Average Medicaid Office Visit Payments in New Palestine, IN: $62.43
Avg. Paid
$62.43
Range
$41.03 – $322.57
Total Claims
13,454
Providers
9
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 Palestine, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William J Fisher
4037 Arbor Ln Ste D |
$65.35 | 6,624 | 5,729 |
|
Kristin S Bagley
7375 W. Us 52 |
$54.63 | 2,340 | 1,886 |
|
Christopher D Burns
4137 S Turning Leaf Ct |
$45.80 | 1,311 | 1,135 |
|
Shawn Thomas Moore
7375 W Us 52 |
$74.92 | 1,163 | 1,015 |
|
Amy Schmoll Diersing
7375 W Us 52 |
$41.03 | 1,102 | 880 |
|
Chanel Herbertz
5026 W Us 52 |
$46.77 | 641 | 523 |
|
Roger W Hurlbut
5026 W Us 52 |
$322.57 | 155 | 151 |
|
Elizabeth A Blachly
7375 W Us Highway 52 |
$57.01 | 77 | 65 |
|
Raymond Robert Jennings
4911 Catalina South Dr |
$60.61 | 41 | 33 |
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 Palestine, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Palestine, IN is $62.43 per claim, based on 13,454 claims from 9 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 Palestine, IN?
There are 9 Medicaid providers offering Office Visit related services in New Palestine, IN according to public payment data.
What is the price range for Office Visit in New Palestine, IN?
Medicaid reimbursement for Office Visit in New Palestine, IN ranges from $41.03 to $322.57 per claim, with an average of $62.43. 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 Palestine, IN
Chiropractic Care
Avg $24.70
10,469 claims
Vaccines & Immunizations
Avg $8.61
8,673 claims
Physical Therapy
Avg $20.75
6,576 claims
Speech Therapy
Avg $51.24
5,314 claims
Ambulance Transport
Avg $79.75
3,636 claims
Psychiatric Evaluation
Avg $35.28
705 claims
Dental Cleaning & Exam
Avg $41.41
695 claims
Dental Filling
Avg $77.30
272 claims