,882
Mclaren Central Michigan 2940 Health Pkwy	$55.46	1,762	1,673
Mi Primary Care, Pllc 4950 E Blue Grass Rd	$51.34	1,744	1,623
Urgent Care Express Pllc 4950 E Blue Grass Rd	$55.89	1,660	1,607
Mclaren Central Michigan 2853 Health Pkwy	$58.10	1,622	1,547
Ryan J Lilly Md Pllc 2890 Health Pkwy	$59.39	1,250	1,201
Jeffrey A. Khabir, Md, Pllc 1985 Parkland St	$78.16	840	729
Utibe Effiong 4851 E Pickard St Ste 1760	$69.06	797	656
Greater Michigan Spine & Neurologic Institute, Pc 4641 E Pickard St Ste A	$64.91	763	736
Isabella Citizens For Health, Inc. 1201 South Dr Ste 220	$46.63	754	728
Larry Bennett Medical L L C 217 W Broadway St	$62.71	664	541
Medpartners, P.L.C. 2480 W Campus Dr	$37.04	521	511
Vandana Vedula 1201 South Dr Ste 352	$76.39	435	417
Jose L Raygada Md Pllc 4641 E Pickard St Ste A	$55.43	100	96
Larry Michael Bennett 217 West Broadway	$40.97	85	77
Rachel Margaret Ann Brown 202 Foust Hall	$59.85	73	64
Pleasant Chiropractic Pc 1639 E Broomfield St Ste E	$7.56	41	41
Jason Franklin Baldwin 4850 Encore Blvd	$28.23	34	28
Seals Tacia & Bartz Od Pc 2865 S Lincoln Rd	$51.87	29	28
Central Michigan Family Chiropractic Clinic Plc 1112 E Broomfield St	$0.00	12	12

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 Mt Pleasant, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mt Pleasant, MI is $125.04 per claim, based on 248,964 claims from 36 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 Mt Pleasant, MI?

There are 36 Medicaid providers offering Office Visit related services in Mt Pleasant, MI according to public payment data.

What is the price range for Office Visit in Mt Pleasant, MI?

Medicaid reimbursement for Office Visit in Mt Pleasant, MI ranges from $0.00 to $297.64 per claim, with an average of $125.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Mt Pleasant, MI: $125.04

Providers Offering Office Visit in Mt Pleasant, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Mt Pleasant, MI

Psychiatric Evaluation

Case Management Services

Blood Work & Lab Tests

Behavioral & Mental Health Therapy

Home Health Visit

Vaccines & Immunizations

Emergency Room Visit

Urinalysis & Urine Tests