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
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 Saint Joseph, MI
Blood Work & Lab Tests
Avg $2.97
616,786 claims
Emergency Room Visit
Avg $115.50
466,205 claims
Physical Therapy
Avg $23.14
176,940 claims
Urinalysis & Urine Tests
Avg $1.53
139,676 claims
EKG / ECG (Electrocardiogram)
Avg $7.36
84,967 claims
Eye Exam
Avg $33.15
81,881 claims
X-Ray
Avg $26.21
76,090 claims
Psychiatric Evaluation
Avg $62.92
60,866 claims