Average Medicaid Office Visit Payments in Rochester, IN: $55.43
Avg. Paid
$55.43
Range
$25.47 – $75.43
Total Claims
105,757
Providers
30
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, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jerrod A Feldman
1400 E 9Th St |
$60.15 | 16,329 | 12,493 |
|
Michael J Brubaker
1432 E 9Th St |
$57.77 | 16,191 | 12,311 |
|
David Kevin Reyburn
1400 E 9Th St |
$59.12 | 15,673 | 12,164 |
|
Craig A Bugno
700 Main St |
$53.78 | 9,628 | 7,280 |
|
Kevin O'Brien
1432 E 9Th St |
$44.56 | 8,252 | 5,875 |
|
Joseph Peter Binfet
1400 E 9Th St |
$46.56 | 6,829 | 5,179 |
|
Stephanie J Weigt
1400 E 9Th St |
$48.81 | 4,828 | 3,497 |
|
Janell Nicole Mulligan
1400 E 9Th St |
$58.83 | 3,737 | 3,205 |
|
Kelsey Heckaman
1400 E 9Th St |
$49.28 | 3,441 | 2,664 |
|
Anthony J. Witt
1432 E 9Th St |
$64.63 | 2,800 | 2,532 |
|
Merlyn Malola
710 N State Road 25 |
$75.43 | 2,195 | 1,682 |
|
Eric Rindlisbacher
1430 E 9Th St |
$38.75 | 2,070 | 1,640 |
|
Jennifer Marie Sult
1400 E 9Th St |
$50.07 | 1,949 | 1,508 |
|
Ginger M Richard
1432 E 9Th St |
$60.58 | 1,836 | 1,630 |
|
Brigitte R Selio
1400 E 9Th St |
$68.50 | 1,409 | 1,051 |
|
Omazonna Amadi
1400 E 9Th St |
$74.93 | 1,319 | 1,181 |
|
Jeffrey Sheedy
1430 E 9Th St |
$41.53 | 1,256 | 938 |
|
Benjamin O Adebayo
1400 East 9Th S |
$60.92 | 1,244 | 972 |
|
Teresa Marie Perkins
1430 E 9Th St |
$41.38 | 1,097 | 855 |
|
Krishnan R Rajagopal
1430 E 9Th St |
$41.92 | 872 | 633 |
|
Lauren Nicole Shewman
392 Rochester Crossing Drive |
$70.32 | 807 | 713 |
|
Jennifer Hensley
1430 E 9Th St |
$40.58 | 717 | 539 |
|
Aaron J Brown
2260 Main St |
$55.51 | 404 | 353 |
|
Holly K Cumberland
1400 E 9Th St |
$25.47 | 360 | 217 |
|
Cynthia A Laycock
2260 Main St. |
$75.00 | 212 | 192 |
|
John E Nile
1400 E 9Th St |
$62.59 | 93 | 81 |
|
Monzur Haque
1400 E 9Th St |
$32.64 | 86 | 73 |
|
Eileen Rodriguez Hsu
740 N State Road 25 |
$72.05 | 59 | 51 |
|
Jessica Elizabeth Arwood
392 Rochester Crossing Dr |
$35.12 | 49 | 40 |
|
Rajashree Mohanty
1725 Colonial Dr |
$55.46 | 15 | 15 |
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, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rochester, IN is $55.43 per claim, based on 105,757 claims from 30 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, IN?
There are 30 Medicaid providers offering Office Visit related services in Rochester, IN according to public payment data.
What is the price range for Office Visit in Rochester, IN?
Medicaid reimbursement for Office Visit in Rochester, IN ranges from $25.47 to $75.43 per claim, with an average of $55.43. 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, IN
Blood Work & Lab Tests
Avg $6.78
46,525 claims
Emergency Room Visit
Avg $101.52
30,675 claims
Speech Therapy
Avg $41.77
15,131 claims
Psychiatric Evaluation
Avg $10.64
14,659 claims
Eye Exam
Avg $47.54
12,796 claims
Urinalysis & Urine Tests
Avg $2.44
6,534 claims
Non-Emergency Medical Transportation
Avg $21.55
5,158 claims
Vaccines & Immunizations
Avg $8.68
3,267 claims