Average Medicaid Office Visit Payments in Richmond, IN: $54.50
Avg. Paid
$54.50
Range
$4.84 – $311.46
Total Claims
598,718
Providers
237
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 Richmond, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Grigsby
1050 Reid Pkwy |
$33.04 | 12 | 12 |
|
Rebecca M. Bennett
1911 Chester Blvd |
$57.28 | 14 | 13 |
|
Michael J Buckmaster
1100 Reid Pkwy |
$21.93 | 15 | 13 |
|
Mary Jannice Caffee
Meijer |
$277.19 | 16 | 13 |
|
Ryda Mohamed Hendawi
1100 Reid Pkwy Ste 105 |
$38.54 | 16 | 14 |
|
James Tyler Rigney
1050 Reid Pkwy Ste 100 |
$108.82 | 16 | 15 |
|
Sumeet Toor
1050 Reid Pkwy Ste 210 |
$155.44 | 20 | 15 |
|
Victoria Osayi
1050 Reid Pkwy Ste 220 |
$50.47 | 25 | 24 |
|
Scott P Stevens
1050 Reid Pkwy Ste 120 |
$62.48 | 29 | 29 |
|
Lindsey Dale Hobson
1100 Reid Pkwy Ste 240 |
$64.00 | 31 | 30 |
|
Sean Malarkey
1100 Reid Pkwy Ste 215 |
$38.98 | 33 | 28 |
|
Janelle Morgan Evans
1050 Reid Pkwy Ste 325 |
$72.01 | 37 | 33 |
|
Sara I. Diaz Valentin
1050 Reid Pkwy Ste 325 |
$61.55 | 44 | 42 |
|
Tonya Miller
1100 Reid Pkwy Ste 215 |
$31.21 | 44 | 42 |
|
Michael A Johnson
2990 E Main St |
$24.12 | 44 | 42 |
|
Joshua R French
1050 Reid Pkwy |
$48.59 | 45 | 38 |
|
Reid Physician Associates, Inc.
1100 Reid Pkwy |
$65.42 | 49 | 46 |
|
April Sanders
380 Hub Etchison Pkwy Rm R144 |
$62.17 | 66 | 55 |
|
Thomas W Huth
1100 Reid Pkwy |
$42.31 | 69 | 60 |
|
Mulbah Zowah
2300 Chester Blvd |
$88.31 | 71 | 69 |
|
Laura Lynn Quast
498 Nw 18Th St |
$82.53 | 74 | 43 |
|
Pankaj Kumar
1100 Reid Pkwy |
$10.57 | 76 | 68 |
|
Brian Kwong
1100 Reid Pkwy Ste 215 |
$38.47 | 88 | 80 |
|
Laura A. Adams
1100 Reid Pkwy |
$52.57 | 98 | 84 |
|
Leslie Kay Engle
1100 Reid Pkwy |
$46.06 | 114 | 106 |
|
Nicholas William Hinkle
535 W Eaton Pike |
$63.55 | 119 | 111 |
|
James Edward Swonder
100 N 15Th St |
$29.96 | 119 | 79 |
|
Mahendra K Kalra
1080 University Blvd |
$6.79 | 120 | 58 |
|
Rachel Courtney
1100 Reid Pkwy |
$10.79 | 122 | 116 |
|
Jeffrey Joseph Wargo
830 Sim Hodgin Pkwy |
$34.42 | 124 | 120 |
|
Scott Frank Mastores
1501 Chester Blvd |
$96.54 | 125 | 121 |
|
Brandy Hogg-Duncan
1050 Reid Pkwy |
$16.17 | 145 | 142 |
|
Akbar Khan Shinwari
1130 N J St |
$59.14 | 153 | 101 |
|
Ashley Nicole Helmer
1911 Chester Blvd |
$60.27 | 161 | 148 |
|
James A Hayes
1200 Chester Blvd |
$10.57 | 162 | 128 |
|
William Delbert Fisher
100 N 15Th St |
$12.97 | 180 | 149 |
|
Kristen Kaiser
1100 Reid Pkwy |
$27.03 | 223 | 157 |
|
Mary E Eversole
1100 Reid Pkwy Ste 210 |
$39.07 | 224 | 178 |
|
John P Jacobs
1401 Chester Blvd |
$311.46 | 228 | 224 |
|
Joyce A Zagursky
900 Sim Hodgin Pkwy |
$4.84 | 231 | 172 |
|
Christopher Moore
1050 Reid Pkwy |
$36.30 | 257 | 213 |
|
Kathryn Pointis
1050 Reid Pkwy Ste 100 |
$82.08 | 276 | 254 |
|
Emilie Jean Jennings
1900 Chester Blvd |
$46.08 | 283 | 245 |
|
Erick Alexander Hernandez
2500 National Rd W |
$59.48 | 285 | 257 |
|
Pankaj Kumar, M.D.,Llc
100 N 15Th St |
$39.18 | 288 | 277 |
|
Brittanni Elliott
1130 N J St |
$82.05 | 307 | 276 |
|
Gregory S. Hellwarth
1400 Highland Rd Ste 1 |
$60.55 | 313 | 290 |
|
Patrick R Anderson
1471 Chester Blvd |
$43.11 | 318 | 251 |
|
Susan Lee
1050 Reid Pkwy |
$18.66 | 328 | 316 |
|
Kevin T Scripture
1900 Chester Blvd |
$50.43 | 331 | 281 |
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 Richmond, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Richmond, IN is $54.50 per claim, based on 598,718 claims from 237 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 Richmond, IN?
There are 237 Medicaid providers offering Office Visit related services in Richmond, IN according to public payment data.
What is the price range for Office Visit in Richmond, IN?
Medicaid reimbursement for Office Visit in Richmond, IN ranges from $4.84 to $311.46 per claim, with an average of $54.50. 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 Richmond, IN
Blood Work & Lab Tests
Avg $6.41
347,880 claims
Behavioral & Mental Health Therapy
Avg $123.75
303,574 claims
Emergency Room Visit
Avg $98.35
259,188 claims
X-Ray
Avg $22.75
160,817 claims
Case Management Services
Avg $33.22
152,801 claims
Substance Abuse Treatment
Avg $235.08
123,136 claims
EKG / ECG (Electrocardiogram)
Avg $21.29
109,878 claims
Psychiatric Evaluation
Avg $64.95
99,091 claims