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 |
|---|---|---|---|
|
Mahmoud Alhadidi Md Pc
2498 S Rochester Rd |
$61.96 | 14 | 13 |
|
Jasneet S. Bhullar
1901 Star Batt Dr Ste 200 |
$30.80 | 15 | 13 |
|
Kristi Y Wu
1101 W University Dr |
$140.56 | 19 | 19 |
|
Mohamad Mazen Alhakim Pc
1349 S Rochester Rd Ste 105 |
$64.80 | 28 | 28 |
|
Latha Srikrishna, Md, Pc
441 S Livernois Rd Ste 185 |
$88.29 | 32 | 27 |
|
Amro Sheta Pllc
2043 Mapleridge Rd |
$114.14 | 36 | 35 |
|
Shehada Md Pllc
950 W Avon Rd |
$59.81 | 37 | 37 |
|
Fadi Demashkieh
2708 S Rochester Rd |
$48.99 | 38 | 37 |
|
Arturo Prada, M.D., P.C.
6700 N Rochester Rd |
$70.74 | 41 | 39 |
|
Pulmonary Critical Care And Sleep Pc
75 Barclay Cir Ste 205 |
$56.42 | 52 | 51 |
|
Pulmonary Allergy Critical Care & Sleep Associates Plc
75 Barclay Cir Ste 205 |
$69.79 | 60 | 60 |
|
Nirali Shah
596 Bliss Dr |
$0.00 | 63 | 61 |
|
Rochester Urgent Care, P. C.
215 E Auburn Rd |
$64.74 | 64 | 61 |
|
Shafiqul Alam
2708 S Rochester Rd |
$54.81 | 65 | 63 |
|
Das L. Kareti, M.D., P.C.
332 W Tienken Rd |
$53.08 | 102 | 98 |
|
Endocrine & Diabetes Consultants Pc
2970 Crooks Rd |
$48.82 | 127 | 125 |
|
Ram Surendran M.D. Pc
1349 S Rochester Rd |
$47.18 | 130 | 116 |
|
Murad Bani Hani
595 Barclay Cir Ste A |
$29.07 | 139 | 129 |
|
Robert Oh Go P.C.
950 W Avon Rd |
$54.54 | 207 | 200 |
|
Mohammad Mobayed
3950 S Rochester Rd Ste 1400 |
$47.10 | 243 | 217 |
|
Ann Marie Dakki
441 S Livernois Rd Ste 100 |
$81.49 | 248 | 245 |
|
Amarbir Singh Khaira Md Pllc
75 Barclay Cir |
$83.01 | 272 | 258 |
|
Academic Cardiology Associates, Pc
1701 South Blvd E |
$60.89 | 274 | 267 |
|
Stamatin Internal Medicine Pc
330 W Tienken Rd |
$72.07 | 282 | 264 |
|
Michel Hanna Md Pc
1701 South Blvd E |
$62.25 | 288 | 253 |
|
Blue Water Mental Health Clinic
1349 S Rochester Rd |
$58.24 | 314 | 308 |
|
Sudha N. Purohit M.D.P.C.
2820 Crooks Rd |
$67.68 | 383 | 351 |
|
Jon F Suleskey
3512 Primrose Dr |
$17.27 | 385 | 357 |
|
Amarbir Singh Khaira
75 Barclay Cir Ste 208 |
$79.43 | 395 | 376 |
|
Ghabsha Md Pllc
75 Barclay Cir Ste 205 |
$62.22 | 411 | 400 |
|
Michigan Orthopaedic Spine Surgeons Pc
1555 South Blvd E |
$28.67 | 452 | 430 |
|
Mazen Sabbaq M.D. P.C.
75 Barclay Cir Ste 205 |
$61.13 | 453 | 447 |
|
Ammar Ghanem Md Pllc
950 W Avon Rd |
$62.37 | 473 | 467 |
|
A Bahjat Shahbandar Md Pc
1349 S Rochester Rd |
$57.93 | 477 | 438 |
|
Zakwan Mahjoub
811 South Blvd E Ste 105 |
$56.34 | 480 | 469 |
|
Douglas Hegyi D O P C
3950 S Rochester Rd |
$42.69 | 497 | 483 |
|
Oakland Macomb Obstetrics & Gynecology, Pc
1701 South Blvd E |
$58.29 | 513 | 433 |
|
Abh Corporation
3950 S Rochester Rd Ste 2250 |
$40.93 | 606 | 573 |
|
Premier Health Consultants Pllc
75 Barclay Cir Ste 118 |
$77.81 | 652 | 634 |
|
Meadowbrook Internists P C
2370 Walton Blvd |
$48.53 | 657 | 600 |
|
Alpha Urgent Care Pllc
75 Barclay Cir Ste 220 |
$70.35 | 796 | 749 |
|
Beyond Womens Care Pc
455 S Livernois Rd Ste A12 |
$52.51 | 810 | 767 |
|
Oakland Macomb Cancer Specialists, Pc
3950 S Rochester Rd Ste 1400 |
$66.75 | 817 | 656 |
|
Jennifer Marie Wille
1701 E South Blvd Suite 300 |
$34.67 | 838 | 398 |
|
Bishr Ujayli Md Pc
1349 S. Rochester Road |
$41.14 | 899 | 764 |
|
Rochester General Surgery Plc
75 Barclay Cir |
$85.01 | 1,012 | 989 |
|
Farhat Osman Pc
2840 Crooks Rd |
$73.84 | 1,128 | 1,032 |
|
Nuch Of Michigan, Inc.
3035 S Rochester Rd |
$62.51 | 1,138 | 1,125 |
|
Dina Kassab Do
3950 S Rochester Rd Ste 1450 |
$72.42 | 1,142 | 1,045 |
|
Mohammed Wael Al-Ameri Md Pc
75 Barclay Cir Ste 205 |
$42.89 | 1,156 | 1,122 |
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