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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Saint Joseph, MI: $60.20

Avg. Paid

$60.20

Range

$0.00 – $221.08

Total Claims

264,608

Providers

55

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 Saint Joseph, MI

Provider Avg. Paid Claims Patients
Lakeland Medical Practices

1234 Napier Ave

$60.28 185,430 170,928
Lakeland Hospitals At Niles And St Joseph, Inc

1234 Napier Ave

$59.76 18,833 18,422
Sutinderpal Judge M.D., Pc

2550 Niles Rd

$65.25 6,633 6,548
Great Lakes Gastroenterology Pllc

3903 Hollywood Rd

$61.72 6,079 6,040
Advanced Family Eye Care, Pc

2810 Niles Rd

$57.18 5,883 5,833
Great Lakes Eye Care Pc

2848 Niles Rd

$41.41 5,584 5,243
Southwest Michigan Center For Orthopaedic And Sports Medicine P

183 Peace Blvd

$39.11 3,043 2,911
Carole Anne Derucki

2900 Lakeview Ave

$45.53 3,038 2,269
Hilary Christine Slemp

4077 S Cleveland Ave

$85.61 2,729 2,402
Lake Michigan Nephrology, L.L.C

3800 Hollywood Rd Ste 104

$62.77 2,409 2,155
Catharine Roos

3950 Hollywood Rd Ste 100

$173.93 2,259 1,904
St Joseph Dermatology And Vein Clinic Pllc

2500 Niles Rd Ste 10A

$58.85 1,933 1,833
Great Lakes Heart & Vascular Institute, P.C.

3950 Hollywood Rd

$55.25 1,788 1,757
Joseph Longobardi

1234 Napier Ave

$9.83 1,691 1,603
Lorelei Williams

2690 S Cleveland Ave

$55.23 1,690 1,535
Brandon Roe

1234 Napier Ave

$55.55 1,678 1,603
John M. Stafford, Md, And Associates, P.C.

3800 Hollywood Rd Ste 101

$78.77 1,444 1,405
Mark H Greenberg

3950 Hollywood Rd Ste 288

$58.53 1,371 1,280
Lakeside Healthcare Specialists Pllc

3950 Hollywood Rd

$56.66 1,274 1,090
Sarah Irene Mckay

3901 Stonegate Park Ste 100

$47.44 947 740
Heather Renee Figueroa

3950 Hollywood Rd Ste 100

$39.34 878 625
Gary Witucki

1234 Napier Ave

$16.18 761 490
Deanna Margaret Rucano

3950 Hollywood Rd Ste 270

$46.56 760 604
Douglas Gregory Tacket

4077 S Cleveland Ave

$61.31 745 674
Barrett And Driscoll,Md'S,Pc

2516 Niles Ave

$61.40 618 569
Jorge Enrique Guzman

1234 Napier Ave

$49.73 539 507
Arcadia Family Health Pllc

3901 Stonegate Park Ste F

$114.55 468 447
Kristen Murphy

1234 Napier Avenue

$38.86 468 457
Charles Ray Alderdice

1906 Langley Ave

$45.23 395 360
Sutinderpal S. Judge

2550 Niles Rd

$83.30 376 347
Abigail Mae Mahoney

4077 S Cleveland Ave

$37.10 349 300
Jeffrey J Fitzer

1234 Napier Ave

$73.26 281 165
Vision Center Pc

2603 Niles Ave

$54.59 249 241
Matthew Wesley Globerson

2680 S Cleveland Ave

$221.08 235 235
Shishir Ojha

1234 Napier Ave

$32.31 212 189
Jason Min So

2848 Niles Rd

$42.19 196 171
Prosperity Medical, Pllc

3901 Stonegate Park Ste 300

$57.05 194 193
Rikki S Enzor

2848 Niles Rd

$59.79 152 131
Fabian Jorge Arnaldo

3950 Hollywood Rd Ste 100

$16.96 144 106
Ashley Lepak

1234 Napier Ave

$39.85 141 136
Berrien Mental Health Authority

2500 Niles Rd Ste 7

$31.59 129 129
Byra M Reddy

3906 Stonegate Park

$62.85 115 112
Family Physicians Of St. Joseph, P.C.

2500 Niles Rd

$35.70 98 89
Kenlyn Marie Laureys

3900 Hollywood Rd

$10.53 73 36
Jeffrey Grondin

1234 Napier Ave

$35.32 46 40
Janet Peters

3903 Hollywood Rd

$48.18 43 41
Harman Fervaha

3950 Hollywood Rd Ste 288

$27.94 43 43
All Star Pediatric & Family Chiropractic Plc

2640 S Cleveland Ave

$0.00 29 27
Victor Adam Maslon

1234 Napier Ave

$207.34 28 27
Berrien Regional Associates In Neurology,Pllc

3950 Hollywood Rd

$36.81 22 20

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 Saint Joseph, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saint Joseph, MI is $60.20 per claim, based on 264,608 claims from 55 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 Saint Joseph, MI?

There are 55 Medicaid providers offering Office Visit related services in Saint Joseph, MI according to public payment data.

What is the price range for Office Visit in Saint Joseph, MI?

Medicaid reimbursement for Office Visit in Saint Joseph, MI ranges from $0.00 to $221.08 per claim, with an average of $60.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Saint Joseph, MI