Average Medicaid Office Visit Payments in Roseville, MI: $61.86
Avg. Paid
$61.86
Range
$27.04 – $84.65
Total Claims
200,917
Providers
29
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 Roseville, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roseville Urgent Care, Pc
20769 E 13 Mile Rd |
$58.14 | 90,963 | 82,441 |
|
Bio-Med Behavioral Health Services Inc.
31581 Gratiot Ave |
$73.88 | 32,781 | 29,191 |
|
Together Women'S Health Medical Group, P.C.
29751 Little Mack Ave |
$63.98 | 22,696 | 21,599 |
|
St Clair Specialty Physicians Pc
18001 E 10 Mile Rd |
$58.09 | 11,117 | 10,576 |
|
Alok Shukla Enterprises Pc
25779 Kelly Rd |
$65.49 | 11,093 | 9,477 |
|
Shores Podiatry Associates, P.C.
20905 E 12 Mile Rd |
$49.91 | 10,455 | 9,696 |
|
Kidney Consultants Of Michigan Pc
25710 Kelly Rd Ste 1 |
$55.14 | 4,878 | 4,641 |
|
Cardiovascular Institute Of Michigan, P.C.
18303 E 10 Mile Rd |
$58.12 | 4,257 | 4,155 |
|
Michigan Cancer Specialists, Plc
18223 E 10 Mile Rd |
$66.47 | 2,661 | 2,381 |
|
Promed Urgent Care Pllc
19041 E 12 Mile Rd Ste 102 |
$68.57 | 2,214 | 2,156 |
|
Emad Alatassi Md, P.C.
18263 E 10 Mile Rd |
$75.69 | 1,756 | 1,739 |
|
Promed Primary Care Pllc
19041 E 12 Mile Rd Ste 103 |
$84.65 | 1,360 | 1,140 |
|
Sabah Internal Medicine Pllc
18263 E 10 Mile Rd |
$65.02 | 1,147 | 761 |
|
Roseville Medical, P.C.
25959 Kelly Rd |
$49.65 | 879 | 806 |
|
Psychiatric Services Of Grosse Pointe
25509 Kelly Rd Ste A |
$66.21 | 795 | 654 |
|
Heart Rhythm And Pacemaker Specialist Pllc
25779 Kelly Rd |
$66.92 | 395 | 376 |
|
Allied Internists Pllc
18263 E 10 Mile Rd Ste E |
$50.71 | 350 | 108 |
|
Joram O Mogaka Md Pc
25959 Kelly Rd Ste A |
$62.32 | 329 | 312 |
|
Faleh Husseini
25650 Kelly Rd |
$80.15 | 241 | 236 |
|
Benjamin S. Chen
29751 Little Mack Ave |
$41.61 | 165 | 164 |
|
Harper Dermatology P.C.
18285 E 10 Mile Rd |
$38.48 | 106 | 101 |
|
Margot G Abundis
29751 Little Mack Ave |
$37.06 | 84 | 81 |
|
Harper Dermatology P.C.
18285 E 10 Mile Rd |
$39.43 | 59 | 53 |
|
Hollywood Peditric Clinic
18811 E 10 Mile Rd |
$54.98 | 58 | 43 |
|
Majeed Paduvana, Md,Facp,Pllc
18263 E 10 Mile Rd Ste E |
$66.62 | 24 | 24 |
|
Hilana Kaafarani
25710 Kelly Rd Ste 1 |
$35.30 | 17 | 16 |
|
Joseph Kassa
25100 Kelly Rd |
$40.70 | 13 | 12 |
|
Innovation Medicine, Pllc
25710 Kelly Rd |
$27.04 | 12 | 12 |
|
Michael Dennis Mahoney
29751 Little Mack Ave |
$59.23 | 12 | 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 Roseville, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Roseville, MI is $61.86 per claim, based on 200,917 claims from 29 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 Roseville, MI?
There are 29 Medicaid providers offering Office Visit related services in Roseville, MI according to public payment data.
What is the price range for Office Visit in Roseville, MI?
Medicaid reimbursement for Office Visit in Roseville, MI ranges from $27.04 to $84.65 per claim, with an average of $61.86. 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 Roseville, MI
Substance Abuse Treatment
Avg $7.80
1,927,592 claims
Psychiatric Evaluation
Avg $61.94
83,851 claims
Dental Cleaning & Exam
Avg $35.44
43,077 claims
Urinalysis & Urine Tests
Avg $3.51
35,164 claims
Ambulance Transport
Avg $100.47
23,079 claims
Ultrasound
Avg $61.58
19,916 claims
Dental Filling
Avg $94.99
16,910 claims
Chiropractic Care
Avg $27.52
16,277 claims