Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Plymouth, IN: $51.00

Avg. Paid

$51.00

Range

$11.96 – $85.20

Total Claims

94,393

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 Plymouth, IN

Provider	Avg. Paid	Claims	Patients
Rushabh Anilkumar Shah 1919 Lake Ave	$59.69	12,876	10,586
Zubair Ul Haq 1919 Lake Ave Ste 102	$63.39	6,811	6,062
Craig B Miller 2349 Lake Ave Ste 100	$45.80	5,486	4,521
Kimberley Kay Mendez 510 W Adams St Ste 150	$66.17	5,369	4,835
Byron M Holm 2855 Miller Dr Ste 205	$41.22	4,918	3,922
Laura Elizabeth Blackford 2349 Lake Ave	$45.83	4,103	3,449
Dawn Campbell 2349 Lake Ave Ste 100	$51.66	3,677	3,100
Katrina Jean Vargas 990 Illinois St	$61.94	3,533	3,016
Alissa Whittaker 113 N Michigan St	$49.62	3,318	2,574
Rod Stephen Kubley 1919 Lake Ave	$39.85	3,139	2,645
Muhammad M Hussain 1915 Lake Ave	$49.95	3,105	2,480
Anand Singla 2349 Lake Ave	$35.96	2,982	2,254
Amanda June Markand 2855 Miller Dr Ste 205	$40.16	2,888	2,229
Nicole B Bolinger 2349 Lake Ave Ste 100	$55.02	2,397	2,117
Frank A Addo 2349 Lake Ave Ste 99	$46.25	2,269	1,755
Kathryn Lynn Zehr 1919 Lake Ave Ste 110	$51.48	2,137	1,858
Breanna Kartes 1919 Lake Ave Ste 106	$50.78	2,041	1,766
Glenda Ensweiler 1919 Lake Ave Ste 106	$51.30	1,958	1,625
Mary Ellen Schwartz 116 E Washington St	$11.96	1,934	1,758
Eric Eugene Spohn 990 Illinois St	$54.12	1,837	1,651
Tracy Manns 990 Illinois St	$60.54	1,837	1,663
Marla M Troyer 209 E Jefferson St	$53.10	1,623	1,402
Kelsey Anna Wagoner 209 E Jefferson St	$57.87	1,595	1,321
Londa Aldridge 113 N Michigan St	$43.41	1,400	1,136
Jill Marie Geer 510 W Adams St	$50.20	1,365	1,104
Ashley Walorski 1919 Lake Ave Ste 102	$43.75	1,244	877
Sally Beazlie-Walker 209 E Jefferson St	$43.48	1,242	1,042
Amy Marie Fish 1915 Lake Ave	$44.37	1,233	1,092
Lisa Jones 2855 Miller Dr Ste 205	$41.67	1,059	901
Rebecca Anne Romine 510 W Adams St Ste 150	$63.38	1,026	950
William T. Correll 1919 Lake Ave Ste 106	$59.52	812	677
Adam Eric Perlmutter 1919 Lake Ave Ste 104	$28.05	638	446
Aimee Clady 1915 Lake Ave	$34.94	479	372
Rebecca M Brice 1915 Lake Ave	$44.69	468	359
Breanne Nichole Lawrence 209 E Jefferson St	$57.49	357	309
Brian L Piazza 1919 Lake Ave Ste 104	$27.43	301	151
Debra Sue Cook 209 E Jefferson St	$58.55	261	235
Dinesh C Shah 1915 Lake Ave	$31.66	151	142
Janice Ann Baldwin 1919 Lake Ave	$47.71	123	106
Abdul Sami Qazi 1915 Lake Ave	$23.07	114	77
Samantha Clark 2878 Miller Dr	$34.77	106	89
Mukesh Garg 2349 Lake Ave Ste 99	$14.46	83	55
Leah Christine Sands 990 Illinois St	$85.20	79	61
Nancy C Han 1919 Lake Ave Ste 104	$79.48	19	12

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 Plymouth, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plymouth, IN is $51.00 per claim, based on 94,393 claims from 44 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 Plymouth, IN?

There are 44 Medicaid providers offering Office Visit related services in Plymouth, IN according to public payment data.

What is the price range for Office Visit in Plymouth, IN?

Medicaid reimbursement for Office Visit in Plymouth, IN ranges from $11.96 to $85.20 per claim, with an average of $51.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Plymouth, IN: $51.00

Providers Offering Office Visit in Plymouth, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Phoenix, AZ

Houston, TX

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Other Procedures in Plymouth, IN

Blood Work & Lab Tests

Emergency Room Visit

Durable Medical Equipment (DME)

Vaccines & Immunizations

Psychiatric Evaluation

Nursing Facility Care

Eye Exam

Urinalysis & Urine Tests