Average Medicaid Office Visit Payments in Portland, IN: $61.07
Avg. Paid
$61.07
Range
$29.98 – $147.01
Total Claims
69,855
Providers
32
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 Portland, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marissa Ann Lopez
500 W Votaw St Ste A |
$54.53 | 7,088 | 4,269 |
|
Oakland Lawrence Gaerke
609 N. Charles St. |
$49.95 | 6,520 | 5,811 |
|
Carolyn Louise Keihn
430 W. Votaw St. |
$54.44 | 6,182 | 5,601 |
|
Tracy M Laux
500 W Votaw St |
$52.38 | 5,562 | 4,202 |
|
Mark Allen Haggenjos
428 West Votaw Street |
$76.92 | 4,972 | 3,913 |
|
Camille Anne Elick-Shawver
428 West Votaw Street |
$61.56 | 4,873 | 4,141 |
|
Alice Odelia Bruggeman
428 West Votaw Street |
$56.23 | 4,504 | 3,849 |
|
Joseph Francis Vormohr
430 W Votaw St |
$70.90 | 3,633 | 3,205 |
|
Kerry M Torres
428 W Votaw St |
$72.12 | 3,290 | 2,843 |
|
Rachel Elizabeth Brumfield
428 W Votaw St |
$69.23 | 2,980 | 2,688 |
|
Jeffrey William Barr
500 W Votaw St |
$47.69 | 2,495 | 2,258 |
|
Matthew Sieg
500 W Votaw St |
$54.27 | 2,392 | 2,080 |
|
Heather Ann Masters
500 W Votaw St |
$68.57 | 2,228 | 1,416 |
|
Danielle Marie Dues
428 W Votaw St |
$147.01 | 2,006 | 1,340 |
|
Nathan Reed Hughes
980 N Meridian St |
$58.95 | 1,913 | 1,731 |
|
J Frank Vormohr
430 W Votaw St |
$44.60 | 1,825 | 1,546 |
|
Abby N Strong
980 N Meridian St |
$58.86 | 1,164 | 1,079 |
|
Kayla Marie Melton
406 W Votaw St |
$65.22 | 1,131 | 811 |
|
Lyndia Renae Henson
980 N Meridian St |
$68.75 | 958 | 797 |
|
Stanton Alan Couch
609 N. Charles St. |
$49.01 | 781 | 683 |
|
Mandy Jean Boeckman
2796 W 500 S |
$40.37 | 763 | 617 |
|
Robert Bruce Elliott
500 W Votaw Street |
$49.14 | 757 | 636 |
|
Rebekah S Ferrell
500 W Votaw St Ste A |
$50.64 | 575 | 273 |
|
Stephen R. Myron
430 W Votaw St |
$29.98 | 393 | 325 |
|
Anne Hardesty
500 W Votaw St |
$44.67 | 286 | 269 |
|
Christa Jo Wall
4501 S Boundary Pike |
$38.65 | 250 | 210 |
|
Daniel J Livera
428 W Votaw St |
$60.80 | 243 | 225 |
|
Danielle Thompson
980 N Meridian St |
$55.12 | 31 | 29 |
|
Marti Wagers
980 N Meridian Street |
$93.02 | 20 | 18 |
|
Alexis M Johnson
500 W Votaw St |
$45.72 | 15 | 14 |
|
Robert James Robinson
430 W Votaw St |
$36.35 | 13 | 12 |
|
Indiana University Health Jay, Inc.
500 W Votaw St |
$98.60 | 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 Portland, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portland, IN is $61.07 per claim, based on 69,855 claims from 32 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 Portland, IN?
There are 32 Medicaid providers offering Office Visit related services in Portland, IN according to public payment data.
What is the price range for Office Visit in Portland, IN?
Medicaid reimbursement for Office Visit in Portland, IN ranges from $29.98 to $147.01 per claim, with an average of $61.07. 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 Portland, IN
Chiropractic Care
Avg $22.00
114,580 claims
Emergency Room Visit
Avg $104.51
86,389 claims
Blood Work & Lab Tests
Avg $5.92
61,832 claims
Physical Therapy
Avg $20.07
40,609 claims
X-Ray
Avg $32.97
19,168 claims
Speech Therapy
Avg $52.64
17,866 claims
Ambulance Transport
Avg $121.96
9,256 claims
Urinalysis & Urine Tests
Avg $1.99
8,974 claims