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 |
|---|---|---|---|
|
Covenant Medical Center, Inc.
5570 State St |
$50.96 | 192,017 | 183,530 |
|
Covenant Medical Center, Inc
1447 N Harrison St |
$60.51 | 186,463 | 175,865 |
|
Great Lakes Bay Health Centers
1522 Janes Ave |
$14.18 | 105,284 | 97,771 |
|
Great Lakes Bay Health Centers
229 Gallagher |
$14.60 | 59,565 | 55,807 |
|
Great Lakes Bay Health Centers
501 Lapeer |
$13.83 | 48,215 | 44,828 |
|
Saginaw County Community Mental Health Authority
500 Hancock St |
$261.37 | 48,171 | 44,023 |
|
Great Lakes Bay Health Centers
3023 Davenport Ave |
$17.47 | 46,051 | 41,056 |
|
Great Lakes Bay Health Centers
700 Court St |
$14.81 | 43,841 | 41,452 |
|
Saginaw Psychological Services, Inc.
2100 Hemmeter Rd |
$55.99 | 38,298 | 33,213 |
|
Saginaw Cooperative Hospitals, Inc
1575 Concentric Blvd |
$58.52 | 36,264 | 33,498 |
|
Michigan Health Clinics Pc
3925 Fortune Blvd |
$62.11 | 26,684 | 24,469 |
|
Valley Ob Gyn Clinic Pc
926 N Michigan Ave |
$50.09 | 25,589 | 24,332 |
|
Abdurrahman Salah Alamah
3162 Davenport Ave |
$78.25 | 23,621 | 22,280 |
|
Valley Urgent Care
3020 Boardwalk Dr |
$65.06 | 19,784 | 17,355 |
|
Saginaw Cooperative Hospitals, Inc
1000 Houghton Ave |
$62.58 | 18,423 | 17,618 |
|
Jafferany Psychiatric Services
3055 Hallmark Ct |
$47.47 | 18,131 | 17,497 |
|
Saginaw Health Clinic
4046 Hess Ave |
$62.87 | 18,018 | 13,592 |
|
State Street Behavioral Services
4055 State St |
$59.25 | 17,729 | 16,626 |
|
Great Lakes Bay Health Centers
501 Lapeer |
$15.68 | 17,252 | 16,033 |
|
Saginaw Cooperative Hospitals, Inc
1015 S Washington Ave |
$65.88 | 15,929 | 15,297 |
|
Victory Clinical Services Iv, Llc
508 Shattuck Rd |
$83.27 | 15,863 | 15,812 |
|
Mymichigan Medical Center Saginaw
3570 Shattuck Rd |
$57.20 | 15,211 | 14,126 |
|
Mymichigan Medical Center Saginaw
1015 S Washington Ave |
$51.25 | 14,732 | 14,525 |
|
Prn Clinic Urgent Care, Pllc
2110 N Morson St |
$79.63 | 14,472 | 8,204 |
|
Narendra R Kumar M.D, Pc
4701 Towne Centre Rd |
$65.54 | 14,399 | 14,126 |
|
Great Lakes Eye Institute
2393 Schust Rd |
$47.90 | 14,079 | 13,677 |
|
Michigan Skin Clinics Pc
3925 Fortune Blvd |
$47.91 | 14,037 | 12,540 |
|
Michigan Health Clinics Pc
3925 Fortune Blvd |
$27.56 | 13,283 | 10,638 |
|
Saginaw Cooperative Hospitals, Inc
1000 Houghton Ave |
$68.41 | 12,944 | 12,424 |
|
Tri-City Treatment Center Llc
355 N Center Rd |
$39.72 | 12,890 | 11,123 |
|
Caring Pediatric Partners Pc
4684 Wenmar Dr |
$79.42 | 11,837 | 10,809 |
|
Tri City Urology Associates Pc
1117 S Washington Ave |
$50.74 | 11,486 | 11,321 |
|
Saginaw Valley Medical Center Pllc
3170 Hallmark Ct |
$44.17 | 11,324 | 10,331 |
|
Saginaw Cooperative Hospitals, Inc
912 S Washington Ave Ste 1 |
$55.28 | 11,091 | 10,774 |
|
Great Lakes Bay Health Centers
501 Lapeer Ave |
$17.73 | 11,013 | 10,158 |
|
Saginaw Cooperative Hospitals, Inc
1000 Houghton Ave |
$48.26 | 9,946 | 9,469 |
|
Saginaw Valley Centers, Inc.
3190 Hallmark Ct |
$47.94 | 9,732 | 5,987 |
|
Andersen Eye Associates, Plc
5161 Cardinal Park Drive |
$46.89 | 9,664 | 9,191 |
|
Mymichigan Medical Center Saginaw
4677 Towne Centre Rd Fl 2 |
$59.88 | 9,514 | 9,205 |
|
Mid Michigan Pediatric Cardiology, Pc
900 Cooper Ave |
$62.79 | 9,389 | 9,225 |
|
Covenant Medical Center, Inc.
1447 N Harrison St |
$49.42 | 8,932 | 8,403 |
|
Training And Treatment Innovations Inc
3665 Bay Rd |
$61.51 | 8,602 | 8,220 |
|
Healthy Futures Pediatrics
2215 N Center Rd |
$64.40 | 8,495 | 7,218 |
|
Ops Pediatrics Plc
4684 Wenmar Dr |
$64.55 | 8,493 | 7,850 |
|
Great Lakes Bay Health Centers
500 Hancock St |
$12.86 | 8,375 | 7,908 |
|
Columbiaville Family Clinic Pllc
2575 Mcleod Dr N Ste A |
$80.79 | 7,696 | 7,220 |
|
Satnam Medical Pllc
3406 Davenport Ave |
$45.12 | 7,633 | 6,386 |
|
Michigan Clinic Neurosurgery Pllc
3160 Cabaret Trl S |
$45.69 | 6,991 | 6,745 |
|
Mymichigan Medical Center Saginaw
4677 Towne Centre Rd Ste 301 |
$47.75 | 5,963 | 5,857 |
|
Manisha Gupta
1000 Houghton Ave |
$51.60 | 5,708 | 5,457 |
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