Average Medicaid Office Visit Payments in Novi, MI: $75.46
Avg. Paid
$75.46
Range
$0.00 – $111.10
Total Claims
361,908
Providers
60
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 |
|---|---|---|---|
|
Lauren Rochelle West
41800 W 11 Mile Rd Ste 109 |
$12.08 | 12 | 12 |
|
Najwa El-Nachef
39450 W 12 Mile Rd |
$111.10 | 14 | 14 |
|
Vinaya Kumar Gavini
26850 Providence Pkwy |
$78.55 | 18 | 18 |
|
Tb Doctors Pllc
27275 Haggerty Rd Ste 500 |
$26.98 | 25 | 25 |
|
Laura Sheri Kremer
39475 Lewis Dr Ste 150 |
$0.00 | 30 | 28 |
|
Tonya T Gilbert
41800 W 11 Mile Rd Ste 109 |
$48.74 | 35 | 31 |
|
Cognitive Care Center Pc
43155 Main St |
$55.11 | 44 | 41 |
|
Henry Ford Health Providence Hospital
47601 Grand River Ave |
$0.81 | 48 | 48 |
|
Catherine Elizabeth Renner
39555 W 10 Mile Rd Ste 301 |
$8.26 | 59 | 59 |
|
Nadine Sadia Laila
26140 Ingersol Dr |
$43.61 | 76 | 71 |
|
Susan J. Sherman
43077 Brookstone Dr |
$68.27 | 84 | 76 |
|
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 |
|
Ascension Eastwood Behavioral Health
44000 W 12 Mile Rd Ste 101 |
$42.84 | 104 | 102 |
|
Christopher B Luring
28455 Haggerty Rd |
$31.67 | 105 | 99 |
|
Mi Family Medical Center
23985 Novi Rd Ste B102 |
$77.33 | 114 | 104 |
|
Beata Kis
41800 W 11 Mile Rd Ste 109 |
$81.45 | 127 | 124 |
|
Pfefferkorn Md Pllc
46325 W 12 Mile Rd Ste 390 |
$96.49 | 138 | 136 |
|
Tri-County Pain Consultants Pc
26850 Providence Pkwy |
$32.02 | 179 | 150 |
|
Abh Corporation
40000 Grand River Ave Ste 504 |
$29.93 | 187 | 169 |
|
Pulmonary & Critical Care Specialists, P.C.
39650 Orchard Hill Pl |
$59.84 | 202 | 202 |
|
Associates In Obstetrics And Gynecology Pc
26850 Providence Pkwy |
$45.78 | 208 | 193 |
|
Pmhc - Cancer Center
47601 Grand River |
$30.33 | 251 | 249 |
|
Jonathon Michael Hirsch
26850 Providence Pkwy Ste 260 |
$50.48 | 310 | 278 |
|
Lydia Mayes Washington
41800 W 11 Mile Rd Ste 109 |
$48.09 | 347 | 243 |
|
Omolola Beaird
41800 W 11 Mile Rd Ste 109 |
$4.10 | 348 | 324 |
|
Women'S Health Consultants, Plc
46325 W 12 Mile Road |
$45.70 | 417 | 396 |
|
Abigail Colleen Fox
47601 Grand River Ave |
$72.27 | 427 | 413 |
|
Donna Smith Tate
41800 W 11 Mile Rd Ste 109 |
$57.96 | 459 | 433 |
|
Comprehensive Vascular Care, P.C.
26850 Providence Pkwy Ste 405 |
$48.27 | 497 | 455 |
|
Novi Neurology Pc
44000 W 12 Mile Rd |
$55.05 | 535 | 523 |
|
Lindsay Rose Dunstan
44725 Grand River Ave Ste 104 |
$70.42 | 539 | 480 |
|
Deborah Raye Bennett
30880 Beck Rd |
$62.60 | 655 | 597 |
|
Novi Urgent Care Pllc
43535 Grand River Ave |
$58.39 | 675 | 659 |
|
The Allergy Suite
39595 W 10 Mile Rd Ste 111 |
$88.94 | 735 | 691 |
|
Sg Pediatric
26850 Providence Pkwy |
$74.96 | 882 | 751 |
|
Pain Specialist Of Michigan, Pllc
39475 Lewis Dr |
$48.80 | 903 | 853 |
|
Beatriz E Martinez Quintero
39450 W Twelve Mile Rd |
$72.15 | 1,737 | 1,564 |
|
Michigan Respiratory And Sleep Physicians Pllc
44000 W 12 Mile Rd |
$45.09 | 1,844 | 1,777 |
|
Metro Partners In Womens Health, Pc
44000 W 12 Mile Rd Ste 205 |
$47.38 | 1,917 | 1,789 |
|
Alliance Behavioral Health Specialists Pllc
43155 Main St Ste 2316 |
$72.92 | 1,936 | 1,818 |
|
Advanced Vein Therapies Pllc
25500 Meadowbrook Rd Ste 215 |
$77.77 | 2,285 | 2,284 |
|
Lisa A Finley
41800 W 11 Mile Rd Ste 109 |
$21.96 | 2,498 | 1,902 |
|
Peace Of Mind, Llc
41750 Foster Dr Unit 204 |
$50.39 | 3,071 | 2,582 |
|
Abdulmalek Sadah
43000 W 9 Mile Rd Ste 207 |
$62.48 | 3,159 | 2,591 |
|
Ascension Medical Group Michigan
26850 Providence Pkwy |
$54.30 | 3,848 | 3,675 |
|
Michigan Pain Management Consultants-West, Pc
26750 Providence Pkwy |
$57.03 | 6,526 | 5,932 |
|
Restorative Physical Medicine Pllc
42350 Grand River Ave |
$56.20 | 7,287 | 7,056 |
|
Twelve Oaks Pediatrics, Pllc
41935 W 12 Mile Rd |
$71.45 | 9,139 | 8,259 |
|
Badie M Najem
26850 Providence Pkwy Ste 300 |
$69.09 | 9,432 | 8,965 |
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.
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 Novi, MI
Blood Work & Lab Tests
Avg $6.78
979,848 claims
Nursing Facility Care
Avg $32.08
296,342 claims
Case Management Services
Avg $134.73
284,300 claims
Emergency Room Visit
Avg $182.68
208,279 claims
Urinalysis & Urine Tests
Avg $1.40
172,969 claims
Psychiatric Evaluation
Avg $143.08
129,447 claims
X-Ray
Avg $17.24
105,959 claims
Physical Therapy
Avg $24.50
94,074 claims