Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Novi, MI: $75.46

Avg. Paid

$75.46

Range

$0.00 – $111.10

Total Claims

361,908

Providers

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 Novi, MI

Provider	Avg. Paid	Claims	Patients
Cns Healthcare 24230 Karim Blvd	$106.92	105,721	95,007
Rehabilitation Physicians Pc 28455 Haggerty Rd Ste 200	$57.98	31,238	30,307
Ieppc Urgent Care Pllc 27204 Beck Rd	$64.38	30,193	29,161
Family Care Physicians, P.C. 39500 W. Ten Mile Rd	$66.28	26,887	25,593
All Patients Care Pllc 31208 Beck Rd	$64.96	22,423	20,479
West Bloomfield Pediatrics Pllc 46325 W 12 Mile Rd	$66.17	19,728	17,819
Vmd Primary Providers Eastern Michigan, Pc 27275 Haggerty Rd Ste 500	$76.09	19,026	17,326
The Porretta Center For Orthopaedic Surgery, Pllc 26750 Providence Pkwy Ste 200	$52.07	17,428	16,733
Ent Specialists, P.C. 25500 Meadowbrook Rd	$59.44	14,308	13,913
Primecare Urgent Care Pllc 39555 W 10 Mile Rd	$59.84	10,302	9,874
Badie M Najem 26850 Providence Pkwy Ste 300	$69.09	9,432	8,965
Twelve Oaks Pediatrics, Pllc 41935 W 12 Mile Rd	$71.45	9,139	8,259
Restorative Physical Medicine Pllc 42350 Grand River Ave	$56.20	7,287	7,056
Michigan Pain Management Consultants-West, Pc 26750 Providence Pkwy	$57.03	6,526	5,932
Ascension Medical Group Michigan 26850 Providence Pkwy	$54.30	3,848	3,675
Abdulmalek Sadah 43000 W 9 Mile Rd Ste 207	$62.48	3,159	2,591
Peace Of Mind, Llc 41750 Foster Dr Unit 204	$50.39	3,071	2,582
Lisa A Finley 41800 W 11 Mile Rd Ste 109	$21.96	2,498	1,902
Advanced Vein Therapies Pllc 25500 Meadowbrook Rd Ste 215	$77.77	2,285	2,284
Alliance Behavioral Health Specialists Pllc 43155 Main St Ste 2316	$72.92	1,936	1,818
Metro Partners In Womens Health, Pc 44000 W 12 Mile Rd Ste 205	$47.38	1,917	1,789
Michigan Respiratory And Sleep Physicians Pllc 44000 W 12 Mile Rd	$45.09	1,844	1,777
Beatriz E Martinez Quintero 39450 W Twelve Mile Rd	$72.15	1,737	1,564
Pain Specialist Of Michigan, Pllc 39475 Lewis Dr	$48.80	903	853
Sg Pediatric 26850 Providence Pkwy	$74.96	882	751
The Allergy Suite 39595 W 10 Mile Rd Ste 111	$88.94	735	691
Novi Urgent Care Pllc 43535 Grand River Ave	$58.39	675	659
Deborah Raye Bennett 30880 Beck Rd	$62.60	655	597
Lindsay Rose Dunstan 44725 Grand River Ave Ste 104	$70.42	539	480
Novi Neurology Pc 44000 W 12 Mile Rd	$55.05	535	523
Comprehensive Vascular Care, P.C. 26850 Providence Pkwy Ste 405	$48.27	497	455
Donna Smith Tate 41800 W 11 Mile Rd Ste 109	$57.96	459	433
Abigail Colleen Fox 47601 Grand River Ave	$72.27	427	413
Women'S Health Consultants, Plc 46325 W 12 Mile Road	$45.70	417	396
Omolola Beaird 41800 W 11 Mile Rd Ste 109	$4.10	348	324
Lydia Mayes Washington 41800 W 11 Mile Rd Ste 109	$48.09	347	243
Jonathon Michael Hirsch 26850 Providence Pkwy Ste 260	$50.48	310	278
Pmhc - Cancer Center 47601 Grand River	$30.33	251	249
Associates In Obstetrics And Gynecology Pc 26850 Providence Pkwy	$45.78	208	193
Pulmonary & Critical Care Specialists, P.C. 39650 Orchard Hill Pl	$59.84	202	202
Abh Corporation 40000 Grand River Ave Ste 504	$29.93	187	169
Tri-County Pain Consultants Pc 26850 Providence Pkwy	$32.02	179	150
Pfefferkorn Md Pllc 46325 W 12 Mile Rd Ste 390	$96.49	138	136
Beata Kis 41800 W 11 Mile Rd Ste 109	$81.45	127	124
Mi Family Medical Center 23985 Novi Rd Ste B102	$77.33	114	104
Christopher B Luring 28455 Haggerty Rd	$31.67	105	99
Ascension Eastwood Behavioral Health 44000 W 12 Mile Rd Ste 101	$42.84	104	102
Vinay K Malviya Md Pc 26850 Providence Pkwy Ste 530	$57.89	93	81
Rhonda Gagnon 41800 W 11 Mile Rd Ste 109	$31.79	93	77
Susan J. Sherman 43077 Brookstone Dr	$68.27	84	76

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 Novi, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Novi, MI is $75.46 per claim, based on 361,908 claims from 60 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 Novi, MI?

There are 60 Medicaid providers offering Office Visit related services in Novi, MI according to public payment data.

What is the price range for Office Visit in Novi, MI?

Medicaid reimbursement for Office Visit in Novi, MI ranges from $0.00 to $111.10 per claim, with an average of $75.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Novi, MI: $75.46

Providers Offering Office Visit in Novi, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Novi, MI

Blood Work & Lab Tests

Nursing Facility Care

Case Management Services

Emergency Room Visit

Urinalysis & Urine Tests

Psychiatric Evaluation

X-Ray

Physical Therapy