Average Medicaid Office Visit Payments in Norton Shores, MI: $62.39
Avg. Paid
$62.39
Range
$3.88 – $98.73
Total Claims
134,086
Providers
17
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 Norton Shores, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Port City Pediatrics
1455 Farr Road |
$63.85 | 32,625 | 30,081 |
|
Harbour Towne Health Pllc
131 W Seaway Dr |
$71.33 | 31,305 | 27,071 |
|
Lakeshore Professional Eyecare Pc
951 Seminole Rd |
$72.38 | 21,520 | 21,335 |
|
West Shore Otolaryngology Pc
1450 Farr Rd Ste 5000 |
$48.74 | 11,292 | 10,858 |
|
West Shore Otolaryngology Pc
1450 Farr Rd Ste 5000 |
$55.21 | 10,460 | 10,213 |
|
Shoreline Foot & Ankle Associates P.C.
561 Seminole Rd |
$45.22 | 5,528 | 5,404 |
|
Lakes Obgyn Specialist
6401 Prairie St Ste 1700 |
$44.79 | 5,114 | 4,954 |
|
Benjamin J Visger Do Pllc
1865 Lawnel Ave |
$44.31 | 4,838 | 3,448 |
|
Renae L Crozier
493 W Norton Ave Ste 1 |
$76.51 | 3,310 | 3,044 |
|
Susan L Drust Np Pllc
296 Seminole Rd |
$53.55 | 2,218 | 2,001 |
|
Lakeshore Derm & Laser Center Plc
6225 Prairie St |
$48.28 | 2,188 | 2,140 |
|
West Michigan Ent Pc
1450 Farr Rd |
$45.88 | 1,450 | 1,352 |
|
Harbour Towne Counseling And Psychiatry, Pllc
3535 Park Street |
$98.73 | 752 | 661 |
|
Matthew Keith Eller
3570 Henry St Ste 120 |
$43.22 | 580 | 542 |
|
Lafayette Women'S Health Plc
953 Seminole Rd |
$42.51 | 539 | 449 |
|
Shoreline Chiropractic Plc
3520 Green St |
$3.88 | 271 | 271 |
|
Woman Care Obgyn Plc
493 W Norton Ave |
$38.56 | 96 | 86 |
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 Norton Shores, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Norton Shores, MI is $62.39 per claim, based on 134,086 claims from 17 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 Norton Shores, MI?
There are 17 Medicaid providers offering Office Visit related services in Norton Shores, MI according to public payment data.
What is the price range for Office Visit in Norton Shores, MI?
Medicaid reimbursement for Office Visit in Norton Shores, MI ranges from $3.88 to $98.73 per claim, with an average of $62.39. 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 Norton Shores, MI
Vaccines & Immunizations
Avg $6.33
77,235 claims
Eye Exam
Avg $23.52
64,537 claims
Psychiatric Evaluation
Avg $70.71
32,226 claims
Dental Cleaning & Exam
Avg $34.28
29,895 claims
Chiropractic Care
Avg $21.25
18,020 claims
Hearing Test (Audiometry)
Avg $12.62
14,644 claims
Dental Filling
Avg $101.67
5,629 claims
Blood Work & Lab Tests
Avg $2.56
4,541 claims