Average Medicaid Office Visit Payments in Pontiac, MI: $38.84
Avg. Paid
$38.84
Range
$0.00 – $148.24
Total Claims
654,326
Providers
70
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 Pontiac, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohamed Mostafa Seoudi
461 W Huron St |
$0.83 | 93,133 | 53,252 |
|
Sjmh Medical Practice-Smhc
44405 Woodward Ave |
$53.69 | 89,950 | 82,981 |
|
Mclaren Oakland
50 N Perry St |
$56.22 | 75,637 | 70,027 |
|
Shahzeb Nadeem
461 W Huron St |
$1.05 | 67,685 | 38,649 |
|
Mclaren Oakland
50 N Perry St |
$40.51 | 41,186 | 38,059 |
|
Oakland Integrated Healthcare Network
1701 Baldwin Ave |
$7.51 | 39,471 | 36,334 |
|
Opdyke Medical, Pllc
3959 Centerpoint Pkwy Ste 100 |
$80.00 | 35,809 | 31,153 |
|
Annamma S Pullukat
44200 Woodward Ave |
$49.62 | 28,760 | 23,046 |
|
Oakland Integrated Healthcare Network
461 W. Huron |
$7.15 | 25,857 | 22,886 |
|
Ahmed Maki
50 N Perry St |
$66.06 | 15,505 | 15,144 |
|
Grace Pediatrics Pc
44200 Woodward Ave Ste 103 |
$77.27 | 14,515 | 13,120 |
|
Oakland Integrated Healthcare Network
114 Orchard Lake |
$4.86 | 14,009 | 12,503 |
|
Oakland Family Services
114 Orchard Lake Road |
$148.24 | 14,006 | 13,399 |
|
Kingsley Thomas, M.D., P.C.
989 University Dr |
$65.94 | 13,645 | 12,648 |
|
Pgh Medical Group Pc
461 W Huron St |
$52.36 | 8,905 | 7,855 |
|
Herbert L. Isaac Ii, M.D. Family Medicine Pllc
989 University Dr |
$68.21 | 6,913 | 6,515 |
|
Kay Robertson Md Pc
44200 Woodward Ave |
$61.53 | 5,643 | 5,550 |
|
Perry Mlk Medical Center P.C.
673 Martin Luther King Jr Blvd N |
$58.49 | 5,390 | 4,825 |
|
Nitika Bansal
461 W Huron St |
$59.29 | 4,266 | 3,253 |
|
Binh T Nguyen
50 N Perry St |
$26.05 | 4,181 | 3,878 |
|
Common Ground
1200 N Telegraph Rd |
$108.34 | 4,080 | 2,584 |
|
Get Well Urgent Care Pontiac Plc
983 Orchard Lake Rd |
$70.58 | 3,991 | 3,799 |
|
Iha Ooma Primary Llc
44428 Woodward Ave Ste 102 |
$58.97 | 3,392 | 3,180 |
|
Michigan Ear Nose And Throat Associates Pc
44200 Woodward Ave |
$51.35 | 3,391 | 3,259 |
|
Qamrul Hoda
35 S Johnson |
$52.68 | 3,326 | 3,096 |
|
Oakland Integrated Healthcare Network
1051 Arlene Ave |
$4.18 | 2,961 | 2,421 |
|
Kay Alexa Robertson
44200 Woodward Ave |
$75.69 | 2,250 | 2,199 |
|
Iha Olma Specialty Services Llc
44405 Woodward Ave Ste 202 |
$83.76 | 2,129 | 1,939 |
|
Jeanette M. Campbell
44656 Woodward Ave |
$49.30 | 2,056 | 1,711 |
|
Julie Nguyen
44405 Woodward Ave |
$11.01 | 1,937 | 1,791 |
|
Oakland Integrated Healthcare Network
1200 N Telegraph Rd |
$3.31 | 1,801 | 1,433 |
|
Oakland Integrated Healthcare Network
1200 N Telegraph Rd Bldg 34 |
$6.44 | 1,553 | 1,446 |
|
Joanne Kathleen La Fleur
50 N Perry St |
$57.73 | 1,530 | 796 |
|
Mina Guerges
44405 Woodward Ave |
$46.95 | 1,382 | 1,185 |
|
Anuja Dhaval Kapadia
461 W Huron St |
$18.90 | 1,277 | 1,238 |
|
Iha Olma Specialty Services Llc
44555 Woodward Ave Ste 501 |
$60.14 | 1,186 | 1,172 |
|
Oakland Integrated Healthcare Network
1275 N Perry St |
$4.77 | 1,151 | 924 |
|
Fadi Salloum Md Pc
50 N Perry St |
$34.22 | 1,070 | 754 |
|
Lung Associates Pc
35 S Johnson |
$66.02 | 956 | 940 |
|
Ismail B. Sendi Md, Pc
1200 N. Telegraph Road |
$121.89 | 841 | 388 |
|
Oakland Physiatry P.C.
44555 Woodward Ave |
$44.04 | 771 | 748 |
|
Oakland Integrated Healthcare Network
196 Cesar E Chavez Ave |
$6.89 | 715 | 623 |
|
Mohanad Suede Md Pc
50 N Perry St |
$70.23 | 664 | 638 |
|
Umesh Pandey
461 W Huron St |
$61.52 | 650 | 623 |
|
Synyi Jameela Amy Chen
50 N Perry St |
$42.65 | 509 | 502 |
|
Michigan Maternal Fetal Medicine Plc
44405 Woodward Ave |
$31.49 | 472 | 397 |
|
Iha Olma Specialty Services Llc
44555 Woodward Ave Ste 305 |
$62.60 | 389 | 383 |
|
Danyel Roxanne Baker
44405 Woodward Ave |
$65.52 | 358 | 268 |
|
County Of Oakland
1200 N Telegraph Rd |
$110.56 | 354 | 290 |
|
Iha Olma Specialty Services Llc
44555 Woodward Ave Ste 104 |
$67.25 | 319 | 312 |
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 Pontiac, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pontiac, MI is $38.84 per claim, based on 654,326 claims from 70 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 Pontiac, MI?
There are 70 Medicaid providers offering Office Visit related services in Pontiac, MI according to public payment data.
What is the price range for Office Visit in Pontiac, MI?
Medicaid reimbursement for Office Visit in Pontiac, MI ranges from $0.00 to $148.24 per claim, with an average of $38.84. 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 Pontiac, MI
Blood Work & Lab Tests
Avg $4.56
810,652 claims
Emergency Room Visit
Avg $154.55
376,602 claims
Vaccines & Immunizations
Avg $7.39
267,864 claims
Urinalysis & Urine Tests
Avg $0.97
193,997 claims
Substance Abuse Treatment
Avg $43.30
130,217 claims
X-Ray
Avg $16.77
124,181 claims
Ambulance Transport
Avg $101.68
121,474 claims
Dental Cleaning & Exam
Avg $41.67
113,888 claims