Average Medicaid Office Visit Payments in Saginaw, MI: $53.47
Avg. Paid
$53.47
Range
$0.00 – $261.37
Total Claims
1,506,630
Providers
206
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 Saginaw, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sharon A Schell
1447 N Harrison St |
$92.77 | 12 | 12 |
|
Dominador Villanueva Laynes
3150 Hallmark Ct |
$98.20 | 12 | 12 |
|
Brian Sinischo
1000 Houghton Ave |
$37.41 | 12 | 12 |
|
Massa Chiropractic Offices P.C
3154 Davenport |
$0.00 | 12 | 12 |
|
Ppps Iii
1010 N Niagara St |
$38.84 | 12 | 12 |
|
Mark Adams
5400 Mackinaw Rd |
$55.20 | 12 | 12 |
|
Parminder Jaswal Md, Plc
2233 N Center Rd |
$54.34 | 13 | 12 |
|
Jonathan Rene
1015 S Washington Ave |
$53.92 | 13 | 12 |
|
Tiffany Kim Pllc
4680 Mcleod Dr E Ste 1 |
$58.15 | 16 | 16 |
|
Christina Lynn Maser
912 S Washington Ave Ste 1 |
$0.00 | 16 | 12 |
|
Rachel Peterson
926 N Michigan Ave |
$0.00 | 17 | 17 |
|
Chevon Nicole Vanepps
4177 Fashion Square Blvd |
$61.20 | 19 | 18 |
|
Kishan L Kella
625 N Michigan Ave |
$69.01 | 24 | 24 |
|
Kochar Plc
38 Sawmill Creek Trl |
$47.53 | 25 | 25 |
|
Syed R Hassan
5400 Mackinaw Rd |
$30.82 | 26 | 23 |
|
Saginaw Cooperative Hospitals, Inc
1015 S Washington Ave |
$57.46 | 26 | 26 |
|
Helen Judith Decorte
5400 Mackinaw Rd |
$44.78 | 29 | 27 |
|
Deanna Michelle Lemorie
900 Cooper Ave |
$16.16 | 29 | 27 |
|
Eric Bracken
900 Cooper Ave |
$50.13 | 30 | 25 |
|
Jessica Ledyard Faris
1000 Houghton Ave |
$21.50 | 30 | 26 |
|
Great Lakes Family Health Center Pc
3424 Davenport Ave |
$64.47 | 31 | 29 |
|
Claudia Zacharek Md Plc
4200 Fashion Square Blvd |
$58.77 | 41 | 37 |
|
Mymichigan Medical Center Saginaw
800 S Washington Ave |
$122.26 | 42 | 42 |
|
Harpal Singh Md Pc
5580 State St |
$27.97 | 45 | 41 |
|
Albert Sm Manlapit M.D. Pllc
5453 Hampton Pl |
$48.50 | 45 | 41 |
|
Sound A Sleep Plc
4701 Towne Centre Rd |
$84.77 | 46 | 46 |
|
Austin G King
1500 Weiss St |
$78.49 | 53 | 49 |
|
Visiting Medical Service, P.C.
3170 Hallmark Ct Ste 100A |
$0.00 | 53 | 50 |
|
Frances Ruth Vitalis
900 Cooper Ave |
$10.29 | 55 | 24 |
|
Mymichigan Medical Center Saginaw
4705 Towne Centre Rd Ste 204 |
$76.81 | 57 | 55 |
|
Connie J Braun Md Pllc
2605 Weiss St |
$39.05 | 61 | 51 |
|
Rakesh Chokshi Md Plc
144 N Frost Dr |
$45.92 | 67 | 63 |
|
Carol J Adams
5570 State St |
$35.03 | 69 | 69 |
|
Sara Marie Zielinski
5120 Midland Rd |
$1.55 | 70 | 68 |
|
Andrew M Lafleur Md Plc
3400 N Center Rd Ste 200 |
$69.52 | 72 | 71 |
|
Austin G Friswold
1000 Houghton Ave |
$3.81 | 72 | 44 |
|
Neil Malhotra
1000 Houghton Ave |
$166.62 | 84 | 75 |
|
Child And Family Service Of Saginaw County
2838 Automotive Ctr |
$52.16 | 87 | 87 |
|
Jennifer Penning
5570 State St |
$130.58 | 89 | 89 |
|
Precision Radiotherapy Pllc
800 S Washington Ave |
$39.13 | 91 | 91 |
|
Bayside Lodge
2700 W Genesee Ave |
$70.30 | 110 | 109 |
|
Amelia Taylor Covatto
926 N Michigan Ave |
$32.27 | 116 | 114 |
|
Medpeds Healthcare, P.C.
5889 Bay Rd |
$49.31 | 124 | 116 |
|
Gladys Kimeli
4055 State St |
$67.08 | 126 | 122 |
|
Hossam Eldin Imam Mustafa
900 Cooper Ave Ste 4100 |
$42.63 | 147 | 139 |
|
Nicholas Gerald Blackstone
3400 N Center Rd Ste 300 |
$54.67 | 149 | 132 |
|
Jill M Paveglio, Md Plc
5560 Gratiot Rd Ste B |
$63.17 | 161 | 150 |
|
Miles P Light
3150 Hallmark Ct |
$37.96 | 163 | 131 |
|
Venkat Talasila
2578 Mcleod Dr N Ste 1 |
$54.92 | 164 | 154 |
|
Miles P Light Md Pc
3150 Hallmark Ct |
$62.74 | 168 | 160 |
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 Saginaw, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saginaw, MI is $53.47 per claim, based on 1,506,630 claims from 206 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 Saginaw, MI?
There are 206 Medicaid providers offering Office Visit related services in Saginaw, MI according to public payment data.
What is the price range for Office Visit in Saginaw, MI?
Medicaid reimbursement for Office Visit in Saginaw, MI ranges from $0.00 to $261.37 per claim, with an average of $53.47. 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 Saginaw, MI
Substance Abuse Treatment
Avg $22.44
1,163,447 claims
Blood Work & Lab Tests
Avg $4.37
1,162,070 claims
Emergency Room Visit
Avg $129.09
846,833 claims
Psychiatric Evaluation
Avg $95.12
517,058 claims
X-Ray
Avg $11.59
476,063 claims
Ambulance Transport
Avg $127.51
467,661 claims
Case Management Services
Avg $269.03
415,869 claims
Urinalysis & Urine Tests
Avg $1.04
322,546 claims