Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Muskegon, MI: $36.29

Avg. Paid

$36.29

Range

$0.00 – $453.84

Total Claims

923,796

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 Muskegon, MI

Provider	Avg. Paid	Claims	Patients
Mercy Physician Network 2006 Holton Rd	$52.40	164,833	155,204
Mgh Family Health Center 2201 S Getty St	$5.79	136,647	120,272
Hackley Community Care Center Inc 2700 Baker St	$2.45	94,521	84,755
Orthopaedic Associates Of Muskegon, Pc 1400 Mercy Dr	$50.60	76,711	72,442
Hackley Community Care Center Inc 1675 Leahy St Ste 103	$3.55	52,567	46,829
Mercy Urgent Care 1670 E Sherman Blvd	$43.28	44,103	42,351
County Of Muskegon 376 E Apple Avenue	$119.41	38,847	34,615
Mercy Health Partners - Physician Specialist 1675 Leahy St Ste 324B	$48.97	33,902	32,759
Hackley Community Care Center, Inc 1550 Clinton St	$2.31	29,352	27,774
Shoreline Pediatrics Plc 684 Harvey St	$69.11	25,374	23,353
Shoreline Ophthalmology, Pllc 1266 E Sherman Blvd	$53.20	21,161	20,581
Muskegon Surgical Associates Pc 1316 Mercy Dr	$46.45	20,810	19,721
Hackley Community Care Center Inc 376 E Apple Ave	$2.68	19,074	16,414
Mercy Specialty Services 1150 E Sherman Blvd Ste 2400	$44.60	13,638	11,700
Ellen Grace Tebos 550 W Western Ave Apt 307	$42.64	12,178	6,146
Mercy Health Partners Sub-Specialty Services 1560 E Sherman Blvd Ste 250	$49.62	12,123	11,980
Diabetic Foot And Wound Care Center Pllc 1281 E Sherman Blvd	$38.37	10,987	10,286
Mercy Women'S Health Services 1675 Leahy St Ste 201A	$46.26	10,806	10,365
Mercy Health Partners-Obstetrics And Gynecology Specialist 1675 Leahy St Ste 428B	$45.86	10,454	10,027
Shoreline Allergy, P.C. 6215 Harvey St	$76.38	10,023	9,859
Mercy Health Westshore Cardiology Services 1223 Mercy Dr	$51.35	8,123	7,876
David C Tsai 1223 Mercy Dr	$1.01	7,802	5,267
Muskegon Pediatrics, Plc 888 Terrace St	$80.55	7,765	7,034
Cherry Street Services Inc 1611 Oak Ave	$50.40	6,031	5,797
Hackley Community Care Center Inc 80 W Southern Ave	$4.38	6,027	5,315
Alcohol And Chemical Abuse Consultants Inc 1190 E Apple Ave	$82.09	4,679	2,495
Ronald A Stratton 1700 Oak Ave	$28.81	4,322	3,197
Brian Gluck D.O., P.C. 1325 E Sherman Blvd	$45.38	4,272	4,167
Hackley Community Care Center, Inc 172 E Forest Ave	$12.71	4,061	3,860
Thomas Lee Watkins 855 Oakridge Rd.	$65.19	3,678	3,291
Shoreline Family Medicine Pc 5933 Grand Haven Rd	$70.01	3,250	3,129
Hackley Community Care Center Inc 251 S Wolf Lake Rd	$3.32	2,630	2,287
West Michigan Nephrology Pllc 1250 Mercy Dr	$52.34	2,555	2,498
Shoreline Ent Plc 268 Seminole Rd	$41.37	1,904	1,808
Mercy Health Partners 1500 E Sherman Blvd	$8.35	1,635	1,502
Hackley Life Counseling 125 E Southern Ave	$57.00	1,491	1,469
Syed Sohaib Husaini 1277 Mercy Dr	$24.07	1,406	1,257
Soaries Maxine Peterson 2301 Peck St	$55.80	1,306	1,219
Shanon M. Tuter-Spitzley 1500 E Sherman Blvd	$80.43	1,251	984
Healthwest 376 E Apple Ave	$26.34	1,227	520
Ronald Craig Chusid 1762 Oak Ave	$32.39	1,195	1,082
Brittany M Strickland 1675 Leahy St	$118.67	1,087	951
Hikmat Surafin Halasa 1560 E Sherman Blvd	$55.40	994	960
Patricia Roy D.O. Pc 1864 Lakeshore Dr	$55.46	962	867
Alex Hinrichsen 1050 W Western Ave Ste 400	$20.56	767	722
Tatiana Maria Michura 376 E Apple Ave	$1.17	575	511
Eastside Outpatient Services Pllc 445 E Sherman Blvd	$38.56	574	561
Norton Shores Internal Medicine & Nephrology Plc 433 Seminole Rd	$42.67	375	361
Mercy Urgent Care 1700 Oak Ave	$39.95	344	330
Jessica Lee Firestone 1400 Mercy Dr Ste 100	$27.78	343	299

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 Muskegon, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Muskegon, MI is $36.29 per claim, based on 923,796 claims from 80 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 Muskegon, MI?

There are 80 Medicaid providers offering Office Visit related services in Muskegon, MI according to public payment data.

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

Medicaid reimbursement for Office Visit in Muskegon, MI ranges from $0.00 to $453.84 per claim, with an average of $36.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Muskegon, MI: $36.29

Providers Offering Office Visit in Muskegon, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Muskegon, MI

Blood Work & Lab Tests

Emergency Room Visit

Substance Abuse Treatment

Home Health Visit

X-Ray

Psychiatric Evaluation

Vaccines & Immunizations

Case Management Services