Average Medicaid Office Visit Payments in Nappanee, IN: $56.64
Avg. Paid
$56.64
Range
$36.11 – $73.54
Total Claims
25,568
Providers
18
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 Nappanee, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Randall Jon Suttor
2102 N Main St |
$72.24 | 4,144 | 3,820 |
|
Kendell Stephens
1953 Waterfall Dr Ste A |
$59.08 | 3,935 | 3,336 |
|
Eric J Miller
2102 N Main St |
$53.76 | 2,894 | 2,531 |
|
Alfred J. Schlorke
1953 Waterfall Dr Ste A |
$54.59 | 2,355 | 1,944 |
|
Dawn L Heckathorn
152 W High St |
$41.82 | 1,898 | 1,504 |
|
Reba J Goshert
2102 N Main St |
$45.98 | 1,892 | 1,624 |
|
Rachel Pippenger
2102 N Main St |
$54.40 | 1,608 | 1,329 |
|
Verlin T. Houck
2102 N. Main Street |
$50.60 | 1,384 | 1,204 |
|
Sabrina A Mckinney
1953 Waterfall Dr Ste A |
$54.94 | 1,253 | 1,045 |
|
Kristine Michelle Weldy
2102 N. Main Street |
$61.93 | 1,094 | 991 |
|
Michael H. Borger
1001 N Main St |
$52.69 | 907 | 581 |
|
Tricia K Foster
1953 Waterfall Dr Ste A |
$73.54 | 752 | 622 |
|
David L Coil
1953 Waterfall Dr |
$44.54 | 523 | 461 |
|
Danielle R. Russo
2102 N Main St |
$61.88 | 349 | 287 |
|
Walter D Anglemeyer
1953 Waterfall Dr |
$36.11 | 340 | 276 |
|
Lisa Orn
1953 Waterfall Dr |
$39.88 | 134 | 116 |
|
Lisa Ann Marrero
1953 Waterfall Dr Ste A |
$60.35 | 66 | 60 |
|
Angela V Miller
2102 N Main St |
$56.88 | 40 | 36 |
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 Nappanee, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nappanee, IN is $56.64 per claim, based on 25,568 claims from 18 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 Nappanee, IN?
There are 18 Medicaid providers offering Office Visit related services in Nappanee, IN according to public payment data.
What is the price range for Office Visit in Nappanee, IN?
Medicaid reimbursement for Office Visit in Nappanee, IN ranges from $36.11 to $73.54 per claim, with an average of $56.64. 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 Nappanee, IN
Physical Therapy
Avg $80.76
23,937 claims
Speech Therapy
Avg $51.08
7,575 claims
Blood Work & Lab Tests
Avg $3.61
3,504 claims
Vaccines & Immunizations
Avg $10.65
3,063 claims
Eye Exam
Avg $25.82
953 claims
Pregnancy & Prenatal Care
Avg $69.74
434 claims
Chiropractic Care
Avg $24.13
307 claims
Nursing Facility Care
Avg $8.74
306 claims