Average Medicaid Office Visit Payments in North Vernon, IN: $54.88
Avg. Paid
$54.88
Range
$22.16 – $84.21
Total Claims
118,715
Providers
33
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 North Vernon, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Linda Hefner
301 Henry St |
$67.58 | 21,950 | 16,151 |
|
Margaret G Parker
301 Henry St |
$51.61 | 13,145 | 10,876 |
|
Anton Grankin
301 Henry St |
$61.24 | 10,228 | 8,296 |
|
Paula Scheidler
301 Henry St |
$53.46 | 9,987 | 8,147 |
|
Tonya Dawn Pfister
301 Henry St |
$48.64 | 8,050 | 6,577 |
|
Lynne Ann Henry
301 Henry St |
$49.11 | 7,786 | 6,440 |
|
Chelsea Faith Dugle
301 Henry St |
$58.77 | 7,571 | 6,042 |
|
Heidi Frey
301 Henry St |
$22.16 | 6,237 | 5,013 |
|
Heidi Smith
301 Henry St |
$54.98 | 5,681 | 4,517 |
|
Scott H Murphy
2145 N State Highway 3 |
$59.67 | 4,249 | 3,756 |
|
Sharlene Carol Banks
257 E Main St |
$35.93 | 3,098 | 2,601 |
|
Gregory Kent Heumann
301 Henry St |
$49.83 | 2,908 | 2,480 |
|
Zachary Charles Tucker
301 Henry St |
$84.21 | 2,880 | 2,316 |
|
Patricia Ann Fields
301 Henry St |
$48.69 | 2,514 | 2,072 |
|
Chassie A Broadus
401 Henry St |
$51.25 | 1,988 | 1,430 |
|
Cary Lynn Troutman
301 Henry St |
$60.52 | 1,661 | 1,380 |
|
Jennifer Lynn Stanley
301 Henry St |
$47.83 | 1,430 | 1,208 |
|
Neil Strait Hill
939 Veterans Dr |
$29.21 | 1,377 | 856 |
|
Kimberly Napier
301 Henry St |
$68.80 | 1,101 | 964 |
|
Danielle Hollenbeck
2070 N State Highway 3 |
$64.32 | 728 | 595 |
|
Chad Alan Reynolds
2070 N State Highway 3 |
$67.60 | 688 | 592 |
|
Katherine Conover
301 Henry St |
$41.29 | 668 | 557 |
|
Scott L Slivka
301 Henry St |
$41.66 | 641 | 572 |
|
William D Burnett
401 Henry St |
$28.68 | 525 | 373 |
|
Jayma Marie Bauer
2070 N State Highway 3 |
$80.56 | 449 | 372 |
|
Melissa J Croucher
301 Henry St |
$52.29 | 344 | 274 |
|
Warren D Balazs
301 Henry St |
$50.46 | 311 | 221 |
|
Margaret Ann Lisle
747 N State St |
$55.42 | 164 | 130 |
|
James Thomas Lisle
747 N State St |
$59.80 | 131 | 107 |
|
Trevor Charles Miller
209 S State St |
$53.06 | 82 | 51 |
|
Louis J Calli
301 Henry St Ste 300 |
$59.75 | 71 | 64 |
|
Emily Ertel
401 Henry St |
$61.20 | 44 | 36 |
|
Kirk A Hearne
130 N State St |
$33.27 | 28 | 24 |
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 North Vernon, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Vernon, IN is $54.88 per claim, based on 118,715 claims from 33 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 North Vernon, IN?
There are 33 Medicaid providers offering Office Visit related services in North Vernon, IN according to public payment data.
What is the price range for Office Visit in North Vernon, IN?
Medicaid reimbursement for Office Visit in North Vernon, IN ranges from $22.16 to $84.21 per claim, with an average of $54.88. 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 North Vernon, IN
Blood Work & Lab Tests
Avg $4.08
79,098 claims
Vaccines & Immunizations
Avg $6.95
37,509 claims
Emergency Room Visit
Avg $83.19
36,510 claims
Psychiatric Evaluation
Avg $67.47
33,163 claims
Eye Exam
Avg $47.30
27,081 claims
Speech Therapy
Avg $40.89
21,080 claims
Chiropractic Care
Avg $15.43
11,902 claims
Physical Therapy
Avg $21.22
9,445 claims