Average Medicaid Office Visit Payments in Portage, MI: $67.27
Avg. Paid
$67.27
Range
$6.79 – $286.85
Total Claims
249,805
Providers
33
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 Portage, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ascension Medical Group Promed
7901 Angling Rd |
$56.85 | 114,580 | 106,268 |
|
Ascension Medical Group Promed
7775 Angling Rd |
$59.53 | 26,708 | 24,949 |
|
Ascension Medical Group Promed
8001 Angling Rd |
$51.36 | 20,909 | 20,202 |
|
Ascension Borgess Hospital
7901 Angling Rd |
$53.51 | 20,781 | 20,287 |
|
Southern Michigan Pain Consultants Pc
3770 Glenkerry Ct |
$43.41 | 14,307 | 13,727 |
|
Vpa Pc
2725 Airview Blvd Ste 105 |
$286.85 | 11,539 | 11,539 |
|
Paragon Health, P.C.
3000 Old Centre Rd |
$49.96 | 8,474 | 8,390 |
|
Christian Global Medical Healthcare, Incorporated
451 W Milham Ave |
$78.64 | 5,629 | 5,234 |
|
Trestlewood Pediatrics, P.C.
5082 Lovers Lane |
$60.68 | 4,077 | 3,607 |
|
Center For Vein Restoration Mi Pllc
3810 W Centre Ave Ste A |
$75.99 | 3,891 | 3,875 |
|
Three Rivers Health System, Inc
3850 Glenkerry Ct |
$54.61 | 3,709 | 3,570 |
|
Thomas R Akland
8001 Angling Rd |
$83.90 | 3,387 | 3,201 |
|
Beverly R Baldwin
7310 Garden Ln |
$57.12 | 2,339 | 1,459 |
|
Rachel Bailey
2680 W Centre Ave |
$77.19 | 2,192 | 1,972 |
|
Kalind Parashar
7901 Angling Rd |
$41.17 | 1,926 | 1,805 |
|
Pediatrics Pc
670 Mall Dr |
$52.10 | 1,743 | 1,461 |
|
Ravinder Mediratta
1514 W Milham Ave |
$46.17 | 752 | 685 |
|
Family Health Center Inc.
325 E Centre Ave |
$6.79 | 625 | 544 |
|
Three Rivers Health System, Inc
7971 Moorsbridge Rd |
$68.06 | 503 | 487 |
|
Maureen Onuigbo
2725 Airview Blvd |
$72.31 | 372 | 294 |
|
Serene Solutions
1125 E Milham Ave Ste B |
$82.12 | 249 | 215 |
|
Paola Paquini
650 Trade Centre Way # 140 |
$176.22 | 233 | 154 |
|
Eric Darnall
8001 Angling Rd |
$66.24 | 204 | 190 |
|
Karen M Buckley
7901 S 12Th St Ste 100 |
$26.65 | 187 | 169 |
|
West Michigan Ear Nose & Throat Plc
3850 Glenkerry Ct |
$51.36 | 132 | 128 |
|
Mark Alan Sloane
700 Mall Dr |
$179.86 | 105 | 104 |
|
Sports Medicine & Joint Care Of West Michigan, Plc
7901 S 12Th St |
$37.29 | 74 | 70 |
|
Deborah Esteves
7895 Currier Dr |
$11.84 | 69 | 68 |
|
A Chiro-Effect Chiropractic Llc
7117 S Westnedge Ave Ste 3 |
$14.50 | 35 | 34 |
|
Munzer Abdulhak
6505 Constitution Blvd |
$92.10 | 23 | 23 |
|
Natalie M Behrle
670 Mall Dr |
$92.97 | 21 | 19 |
|
Amanda M Bustle
2680 W Centre Ave |
$25.82 | 16 | 16 |
|
Philip Alexander Mataverde
3200 W Centre Ave Ste 203 |
$39.69 | 14 | 13 |
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 Portage, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portage, MI is $67.27 per claim, based on 249,805 claims from 33 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 Portage, MI?
There are 33 Medicaid providers offering Office Visit related services in Portage, MI according to public payment data.
What is the price range for Office Visit in Portage, MI?
Medicaid reimbursement for Office Visit in Portage, MI ranges from $6.79 to $286.85 per claim, with an average of $67.27. 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 Portage, MI
Psychiatric Evaluation
Avg $65.56
88,569 claims
Dental Cleaning & Exam
Avg $35.41
81,179 claims
Home Health Visit
Avg $67.72
46,432 claims
Ambulance Transport
Avg $122.38
38,188 claims
Chiropractic Care
Avg $22.07
22,908 claims
Durable Medical Equipment (DME)
Avg $50.47
18,014 claims
Dental Filling
Avg $100.28
14,086 claims
Nursing Facility Care
Avg $41.57
13,233 claims