Average Medicaid Office Visit Payments in Rockville, IN: $53.11
Avg. Paid
$53.11
Range
$3.26 – $69.66
Total Claims
33,628
Providers
12
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 Rockville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Franklin Swaim
503 Anderson St |
$54.03 | 12,454 | 10,509 |
|
Andrew Ray Hughes
768 N Us Highway 41 |
$52.04 | 4,656 | 4,004 |
|
Sean Ewing
727 N Lincoln Rd |
$57.76 | 3,928 | 3,080 |
|
Steven G Waltz
727 N Lincoln Rd |
$45.58 | 3,610 | 2,785 |
|
Heidi Millspaugh
727 N Lincoln Rd |
$52.78 | 3,327 | 2,758 |
|
Amy Elizabeth Koch
111 W High St |
$52.46 | 2,493 | 2,150 |
|
Dale J Voges
111 W High St |
$55.04 | 2,199 | 1,961 |
|
Anna M Schimmoller
503 Anderson St |
$41.24 | 323 | 274 |
|
Katherine E Chobanov
727 N Lincoln Rd |
$69.66 | 284 | 256 |
|
Amber Hart
815 N Lincoln Rd |
$68.84 | 272 | 254 |
|
Community Health Intervention And Education Foundation Incorporated
109 S Jefferson Street |
$3.26 | 60 | 50 |
|
Tammy Jo Ponder
215 N Jefferson St |
$4.98 | 22 | 16 |
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 Rockville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rockville, IN is $53.11 per claim, based on 33,628 claims from 12 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 Rockville, IN?
There are 12 Medicaid providers offering Office Visit related services in Rockville, IN according to public payment data.
What is the price range for Office Visit in Rockville, IN?
Medicaid reimbursement for Office Visit in Rockville, IN ranges from $3.26 to $69.66 per claim, with an average of $53.11. 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 Rockville, IN
Substance Abuse Treatment
Avg $361.44
59,907 claims
Nursing Facility Care
Avg $6.26
13,855 claims
Psychiatric Evaluation
Avg $73.58
10,633 claims
Personal Care Services
Avg $165.33
8,887 claims
Eye Exam
Avg $52.47
5,520 claims
Non-Emergency Medical Transportation
Avg $50.25
5,483 claims
Ambulance Transport
Avg $126.22
4,986 claims
Chiropractic Care
Avg $23.94
1,337 claims