Average Medicaid Office Visit Payments in Plymouth, MI: $58.64
Avg. Paid
$58.64
Range
$16.82 – $69.63
Total Claims
66,325
Providers
14
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, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Xpress Urgent Care Pc
49237 Fox Dr N |
$59.34 | 24,059 | 21,695 |
|
Best Care Pllc
41424 Ann Arbor Rd E |
$63.18 | 12,581 | 11,805 |
|
Iha Health Services Corporation
990 W Ann Arbor Trl |
$63.24 | 7,399 | 7,134 |
|
Plymouth Urgent Care Walk-In Clinic Llc
1498 S Sheldon Rd |
$69.63 | 6,782 | 6,544 |
|
Karalee Associates Pc
1308 S Main St |
$47.78 | 5,837 | 5,510 |
|
Iha Health Services Corporation
990 W Ann Arbor Trl |
$50.24 | 4,663 | 4,262 |
|
Mansi Sharadkumar Mehta
705 S Main St |
$38.40 | 1,635 | 1,510 |
|
Michigan Medical Associates, P.C.
851 S Main St Ste B |
$67.96 | 1,101 | 1,037 |
|
Alcona Citizens For Health Inc
101 S Union St Unit 101 |
$16.82 | 1,006 | 996 |
|
Kristen Marie Kubik
13970 Oakland Ct |
$54.88 | 472 | 314 |
|
Ronald P Adelman Dpm Pllc
990 W Ann Arbor Trl |
$39.96 | 462 | 448 |
|
Access Behavioral Healthcare Llc
42189 Ann Arbor Rd E |
$33.18 | 193 | 169 |
|
Northville Urgent Care P.C.
47311 Five Mile Rd |
$58.69 | 123 | 114 |
|
Rami Al-Rashed
4540 Old Oak Ct |
$62.46 | 12 | 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, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plymouth, MI is $58.64 per claim, based on 66,325 claims from 14 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, MI?
There are 14 Medicaid providers offering Office Visit related services in Plymouth, MI according to public payment data.
What is the price range for Office Visit in Plymouth, MI?
Medicaid reimbursement for Office Visit in Plymouth, MI ranges from $16.82 to $69.63 per claim, with an average of $58.64. 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 Plymouth, MI
Physical Therapy
Avg $53.15
197,344 claims
Psychiatric Evaluation
Avg $71.98
138,512 claims
Speech Therapy
Avg $61.16
123,896 claims
Substance Abuse Treatment
Avg $187.30
65,331 claims
Durable Medical Equipment (DME)
Avg $35.67
32,416 claims
Home Health Visit
Avg $40.56
27,437 claims
Vaccines & Immunizations
Avg $8.41
7,852 claims
Nursing Facility Care
Avg $14.59
5,374 claims