Average Medicaid Office Visit Payments in Rochester, MI: $59.53
Avg. Paid
$59.53
Range
$0.00 – $94.64
Total Claims
121,590
Providers
23
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 |
|---|---|---|---|
|
University Pain Clinic - Rochester Pllc
1000 W University Dr |
$37.49 | 13 | 12 |
|
Abdala Sirajeldin
1101 W University Dr |
$94.64 | 14 | 14 |
|
Henry Ford Health Rochester Hospital
1101 W University Dr |
$0.00 | 17 | 16 |
|
Rochester Ophthalmology, Pllc
1135 W University Dr Ste 155 |
$49.32 | 32 | 27 |
|
Ulrich O Ringwald
1135 W University Dr |
$41.23 | 33 | 28 |
|
Ascension Providence Rochester Hospital
1101 W University Dr |
$23.07 | 33 | 25 |
|
Firas Ido
1101 W University Dr # 2-South |
$42.15 | 61 | 58 |
|
Country Creek Family Medicine Pllc
4986 N Adams Rd Ste A |
$62.47 | 199 | 183 |
|
Allergy & Asthma Center Of Rochester Pc
1135 W University Dr Ste 135 |
$49.01 | 366 | 324 |
|
Contemporary Obstetrics & Gynecology, Pc
1135 W University Dr Ste 100 |
$41.65 | 402 | 358 |
|
Marco Antonio Peterson
1101 W University Dr |
$31.13 | 418 | 370 |
|
Modern Dermatology, Pllc
1000 W University Dr Ste 314 |
$66.95 | 421 | 407 |
|
Abul H M Shamsuddoha
1135 W University Dr |
$68.70 | 1,256 | 1,198 |
|
David Gregory Gerst
1101 W University Dr |
$64.33 | 1,430 | 1,142 |
|
Rochester Medpointe Urgent Care P.C.
150 S Main St |
$69.43 | 1,750 | 1,704 |
|
Oakland Physical Medicine And Rehab
1050 W University Dr Ste 3 |
$55.81 | 1,806 | 1,760 |
|
Country Creek Family Physicians
4986 Adams Rd |
$62.16 | 1,887 | 1,712 |
|
Rochester Diagnostic And Specialty Center
543 N Main St |
$88.20 | 2,372 | 2,074 |
|
Vanessa Kristine Romero
805 Oakwood Dr Ste 250 |
$24.81 | 3,760 | 3,373 |
|
Specialists In Rehabilitation Medicine Pc
1135 W University Dr Ste 175 |
$59.58 | 4,187 | 3,975 |
|
Country Creek Pediatrics, Pllc
4986 N Adams Rd |
$71.47 | 5,582 | 5,014 |
|
Wellhealth Medical Associates P C
1202 Walton Blvd |
$61.04 | 41,833 | 29,175 |
|
Henry Ford Health Rochester Hospital
1101 W University Dr |
$58.06 | 53,718 | 50,113 |
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.
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, MI
Blood Work & Lab Tests
Avg $8.35
110,044 claims
Emergency Room Visit
Avg $148.06
53,592 claims
X-Ray
Avg $13.56
26,908 claims
EKG / ECG (Electrocardiogram)
Avg $3.34
22,626 claims
Urinalysis & Urine Tests
Avg $0.78
21,421 claims
CT Scan (Computed Tomography)
Avg $50.61
19,794 claims
Prescription Medications
Avg $0.67
16,167 claims
Psychiatric Evaluation
Avg $75.09
14,935 claims