Average Medicaid Office Visit Payments in Sellersburg, IN: $38.97
Avg. Paid
$38.97
Range
$26.10 – $54.66
Total Claims
20,628
Providers
6
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 Sellersburg, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Joseph Collins
3042 Plantation Dr |
$29.05 | 8,226 | 6,500 |
|
Chih Cheng Chang
130 Hunter Station Way Ste 101 |
$54.66 | 5,937 | 4,998 |
|
Alexander Francisco Bautista
130 Hunter Station Way |
$37.82 | 4,467 | 3,665 |
|
Michael C Harper
130 Hunter Station Way |
$40.99 | 1,213 | 960 |
|
Homer Aloys Ferree
7600 Hwy 60 |
$26.10 | 685 | 502 |
|
David C White
130 Hunter Station Way |
$37.37 | 100 | 86 |
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 Sellersburg, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sellersburg, IN is $38.97 per claim, based on 20,628 claims from 6 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 Sellersburg, IN?
There are 6 Medicaid providers offering Office Visit related services in Sellersburg, IN according to public payment data.
What is the price range for Office Visit in Sellersburg, IN?
Medicaid reimbursement for Office Visit in Sellersburg, IN ranges from $26.10 to $54.66 per claim, with an average of $38.97. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
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Phoenix, AZ
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Other Procedures in Sellersburg, IN
Speech Therapy
Avg $23.66
26,368 claims
Physical Therapy
Avg $28.73
18,238 claims
Dental Cleaning & Exam
Avg $29.46
10,695 claims
Nursing Facility Care
Avg $6.84
10,206 claims
Non-Emergency Medical Transportation
Avg $10.26
5,997 claims
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Avg $3.37
5,725 claims
Durable Medical Equipment (DME)
Avg $32.25
2,949 claims
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Avg $35.64
2,489 claims