Skip to content
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

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

Other Procedures in Novi, MI