Average Medicaid Office Visit Payments in Port Huron, MI: $72.30
Avg. Paid
$72.30
Range
$4.79 – $229.47
Total Claims
582,814
Providers
56
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 Port Huron, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Medexpress Urgent Care, Pc - Michigan
3550 Pine Grove Ave |
$59.53 | 152,615 | 147,693 |
|
St Clair County Community Mental Health Authority
3111 Electric Ave |
$229.47 | 59,700 | 57,092 |
|
Mawan Shuayto Md Pc
1103 7Th St Ste A |
$40.93 | 49,540 | 47,318 |
|
Huron Family Practice Center Pc
1225 10Th St |
$63.06 | 45,173 | 37,938 |
|
Annette Barnes-Grain
2609 Electric Ave Ste D |
$59.93 | 28,025 | 25,780 |
|
C Bazo Group, Pllc
1641 10Th St |
$57.63 | 27,884 | 25,160 |
|
Mclaren Port Huron
1221 Pine Grove Ave |
$50.00 | 25,654 | 24,048 |
|
Downriver Community Services, Inc.
1011 Military St |
$4.79 | 24,432 | 22,496 |
|
St. Clair Medical P.C
1209 10Th St |
$73.44 | 23,214 | 20,437 |
|
Cardiology Assoc Of Port Huron
1222 10Th Ave |
$54.29 | 22,049 | 20,981 |
|
Orthopedic Associates Of Port Huron Pc
940 River Centre Dr |
$42.43 | 15,854 | 14,370 |
|
George J Carley Do Pc
1943 Holland Ave |
$69.62 | 14,112 | 12,204 |
|
J Mullally Md Pllc
1117 Stone St |
$50.61 | 9,881 | 8,943 |
|
Riad R. Hajjar Md Pc
1201 Stone St |
$60.21 | 9,563 | 8,923 |
|
Best Kids Pc
1107 Stone St |
$69.10 | 9,218 | 8,516 |
|
Port Huron Internal Medicine Associates
2540 16Th St |
$65.46 | 7,758 | 7,174 |
|
Huron Medical Center P.C.
1221 Pine Grove Ave |
$51.88 | 6,995 | 6,469 |
|
Rafia Khalil Arthritis & Rheumatology Center Pc
1201 Stone St |
$58.26 | 5,662 | 5,423 |
|
St Clair Pulmonary & Critical Care P C
2615 Electric Ave |
$52.88 | 5,561 | 4,986 |
|
Aaron K. Clark Md Pc
1984 Holland Ave |
$64.86 | 5,411 | 4,724 |
|
Thumb Physiatry Pc
2603 Electric Ave |
$58.78 | 3,951 | 3,934 |
|
Michigan Healthcare Professionals Pc
1037 Water St |
$50.66 | 3,383 | 3,305 |
|
Blue Water Ob & Gyn Pc
1313 Stone St |
$38.64 | 3,293 | 2,946 |
|
Port Huron Vascular Clinic Pc
2603 Electric Ave |
$38.60 | 1,904 | 1,626 |
|
County Of St Clair
220 Fort St |
$40.89 | 1,876 | 1,749 |
|
Port Huron Family Care Pllc
1979 Holland Ave |
$46.50 | 1,864 | 1,761 |
|
East Michigan Hospitalists Pllc
1217 Kearney St |
$47.00 | 1,558 | 943 |
|
John Patrick Mullally
1117 Stone St |
$60.76 | 1,529 | 1,432 |
|
Huron Surgical Clinic, P.C.
1522 Pine Grove Ave |
$28.53 | 1,517 | 1,327 |
|
Mclaren Port Huron
1209 Richardson St |
$35.41 | 1,484 | 1,428 |
|
Yehia I Elsafy M D P L C
2425 Military St |
$79.60 | 1,289 | 1,122 |
|
Margaret Ann Gressle
1221 Pine Grove Ave |
$62.23 | 1,152 | 954 |
|
St. Clair Obstetrics & Gynecology, Pllc
2603 Electric Ave Ste 2 |
$49.04 | 1,132 | 1,099 |
|
Helen Birkbeck
3111 Electric Ave |
$48.11 | 1,098 | 968 |
|
M Jamil A Khan Md Pc
1206 Richardson St |
$38.13 | 972 | 947 |
|
Professional Counseling Center,P.C.
520 Superior St |
$61.15 | 928 | 877 |
|
Syed V. Ali, Md Pc
2603 Electric Ave Ste 1 |
$61.82 | 824 | 786 |
|
Northpointe Ob-Gyn Pc
1206 Washington Ave |
$42.50 | 766 | 725 |
|
Blue Water Internal Medicine, Pc
1210 10Th Ave |
$81.28 | 595 | 572 |
|
Robert A Hill
1221 Pine Grove Ave |
$26.69 | 594 | 546 |
|
Benjamin John, M.D., P.C.
1217 Kearney St |
$42.33 | 593 | 550 |
|
Hope Surgical, Pllc
1221 Richardson St |
$44.61 | 420 | 404 |
|
Gregory Symenow
3550 Pine Grove Ave |
$56.93 | 366 | 363 |
|
Alexander Grant Ruthven
1225 10Th St |
$60.74 | 225 | 167 |
|
Lakeview Chiropractic Inc
2100 Water St |
$20.40 | 212 | 209 |
|
Willis Advanced Counseling Services
805 Superior St Ste A |
$41.09 | 196 | 191 |
|
St Clair County Community Mental Health Authority - Sud Services
3111 Electric Ave |
$41.05 | 142 | 134 |
|
Sacred Heart Rehabilitation Center, Inc
1406 8Th St |
$42.47 | 125 | 63 |
|
Hannah Briann Kohler
940 River Centre Dr |
$15.74 | 106 | 89 |
|
Jones Psychological Services Pllc
805 Superior St |
$49.15 | 93 | 90 |
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 Port Huron, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Huron, MI is $72.30 per claim, based on 582,814 claims from 56 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 Port Huron, MI?
There are 56 Medicaid providers offering Office Visit related services in Port Huron, MI according to public payment data.
What is the price range for Office Visit in Port Huron, MI?
Medicaid reimbursement for Office Visit in Port Huron, MI ranges from $4.79 to $229.47 per claim, with an average of $72.30. 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 Port Huron, MI
Blood Work & Lab Tests
Avg $5.47
538,903 claims
Psychiatric Evaluation
Avg $158.44
262,796 claims
Emergency Room Visit
Avg $139.86
224,870 claims
Case Management Services
Avg $144.56
221,888 claims
Behavioral & Mental Health Therapy
Avg $124.12
213,306 claims
X-Ray
Avg $12.79
204,006 claims
Urinalysis & Urine Tests
Avg $1.36
134,783 claims
Physical Therapy
Avg $21.65
117,943 claims