Average Medicaid Office Visit Payments in Princeton, IN: $51.39
Avg. Paid
$51.39
Range
$15.22 – $120.72
Total Claims
31,746
Providers
23
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 Princeton, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cox Family Eye Care, P.C.
106 N 2Nd Ave |
$120.72 | 13 | 12 |
|
Sarah A Koehler
1808 Sherman Dr |
$35.84 | 15 | 12 |
|
Kimberly Elaine Ross
404 W Walnut St |
$40.24 | 31 | 26 |
|
Phillip D. Rosett
1808 Sherman Dr |
$21.08 | 43 | 39 |
|
Rameshbhai P Patel
1808 Sherman Dr |
$15.22 | 58 | 48 |
|
David G Purdom
1808 Sherman Dr |
$41.73 | 64 | 57 |
|
Emily B Krajec
685 Vail St |
$51.06 | 68 | 52 |
|
Kimberlee Goldbach
4000 S Tulip Tree Dr |
$71.77 | 250 | 220 |
|
Sheena Lee
2717 W Broadway St |
$81.30 | 269 | 219 |
|
Mellisa A Hall
108 N Main St |
$40.01 | 394 | 339 |
|
Bruce Carlton Brink
410 N Main St |
$51.84 | 554 | 489 |
|
William Curtis Earnest
410 N Main St |
$33.25 | 564 | 449 |
|
Krishna Murthy
685 Vail St |
$33.25 | 605 | 538 |
|
Brian F Nowlen
1808 Sherman Dr |
$37.02 | 1,072 | 796 |
|
Thomas Joseph
1808 Sherman Dr |
$35.37 | 1,240 | 958 |
|
Jennifer L Tuley
2717 W Broadway St |
$62.61 | 1,360 | 1,247 |
|
Vonetta M Vories
314 N Main St |
$40.03 | 2,230 | 1,981 |
|
Tonya L Krieg
1808 Sherman Dr |
$57.04 | 2,386 | 1,993 |
|
Jamie Bartlett
685 Vail St |
$46.76 | 2,525 | 2,273 |
|
Kara E Holscher
1414 W Broadway St |
$50.90 | 3,206 | 2,834 |
|
Tabitha Ann Newman
510 N Main St |
$63.21 | 3,350 | 2,685 |
|
Wendy Lynette Williams
428 W Broadway St |
$64.78 | 5,668 | 4,908 |
|
Angela L Olson
1414 W Broadway St |
$42.00 | 5,781 | 4,768 |
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 Princeton, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Princeton, IN is $51.39 per claim, based on 31,746 claims from 23 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 Princeton, IN?
There are 23 Medicaid providers offering Office Visit related services in Princeton, IN according to public payment data.
What is the price range for Office Visit in Princeton, IN?
Medicaid reimbursement for Office Visit in Princeton, IN ranges from $15.22 to $120.72 per claim, with an average of $51.39. 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 Princeton, IN
Emergency Room Visit
Avg $56.75
16,197 claims
Ambulance Transport
Avg $62.35
11,051 claims
Durable Medical Equipment (DME)
Avg $25.26
10,872 claims
Blood Work & Lab Tests
Avg $1.98
9,919 claims
Eye Exam
Avg $40.49
9,073 claims
Psychiatric Evaluation
Avg $61.82
6,243 claims
Nursing Facility Care
Avg $12.30
5,288 claims
Physical Therapy
Avg $31.72
2,721 claims