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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

80

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
West Michigan Neurological Associates Plc

957 Brookhaven Ct

$67.63 13 13
Reginald W Kapteyn

1400 Mercy Dr.

$69.11 13 12
Shelly L Williams, Do Pllc

318 Center St

$28.69 14 14
Mgh Family Health Center

2201 S Getty St

$10.56 15 12
Hga Nonprofit Homes, Incorporated

500 W Western Ave

$102.86 18 18
Sharlene Anne Murphy

2006 Holton Rd

$122.47 21 19
Marc E Lindhout D C Inc

1921 E Apple Ave Ste A

$0.00 25 25
Douglas Blan Stewart

1212 E Sherman Blvd

$31.08 34 33
Amanda Family Inc

4021 Amanda St

$116.94 44 44
West Michigan Internal Medicine Plc

1854 E Apple Ave

$61.26 45 44
Advanced Rehab And Pain Management Pc

1820 Oak Ave

$37.26 46 45
Conrad Kozlowski

1277 Mercy Dr

$81.45 60 59
Hospice Of Muskegon County, Inc.

1050 W Western Ave

$55.63 67 64
Aval Inc

1145 Wesley Ave

$111.95 77 74
Jeffrey S Sears

1700 Clinton St

$45.76 78 70
Lesley Ann Nevenzel

2009 Holton Rd

$30.93 82 54
Steven Shaw

1560 E Sherman Blvd Ste 250

$119.24 86 82
Moka Corporation

3391 Merriam St

$107.15 86 83
Pioneer Resources, Inc.

1145 Wesley Ave

$123.85 92 91
Robert Matthew Smith

1301 Mercy Drive

$41.01 99 92
Sara A Andrews

1675 Leahy St

$36.46 107 83
James C Flick

1675 Leahy St

$453.84 144 100
Spectrum Health Primary Care Partners

2009 Holton Road

$61.24 144 143
Seminole Shores Internal Medicine Pc

433 Seminole Rd

$70.12 145 135
Emily Bond

2734 E Apple Ave

$31.69 177 120
Eric Bogardus Stuart

1675 E Mount Garfield Rd Ste 125

$72.49 181 177
Lake Michigan Observation Services Pllc

1500 E Sherman Blvd

$74.12 235 86
Isha Salva

1700 Clinton St

$10.33 249 174
Tyler S Truskoski

1400 Mercy Dr Ste 100

$39.53 321 308
Almira K Bezinque

376 E Apple Ave

$0.00 336 214
Jessica Lee Firestone

1400 Mercy Dr Ste 100

$27.78 343 299
Mercy Urgent Care

1700 Oak Ave

$39.95 344 330
Norton Shores Internal Medicine & Nephrology Plc

433 Seminole Rd

$42.67 375 361
Eastside Outpatient Services Pllc

445 E Sherman Blvd

$38.56 574 561
Tatiana Maria Michura

376 E Apple Ave

$1.17 575 511
Alex Hinrichsen

1050 W Western Ave Ste 400

$20.56 767 722
Patricia Roy D.O. Pc

1864 Lakeshore Dr

$55.46 962 867
Hikmat Surafin Halasa

1560 E Sherman Blvd

$55.40 994 960
Brittany M Strickland

1675 Leahy St

$118.67 1,087 951
Ronald Craig Chusid

1762 Oak Ave

$32.39 1,195 1,082
Healthwest

376 E Apple Ave

$26.34 1,227 520
Shanon M. Tuter-Spitzley

1500 E Sherman Blvd

$80.43 1,251 984
Soaries Maxine Peterson

2301 Peck St

$55.80 1,306 1,219
Syed Sohaib Husaini

1277 Mercy Dr

$24.07 1,406 1,257
Hackley Life Counseling

125 E Southern Ave

$57.00 1,491 1,469
Mercy Health Partners

1500 E Sherman Blvd

$8.35 1,635 1,502
Shoreline Ent Plc

268 Seminole Rd

$41.37 1,904 1,808
West Michigan Nephrology Pllc

1250 Mercy Dr

$52.34 2,555 2,498
Hackley Community Care Center Inc

251 S Wolf Lake Rd

$3.32 2,630 2,287
Shoreline Family Medicine Pc

5933 Grand Haven Rd

$70.01 3,250 3,129

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.

Office Visit in Other Cities

Other Procedures in Muskegon, MI