Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Rochester, MI: $59.53

Avg. Paid

$59.53

Range

$0.00 – $94.64

Total Claims

121,590

Providers

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, MI

Provider	Avg. Paid	Claims	Patients
Henry Ford Health Rochester Hospital 1101 W University Dr	$58.06	53,718	50,113
Wellhealth Medical Associates P C 1202 Walton Blvd	$61.04	41,833	29,175
Country Creek Pediatrics, Pllc 4986 N Adams Rd	$71.47	5,582	5,014
Specialists In Rehabilitation Medicine Pc 1135 W University Dr Ste 175	$59.58	4,187	3,975
Vanessa Kristine Romero 805 Oakwood Dr Ste 250	$24.81	3,760	3,373
Rochester Diagnostic And Specialty Center 543 N Main St	$88.20	2,372	2,074
Country Creek Family Physicians 4986 Adams Rd	$62.16	1,887	1,712
Oakland Physical Medicine And Rehab 1050 W University Dr Ste 3	$55.81	1,806	1,760
Rochester Medpointe Urgent Care P.C. 150 S Main St	$69.43	1,750	1,704
David Gregory Gerst 1101 W University Dr	$64.33	1,430	1,142
Abul H M Shamsuddoha 1135 W University Dr	$68.70	1,256	1,198
Modern Dermatology, Pllc 1000 W University Dr Ste 314	$66.95	421	407
Marco Antonio Peterson 1101 W University Dr	$31.13	418	370
Contemporary Obstetrics & Gynecology, Pc 1135 W University Dr Ste 100	$41.65	402	358
Allergy & Asthma Center Of Rochester Pc 1135 W University Dr Ste 135	$49.01	366	324
Country Creek Family Medicine Pllc 4986 N Adams Rd Ste A	$62.47	199	183
Firas Ido 1101 W University Dr # 2-South	$42.15	61	58
Ascension Providence Rochester Hospital 1101 W University Dr	$23.07	33	25
Ulrich O Ringwald 1135 W University Dr	$41.23	33	28
Rochester Ophthalmology, Pllc 1135 W University Dr Ste 155	$49.32	32	27
Henry Ford Health Rochester Hospital 1101 W University Dr	$0.00	17	16
Abdala Sirajeldin 1101 W University Dr	$94.64	14	14
University Pain Clinic - Rochester Pllc 1000 W University Dr	$37.49	13	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 Rochester, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rochester, MI is $59.53 per claim, based on 121,590 claims from 23 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, MI?

There are 23 Medicaid providers offering Office Visit related services in Rochester, MI according to public payment data.

What is the price range for Office Visit in Rochester, MI?

Medicaid reimbursement for Office Visit in Rochester, MI ranges from $0.00 to $94.64 per claim, with an average of $59.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Rochester, MI: $59.53

Providers Offering Office Visit in Rochester, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Rochester, MI

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

CT Scan (Computed Tomography)

Prescription Medications

Psychiatric Evaluation