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
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 Muskegon, MI
Blood Work & Lab Tests
Avg $3.16
716,187 claims
Emergency Room Visit
Avg $105.47
535,424 claims
Substance Abuse Treatment
Avg $27.59
413,832 claims
Home Health Visit
Avg $151.87
363,136 claims
X-Ray
Avg $13.74
334,565 claims
Psychiatric Evaluation
Avg $60.09
253,085 claims
Vaccines & Immunizations
Avg $5.56
249,932 claims
Case Management Services
Avg $301.27
220,637 claims