Average Medicaid Office Visit Payments in Rochester Hills, MI: $62.20
Avg. Paid
$62.20
Range
$0.00 – $140.56
Total Claims
260,233
Providers
78
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 Rochester Hills, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pediatric Consultants Of Troy, P.C.
633 South Blvd E Ste 2400 |
$68.57 | 49,146 | 39,979 |
|
Mazher Hussain Md, Pc
75 Barclay Cir |
$38.57 | 35,205 | 33,030 |
|
Pro Health Medical Inc
1266 Walton Blvd |
$74.77 | 30,063 | 28,872 |
|
Ghiath Tayeb Md Pc
1555 South Blvd E |
$64.49 | 22,953 | 22,384 |
|
Rochester Urgent Care, P.C.
215 E Auburn Rd |
$61.70 | 13,592 | 13,070 |
|
Kidz 1St, P.L.L.C.
2370 Walton Blvd Suite 3 |
$65.35 | 12,202 | 11,229 |
|
Regal Pediatrics
2502 S Rochester Rd |
$66.71 | 12,040 | 10,322 |
|
Rochester Urgent Care Walk-In Clinic
2915 Walton Blvd |
$66.29 | 8,574 | 8,173 |
|
Fd Farah Mi Pllc
1701 South Blvd E |
$65.24 | 6,010 | 5,836 |
|
Iha Ooma Primary Llc
1854 W Auburn Rd Ste 100 |
$65.84 | 5,362 | 5,013 |
|
Michigan United Physicians Pc
2450 Walton Blvd |
$46.62 | 4,980 | 4,547 |
|
Farhat Osman
2840 Crooks Rd |
$60.77 | 4,092 | 3,767 |
|
Kristyn Kulick
2820 Crooks Rd Ste 100 |
$92.13 | 3,789 | 3,127 |
|
Rochester Colon & Rectal, P.C.
595 Barclay Circle |
$55.99 | 3,592 | 3,532 |
|
Raad P. Kasmikha, M.D., P.C.
1498 Walton Blvd |
$69.38 | 3,589 | 3,213 |
|
Troy Gastroenterology Pc
1701 South Blvd E |
$56.97 | 3,437 | 3,302 |
|
Skin Care Physicians Pc
110 South Blvd W Ste 100 |
$61.72 | 3,303 | 3,250 |
|
Raad P Kasmikha
1498 Walton Blvd |
$79.40 | 3,202 | 2,826 |
|
Rochester Internists, Pllc
2708 S Rochester Road |
$58.65 | 2,046 | 1,917 |
|
Bhavin Patel, M.D. P.C.
950 W Avon Rd |
$44.34 | 1,894 | 1,825 |
|
Pediatric Associates Of Rochester Hills, Pc
930 W Avon Rd |
$67.00 | 1,852 | 1,438 |
|
Nadia F Zaki M D P C
135 Barclay Cir |
$72.95 | 1,546 | 1,515 |
|
Tina Abraham Do Pllc
75 Barclay Cir Ste 205 |
$50.05 | 1,490 | 1,466 |
|
Iha Olma Specialty Services Llc
1854 W Auburn Rd Ste 100A |
$63.86 | 1,481 | 1,421 |
|
Lung Health Center Pllc
75 Barclay Cir |
$64.18 | 1,370 | 1,330 |
|
Kayla Busuito
6700 N Rochester Rd Ste 210 |
$51.29 | 1,287 | 1,111 |
|
Rochester Family Medicine Pc
1308 W Auburn Rd |
$60.15 | 1,192 | 1,128 |
|
Heather Anderson
1701 South Blvd E Ste 200 |
$42.12 | 1,184 | 927 |
|
Mohammed Wael Al-Ameri Md Pc
75 Barclay Cir Ste 205 |
$42.89 | 1,156 | 1,122 |
|
Dina Kassab Do
3950 S Rochester Rd Ste 1450 |
$72.42 | 1,142 | 1,045 |
|
Nuch Of Michigan, Inc.
3035 S Rochester Rd |
$62.51 | 1,138 | 1,125 |
|
Farhat Osman Pc
2840 Crooks Rd |
$73.84 | 1,128 | 1,032 |
|
Rochester General Surgery Plc
75 Barclay Cir |
$85.01 | 1,012 | 989 |
|
Bishr Ujayli Md Pc
1349 S. Rochester Road |
$41.14 | 899 | 764 |
|
Jennifer Marie Wille
1701 E South Blvd Suite 300 |
$34.67 | 838 | 398 |
|
Oakland Macomb Cancer Specialists, Pc
3950 S Rochester Rd Ste 1400 |
$66.75 | 817 | 656 |
|
Beyond Womens Care Pc
455 S Livernois Rd Ste A12 |
$52.51 | 810 | 767 |
|
Alpha Urgent Care Pllc
75 Barclay Cir Ste 220 |
$70.35 | 796 | 749 |
|
Meadowbrook Internists P C
2370 Walton Blvd |
$48.53 | 657 | 600 |
|
Premier Health Consultants Pllc
75 Barclay Cir Ste 118 |
$77.81 | 652 | 634 |
|
Abh Corporation
3950 S Rochester Rd Ste 2250 |
$40.93 | 606 | 573 |
|
Oakland Macomb Obstetrics & Gynecology, Pc
1701 South Blvd E |
$58.29 | 513 | 433 |
|
Douglas Hegyi D O P C
3950 S Rochester Rd |
$42.69 | 497 | 483 |
|
Zakwan Mahjoub
811 South Blvd E Ste 105 |
$56.34 | 480 | 469 |
|
A Bahjat Shahbandar Md Pc
1349 S Rochester Rd |
$57.93 | 477 | 438 |
|
Ammar Ghanem Md Pllc
950 W Avon Rd |
$62.37 | 473 | 467 |
|
Mazen Sabbaq M.D. P.C.
75 Barclay Cir Ste 205 |
$61.13 | 453 | 447 |
|
Michigan Orthopaedic Spine Surgeons Pc
1555 South Blvd E |
$28.67 | 452 | 430 |
|
Ghabsha Md Pllc
75 Barclay Cir Ste 205 |
$62.22 | 411 | 400 |
|
Amarbir Singh Khaira
75 Barclay Cir Ste 208 |
$79.43 | 395 | 376 |
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 Rochester Hills, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rochester Hills, MI is $62.20 per claim, based on 260,233 claims from 78 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 Rochester Hills, MI?
There are 78 Medicaid providers offering Office Visit related services in Rochester Hills, MI according to public payment data.
What is the price range for Office Visit in Rochester Hills, MI?
Medicaid reimbursement for Office Visit in Rochester Hills, MI ranges from $0.00 to $140.56 per claim, with an average of $62.20. 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 Rochester Hills, MI
Vaccines & Immunizations
Avg $6.17
81,885 claims
Physical Therapy
Avg $28.96
79,816 claims
Dental Cleaning & Exam
Avg $48.13
45,330 claims
Psychiatric Evaluation
Avg $76.78
42,956 claims
Blood Work & Lab Tests
Avg $6.60
30,683 claims
Durable Medical Equipment (DME)
Avg $37.03
28,732 claims
Urinalysis & Urine Tests
Avg $2.84
20,902 claims
Behavioral & Mental Health Therapy
Avg $96.76
10,453 claims