Average Medicaid Office Visit Payments in New Castle, IN: $50.36
Avg. Paid
$50.36
Range
$0.00 – $94.64
Total Claims
240,852
Providers
92
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 New Castle, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles Stanley Marting
1000 N 16Th St |
$25.75 | 12 | 12 |
|
Damion M. Harris
2200 Forest Ridge Pkwy |
$32.76 | 15 | 12 |
|
Lindsey R Rolston
2200 Forest Ridge Pkwy |
$49.52 | 15 | 13 |
|
Henry County Memorial Hospital
152 Wittenbraker Ave Ste 500 |
$0.00 | 18 | 18 |
|
Donald Joseph Miller
1000 N 16Th St |
$51.44 | 23 | 13 |
|
Hillary Jane Lee
2200 Forest Ridge Pkwy |
$57.77 | 29 | 26 |
|
Np House Calls L.P.
2024 California St |
$0.00 | 37 | 33 |
|
Madison Elaine Garreth
1000 N 16Th St |
$37.85 | 59 | 50 |
|
Mackenzie Allison Cherry
1000 N 16Th St |
$48.99 | 60 | 56 |
|
Joseph P Huffman
2020 S Memorial Dr |
$50.56 | 71 | 57 |
|
Amanda Suzanne Boyd
152 Wittenbraker Ave |
$20.35 | 74 | 52 |
|
Heather Bricker
1000 N 16Th St |
$50.63 | 76 | 49 |
|
David Gray Zipes
1000 N 16Th St |
$53.45 | 84 | 50 |
|
Hannah Marie King
315 S Memorial Dr |
$63.72 | 185 | 172 |
|
Nikiesha Rollins
315 S Memorial Dr |
$43.20 | 191 | 147 |
|
Bruce W. Benninger
1000 N. 16Th St |
$63.00 | 200 | 164 |
|
Rebecca Jean Layman
2200 Forest Ridge Pkwy Ste 240 |
$35.91 | 217 | 189 |
|
Thomas E Freeman
1007 N 16Th St |
$32.45 | 217 | 188 |
|
Juli D. Taylor
152 Wittenbraker Ave |
$47.43 | 320 | 255 |
|
Stephanie Elaine Trenkner
152 Wittenbraker Ave |
$47.52 | 388 | 322 |
|
Scott B. Taylor
2200 Forest Ridge Pkwy Ste 310 |
$33.69 | 431 | 337 |
|
Ashley Nicole Razor
152 Wittenbraker Ave |
$54.95 | 432 | 366 |
|
Jeremy Young
3221 S Memorial Dr |
$64.52 | 436 | 373 |
|
Romel C. Antolin
1000 N. 16Th St. |
$64.67 | 484 | 439 |
|
Erin Elizabeth Melham
2200 Forest Ridge Pkwy Ste 240 |
$35.91 | 496 | 418 |
|
Kristin R. Shields
2200 Forest Ridge Pkwy Ste 310 |
$34.93 | 560 | 418 |
|
John Olakunle Mabayoje
1000 N 16Th St |
$0.00 | 606 | 413 |
|
Karey Linne Davis
2200 Forest Ridge Pkwy Ste 310 |
$29.37 | 626 | 421 |
|
Shelly Bunch
1000 N 16Th St Fl 3 |
$53.46 | 683 | 532 |
|
Mandelle Dreu Doerstler
1000 N 16Th St Ste 240 |
$27.45 | 763 | 645 |
|
Kimberly S Huff
152 Wittenbraker Ave |
$92.46 | 777 | 689 |
|
Arshiya Ferhath Baig
1000 N 16Th St |
$1.91 | 778 | 640 |
|
Lauren J Waugh
152 Wittenbraker Ave |
$45.35 | 852 | 737 |
|
Michelle Marie Ratliff
3995 Brooks Dr |
$94.64 | 873 | 425 |
|
Erica Rachelle Baumgartner
152 Wittenbraker Ave |
$52.64 | 1,084 | 776 |
|
Anjan P Kaushik
2200 Forest Ridge Pkwy |
$56.08 | 1,106 | 912 |
|
Kelly Anne Hamm
152 Wittenbraker Ave |
$88.76 | 1,302 | 1,045 |
|
Kevin John Luksus
2200 Forest Ridge Pkwy |
$55.02 | 1,303 | 1,133 |
|
Lindsey Miles
152 Wittenbraker Ave |
$50.38 | 1,355 | 1,036 |
|
Andrew Mark Davisson
2200 Forest Ridge Pkwy Ste 310 |
$55.75 | 1,449 | 1,140 |
|
Stephanie Wicker
1000 N 16Th St |
$66.71 | 1,487 | 1,347 |
|
Tyler J Callahan
1000 N 16Th St |
$36.34 | 1,534 | 1,084 |
|
Rebecca S. Davisson
2200 Forest Ridge Pkwy |
$38.22 | 1,558 | 1,173 |
|
Jeremy Kinney
1000 N 16Th St |
$64.06 | 1,559 | 1,258 |
|
Jennifer Kay Spraker
1000 N 16Th St |
$51.85 | 1,644 | 1,431 |
|
Elles Sanne Niessen
1000 N 16Th St Ste 250 |
$65.78 | 1,674 | 1,423 |
|
Megan Ash
152 Wittenbraker Ave |
$67.76 | 1,717 | 1,378 |
|
Adrienne Bedford
930 N 14Th St |
$46.94 | 1,779 | 1,527 |
|
Amy Lynn Lowe
152 Wittenbraker Ave |
$89.85 | 1,785 | 1,362 |
|
Carol Jean Johnson
1000 N 16Th St Ste 210 |
$40.12 | 1,806 | 1,408 |
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 New Castle, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Castle, IN is $50.36 per claim, based on 240,852 claims from 92 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 New Castle, IN?
There are 92 Medicaid providers offering Office Visit related services in New Castle, IN according to public payment data.
What is the price range for Office Visit in New Castle, IN?
Medicaid reimbursement for Office Visit in New Castle, IN ranges from $0.00 to $94.64 per claim, with an average of $50.36. 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 New Castle, IN
Blood Work & Lab Tests
Avg $4.24
117,194 claims
Vaccines & Immunizations
Avg $4.67
53,425 claims
X-Ray
Avg $10.33
44,304 claims
Psychiatric Evaluation
Avg $46.10
43,089 claims
Ambulance Transport
Avg $83.36
39,489 claims
Emergency Room Visit
Avg $91.28
34,555 claims
Chiropractic Care
Avg $24.65
27,113 claims
Urinalysis & Urine Tests
Avg $2.83
12,935 claims