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 |
|---|---|---|---|
|
Bashar Yaldo Md Pc
44555 Woodward Ave |
$94.19 | 14 | 14 |
|
Robert Melvin Phillips
35 South Johnson Street |
$51.44 | 17 | 17 |
|
Leith Isaac Brown
50 N Perry St |
$37.02 | 19 | 12 |
|
The Wellness Plan Medical Centers
44405 Woodward Ave |
$0.00 | 26 | 25 |
|
Royal Chiropractic Pc
530 W Huron St |
$2.08 | 29 | 12 |
|
Helen Stewart
1701 Baldwin Ave |
$0.00 | 38 | 38 |
|
Dr. Leigh A. Elceser P.C
1044 Joslyn Ave |
$18.69 | 38 | 38 |
|
The Wellness Plan Medical Centers
46156 Woodward Ave |
$38.13 | 60 | 43 |
|
Mina Todorov
44405 Woodward Ave |
$30.85 | 68 | 65 |
|
St Joseph Mercy Hospital-Smhc
44405 Woodward Ave |
$11.82 | 85 | 69 |
|
Bloomfield Heart Center Pllc
44555 Woodward Ave |
$33.90 | 106 | 85 |
|
Mayuri Dasari
462 N Telegraph Rd |
$13.75 | 124 | 113 |
|
Malik E Mckany
44555 Woodward Ave |
$66.98 | 155 | 153 |
|
Ashley Krauser
50 N Perry St |
$86.72 | 203 | 184 |
|
Vasimahmed Lala
50 N Perry St |
$13.39 | 205 | 189 |
|
Michigan Infectious Disease Consultants Pc
44200 Woodward Ave |
$45.36 | 210 | 141 |
|
Mclaren Oakland
50 N Perry St |
$1.49 | 227 | 175 |
|
Syed Haris Tasleem
44405 Woodward Ave |
$52.88 | 243 | 232 |
|
Roy J Pullukat
44200 Woodward Ave |
$9.91 | 261 | 254 |
|
Karmo Aesthetic Center Pc
44555 Woodward Ave |
$60.12 | 271 | 266 |
|
Iha Olma Specialty Services Llc
44555 Woodward Ave Ste 104 |
$67.25 | 319 | 312 |
|
County Of Oakland
1200 N Telegraph Rd |
$110.56 | 354 | 290 |
|
Danyel Roxanne Baker
44405 Woodward Ave |
$65.52 | 358 | 268 |
|
Iha Olma Specialty Services Llc
44555 Woodward Ave Ste 305 |
$62.60 | 389 | 383 |
|
Michigan Maternal Fetal Medicine Plc
44405 Woodward Ave |
$31.49 | 472 | 397 |
|
Synyi Jameela Amy Chen
50 N Perry St |
$42.65 | 509 | 502 |
|
Umesh Pandey
461 W Huron St |
$61.52 | 650 | 623 |
|
Mohanad Suede Md Pc
50 N Perry St |
$70.23 | 664 | 638 |
|
Oakland Integrated Healthcare Network
196 Cesar E Chavez Ave |
$6.89 | 715 | 623 |
|
Oakland Physiatry P.C.
44555 Woodward Ave |
$44.04 | 771 | 748 |
|
Ismail B. Sendi Md, Pc
1200 N. Telegraph Road |
$121.89 | 841 | 388 |
|
Lung Associates Pc
35 S Johnson |
$66.02 | 956 | 940 |
|
Fadi Salloum Md Pc
50 N Perry St |
$34.22 | 1,070 | 754 |
|
Oakland Integrated Healthcare Network
1275 N Perry St |
$4.77 | 1,151 | 924 |
|
Iha Olma Specialty Services Llc
44555 Woodward Ave Ste 501 |
$60.14 | 1,186 | 1,172 |
|
Anuja Dhaval Kapadia
461 W Huron St |
$18.90 | 1,277 | 1,238 |
|
Mina Guerges
44405 Woodward Ave |
$46.95 | 1,382 | 1,185 |
|
Joanne Kathleen La Fleur
50 N Perry St |
$57.73 | 1,530 | 796 |
|
Oakland Integrated Healthcare Network
1200 N Telegraph Rd Bldg 34 |
$6.44 | 1,553 | 1,446 |
|
Oakland Integrated Healthcare Network
1200 N Telegraph Rd |
$3.31 | 1,801 | 1,433 |
|
Julie Nguyen
44405 Woodward Ave |
$11.01 | 1,937 | 1,791 |
|
Jeanette M. Campbell
44656 Woodward Ave |
$49.30 | 2,056 | 1,711 |
|
Iha Olma Specialty Services Llc
44405 Woodward Ave Ste 202 |
$83.76 | 2,129 | 1,939 |
|
Kay Alexa Robertson
44200 Woodward Ave |
$75.69 | 2,250 | 2,199 |
|
Oakland Integrated Healthcare Network
1051 Arlene Ave |
$4.18 | 2,961 | 2,421 |
|
Qamrul Hoda
35 S Johnson |
$52.68 | 3,326 | 3,096 |
|
Michigan Ear Nose And Throat Associates Pc
44200 Woodward Ave |
$51.35 | 3,391 | 3,259 |
|
Iha Ooma Primary Llc
44428 Woodward Ave Ste 102 |
$58.97 | 3,392 | 3,180 |
|
Get Well Urgent Care Pontiac Plc
983 Orchard Lake Rd |
$70.58 | 3,991 | 3,799 |
|
Common Ground
1200 N Telegraph Rd |
$108.34 | 4,080 | 2,584 |
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