Average Medicaid Office Visit Payments in Muncie, IN: $58.81
Avg. Paid
$58.81
Range
$0.00 – $462.66
Total Claims
752,762
Providers
342
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 Muncie, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Open Door Health Services, Inc.
1651 E 29Th St |
$63.88 | 12 | 12 |
|
Fredy Nehme
2525 W University Ave |
$66.82 | 12 | 12 |
|
Alexander Zemtsov
3500 W Purdue Ave |
$0.00 | 12 | 12 |
|
Dennis K Zawadski
2525 W University Ave |
$36.09 | 14 | 12 |
|
Michele C Whitt
100 N Tillotson Ave |
$26.67 | 14 | 13 |
|
Dermatology Clinic Of Muncie, Inc.
1808 W Royale Dr |
$55.54 | 14 | 12 |
|
Samuel W Mwangi
333 S Madison St |
$6.90 | 15 | 14 |
|
Brittani Sizelove
3600 W Bethel Ave |
$91.49 | 15 | 14 |
|
Franky E Voss
210 N Tillotson Ave |
$84.28 | 15 | 12 |
|
Marshall L Trusler
3600 W Bethel Ave |
$76.94 | 15 | 15 |
|
Marcelle R Soliman
2525 W University Ave |
$108.22 | 16 | 15 |
|
Wynton B Overcast
2401 W University Ave |
$93.36 | 18 | 14 |
|
Yunjie Xie Lin
2401 W University Ave |
$22.49 | 20 | 12 |
|
Lauren Stavroff
4008 W Bethel Ave |
$27.83 | 20 | 13 |
|
Keri L Lowe
4000 W Woodway Dr |
$32.28 | 24 | 14 |
|
Benjamin Simpson
2525 W University Ave Ste 403 |
$105.06 | 24 | 24 |
|
Teena V. Joseph
1910 W Royale Dr |
$40.48 | 26 | 25 |
|
Anne J Eliades
2525 W University Ave |
$48.14 | 27 | 26 |
|
Gregory Marshall Taylor
2401 W University Ave |
$79.63 | 27 | 25 |
|
Oscar I Ordonez
5091 E Jackson St |
$1.56 | 28 | 24 |
|
Kaitlynn Licht-Freimanis
4870 E Jackson St |
$74.83 | 30 | 26 |
|
Muhanad Hreh
2401 W University Ave |
$43.50 | 30 | 28 |
|
Pamela J Carothers
1720 S Burlington Dr |
$32.95 | 31 | 29 |
|
Ryan M Johnston
2401 W. University Ave. |
$6.92 | 32 | 25 |
|
Jason P Medler
2401 W University Ave |
$47.81 | 33 | 33 |
|
Mandeep Singh
5501 W Bethel Ave |
$9.87 | 38 | 37 |
|
Amy Lebrun
2401 W University Ave |
$211.86 | 41 | 34 |
|
Leah Bryant Jamison
2401 W University Ave |
$0.00 | 43 | 35 |
|
Nicole Courtney
2814 N Granville Ave |
$26.82 | 45 | 29 |
|
Jaclyn Selders
3631 N Morrison Rd |
$45.81 | 50 | 41 |
|
Manu C. Joseph
1910 W Royale Dr |
$36.35 | 51 | 39 |
|
Claudia Jane Fenoglio
3631 N Morrison Rd |
$35.65 | 53 | 37 |
|
Trey Richard Bland
3600 W Bethel Ave |
$40.41 | 55 | 55 |
|
Christina N Bacon
3600 W Bethel Ave |
$73.95 | 55 | 51 |
|
Michael J Scanameo
200 N Tillotson Ave |
$48.90 | 57 | 54 |
|
Vincent R Gathings
2401 W University Ave |
$30.36 | 57 | 53 |
|
Catherine Lee Roland
3715 S Madison St |
$50.52 | 66 | 65 |
|
Ravi R Sarin
3025 N Oakwood Ave |
$20.00 | 66 | 62 |
|
Swapna Katipally
3025 N Oakwood Ave |
$17.63 | 69 | 56 |
|
Kerry D. Bennett
3600 W Bethel Ave |
$48.27 | 70 | 55 |
|
Daryl G Morrical
2525 W University Ave |
$29.66 | 72 | 66 |
|
Joni Kay Whetzel
2401 W University Ave |
$103.18 | 74 | 62 |
|
Lisa L. Dornick
2525 W University Ave Ste 504 |
$41.46 | 74 | 51 |
|
Ryan David Mallory
2525 W University Ave Ste 300 |
$64.17 | 83 | 81 |
|
Robert P Suer
4000 W Woodway Dr |
$54.12 | 83 | 68 |
|
Patrick A Cleary
1812 W Royale Dr |
$26.36 | 87 | 64 |
|
Roberto Joseph Anthony Darroca
4008 W Bethel Ave |
$59.69 | 87 | 78 |
|
Paul B Stewart
2525 W University Ave |
$33.35 | 88 | 73 |
|
Mark E Nielson
2401 W University Ave |
$48.22 | 91 | 63 |
|
Lisa Ann Wilson
3500 W Purdue Ave |
$0.00 | 93 | 79 |
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 Muncie, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Muncie, IN is $58.81 per claim, based on 752,762 claims from 342 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 Muncie, IN?
There are 342 Medicaid providers offering Office Visit related services in Muncie, IN according to public payment data.
What is the price range for Office Visit in Muncie, IN?
Medicaid reimbursement for Office Visit in Muncie, IN ranges from $0.00 to $462.66 per claim, with an average of $58.81. 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 Muncie, IN
Behavioral & Mental Health Therapy
Avg $149.08
1,661,691 claims
Psychiatric Evaluation
Avg $53.91
650,436 claims
Case Management Services
Avg $36.48
598,130 claims
Blood Work & Lab Tests
Avg $8.19
373,544 claims
Emergency Room Visit
Avg $121.04
273,746 claims
Ambulance Transport
Avg $68.91
249,780 claims
Vaccines & Immunizations
Avg $9.91
97,436 claims
EKG / ECG (Electrocardiogram)
Avg $23.27
88,400 claims