Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Royal Oak, MI: $57.00

Avg. Paid

$57.00

Range

$0.00 – $582.92

Total Claims

928,728

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 Royal Oak, MI

Provider	Avg. Paid	Claims	Patients
William Beaumont Hospital 3601 W 13 Mile Rd	$62.47	654,805	613,809
Allergy & Asthma Associates Of Mi Pc 3600 W 13 Mile Rd	$54.44	62,748	58,984
Associated Retinal Consultants, Pc 3555 W 13 Mile Rd	$55.17	29,710	28,619
Marjorie Anne Alvir 26300 Woodward Ave	$0.27	27,737	17,724
Beaumont Medical Group- Specialty Services 3601 W 13 Mile Rd	$29.50	22,832	22,056
Birmingham Royal Oak Medical Group 5130 Coolidge Hwy	$62.55	15,824	12,626
Covenant Community Care, Inc. 27776 Woodward Ave	$3.87	14,582	13,236
Archana Reddy Bongurala 3535 West 13 Mile Rd	$24.08	14,121	12,055
American Anesthesiology Of Michigan Pc 3601 W 13 Mile Rd	$31.01	12,779	12,505
Judson Center, Inc. 4410 W 13 Mile Rd	$58.19	12,319	11,612
Suhad Yaldo Md Pllc 30701 Woodward Ave.	$75.52	11,269	10,275
Mohammad Osman 3535 W 13 Mile Rd Ste 707	$52.34	6,834	6,479
Cedar Medical Services Pc 1010 N Campbell Rd	$61.76	6,019	5,836
Royal Urgent Care, Pllc 4080 Crooks Rd	$60.81	5,013	4,792
Oakland Medical Services, P.C. 30701 Woodward Ave Ste 200	$51.78	3,967	3,805
Cancer Care Associates Pc 3577 W 13 Mile Rd	$61.39	2,696	2,389
Evelyn J Brito 3601 W 13 Mile Rd	$75.86	2,389	2,186
Uzma Shah 110 E 2Nd St	$81.59	2,063	2,024
Lmt Rehabilitation Associates,Pc 3535 W 13 Mile Rd Ste 437	$56.89	1,723	1,671
Christine Preeti Chelladurai 3601 W 13 Mile Rd	$0.00	1,496	1,362
Greenberger Wu Dunn & Fields, Pllc 30701 Woodward Ave Ste 200	$55.28	1,441	1,404
Senior Visits, Llc 4711 Elmwood Ave	$18.95	1,389	1,338
William Beaumont Hospital 3601 W 13 Mile Rd	$55.19	1,376	1,293
Vincent J Granowicz 30701 Woodward Ave	$62.88	1,322	1,212
Elisa Quiroz 3601 W 13 Mile Rd	$1.51	1,300	1,149
William Beaumont Hospital 3601 W 13 Mile Rd	$64.81	1,280	1,220
Rita P Patel 3601 W 13 Mile Rd	$70.45	958	864
Cain Edward Dimon 3601 W 13 Mile Rd	$28.83	784	721
R Hanna, Md, Pllc 30701 Woodward Ave Ste 314	$89.66	652	597
Nuch Of Michigan Inc 2140 E 12 Mile Rd	$67.15	596	592
Silvestre Roberto Duran 3535 W 13 Mile Rd Ste 108	$82.11	466	462
Morgan Jean Scollard 3601 W 13 Mile Rd	$74.12	454	379
Beaumont Medical Group Hospital -Based Services 3601 W 13 Mile Rd	$35.92	437	423
Jamal Kriem 3535 W 13 Mile Rd Ste 707	$41.35	417	349
Oakland Medical Clinic Pllc 720 E 11 Mile Rd	$47.93	412	304
Joshua Robinson 3535 W 13 Mile Rd # 344	$39.98	401	368
Gianna Fay 3601 W 13 Mile Rd	$582.92	369	298
Oakland Gastroenterology Associates, P.C. 3535 W 13 Mile Rd	$66.17	318	314
Patrick Anthony Isaac 3601 W 13 Mile Rd	$29.48	267	220
Nora Vuktilaj 3601 W 13 Mile Rd Ste Ec	$43.95	230	211
Raghavesh Pullalarevu 3535 W 13 Mile Rd Ste 644	$45.60	209	169
Thomas Winter 3601 W. 13 Mile Rd	$45.76	206	194
Saavia Girgla 3601 W 13 Mile Rd	$27.62	205	201
Oakland Urgent Care Pllc 720 E 11 Mile Rd	$49.69	183	144
Rohma Shamsi 3601 W 13 Mile Rd	$47.60	147	146
Jannatul Nayeem 3601 W 13 Mile Rd	$172.84	143	141
The Route To Wellness, Llc 418 N Main St Fl 2	$71.40	141	128
Roumayah-Popovic, P.C. 225 S Troy St Ste 180	$51.90	133	123
Aravindan Jeyarajasingam 3535 W 13 Mile Rd Ste 644	$4.21	132	110
Elvis Cami 3601 W 13 Mile Rd	$47.46	111	111

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 Royal Oak, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Royal Oak, MI is $57.00 per claim, based on 928,728 claims from 80 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 Royal Oak, MI?

There are 80 Medicaid providers offering Office Visit related services in Royal Oak, MI according to public payment data.

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

Medicaid reimbursement for Office Visit in Royal Oak, MI ranges from $0.00 to $582.92 per claim, with an average of $57.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Royal Oak, MI: $57.00

Providers Offering Office Visit in Royal Oak, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Royal Oak, MI

Blood Work & Lab Tests

Emergency Room Visit

X-Ray

Ultrasound

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

Physical Therapy

CT Scan (Computed Tomography)