Average Medicaid Office Visit Payments in Rensselaer, IN: $42.87
Avg. Paid
$42.87
Range
$0.00 – $59.34
Total Claims
115,603
Providers
20
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 Rensselaer, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julian Y Ungar-Sargon
123 S Mckinley Ave |
$41.86 | 48,467 | 40,445 |
|
Patrick J Sheets
123 S Mckinley Ave |
$32.65 | 21,466 | 13,365 |
|
James G Wakefield
716 S College Ave |
$49.64 | 15,432 | 8,880 |
|
Jennifer Minter
118 W Drexel Pkwy |
$59.21 | 7,420 | 6,270 |
|
Reba Jean Mahaffey
123 S Mckinley Ave |
$31.20 | 3,896 | 3,377 |
|
Christopher Michael Louck
118 W Drexel Pkwy |
$56.55 | 3,525 | 2,821 |
|
Stephen Kyle Rogers
716 S College Ave |
$59.34 | 3,078 | 1,853 |
|
Wanda Gay Gifford
118 W Drexel Pkwy |
$55.83 | 2,913 | 2,321 |
|
Patricia Louise Benedict
716 S College Ave |
$41.22 | 2,229 | 1,595 |
|
Garry Lee Brady
716 S College Ave |
$20.68 | 1,810 | 922 |
|
Shayna Leigh Phegley
118 W Drexel Pkwy |
$50.47 | 1,249 | 1,063 |
|
Scott A. Williams
123 S Mckinley Ave |
$29.87 | 970 | 815 |
|
Susan Werner
919 E Grace St |
$55.80 | 847 | 720 |
|
Mary Jo Elkins
919 E Grace St |
$35.78 | 634 | 505 |
|
Debra L Drescher
1103 East Grace Street |
$52.65 | 513 | 410 |
|
Richard Zimmerman
118 W Drexel Pkwy |
$45.00 | 418 | 334 |
|
Tyler E Emley
1104 E Grace St |
$35.32 | 280 | 228 |
|
Christopher Adam Conn
1104 E Grace St |
$23.72 | 249 | 126 |
|
Ann Michelle Webb
123 S Mckinley Ave |
$10.87 | 195 | 141 |
|
Robert Ellis Darnaby
124 W Washington St |
$0.00 | 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 Rensselaer, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rensselaer, IN is $42.87 per claim, based on 115,603 claims from 20 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 Rensselaer, IN?
There are 20 Medicaid providers offering Office Visit related services in Rensselaer, IN according to public payment data.
What is the price range for Office Visit in Rensselaer, IN?
Medicaid reimbursement for Office Visit in Rensselaer, IN ranges from $0.00 to $59.34 per claim, with an average of $42.87. 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 Rensselaer, IN
Nursing Facility Care
Avg $5.15
16,003 claims
Physical Therapy
Avg $59.42
11,140 claims
Speech Therapy
Avg $28.81
11,022 claims
Blood Work & Lab Tests
Avg $4.76
10,901 claims
Home Health Visit
Avg $0.37
6,850 claims
Prescription Medications
Avg $3.97
3,028 claims
Emergency Room Visit
Avg $81.01
2,616 claims
CT Scan (Computed Tomography)
Avg $36.77
2,240 claims