Average Medicaid Office Visit Payments in Seymour, IN: $52.10
Avg. Paid
$52.10
Range
$3.09 – $106.10
Total Claims
310,780
Providers
141
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 Seymour, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kevin Michael Crawford
303 S Walnut St |
$54.71 | 45,322 | 35,576 |
|
Tabitha Dawn Pena
120 Saint Louis Ave |
$44.97 | 10,424 | 9,084 |
|
Andrea Renee Keane
1725 E Tipton St Ste 200 |
$75.05 | 10,205 | 7,981 |
|
Diana Louise Brackin
600 S Jackson Park Dr |
$22.39 | 10,175 | 6,074 |
|
Amy Michelle Wynn
410 S Chestnut St |
$20.53 | 9,786 | 5,352 |
|
Lynnette Caudill Wickliff
1130 Medical Pl |
$41.73 | 7,352 | 5,706 |
|
Heather Ellen Metzger
1202 E Tipton St |
$80.81 | 7,162 | 4,889 |
|
Yvonne Carmela Lucas
8091 E Crescent Dr |
$61.47 | 7,086 | 6,181 |
|
Gregory Thomas Dougan
303 S Walnut St |
$51.85 | 6,409 | 4,886 |
|
Elizabeth Anne Jackson
411 W Tipton St |
$42.47 | 6,352 | 5,198 |
|
Ma Rosario S Dejesus
113 N Chestnut St |
$43.58 | 6,317 | 5,289 |
|
Amber L Allen
225 S Pine St, Jmb, 2Nd Flr |
$55.47 | 6,094 | 5,297 |
|
Matthew Alan Meyer
225 S Pine St |
$41.60 | 5,587 | 4,319 |
|
David S Wilson
225 S Pine St Ste 120 |
$27.01 | 5,070 | 3,786 |
|
Joyce Adams Spurgeon
415 S Walnut St Ste 221 |
$53.21 | 5,048 | 4,002 |
|
Vaishali Karnik
120 Saint Louis Ave |
$69.10 | 5,030 | 4,188 |
|
Jennifer Lynn Snow
225 S Pine St Ste 120 |
$51.22 | 4,844 | 4,095 |
|
Jana L Fischer
225 S Pine St Ste 300 |
$47.67 | 4,836 | 4,343 |
|
Lisa Marie Nagy
120 Saint Louis Ave |
$67.63 | 4,740 | 4,201 |
|
Velvet Schmidt
411 W Tipton St |
$62.83 | 4,685 | 3,169 |
|
Cathy Robbins Hildebrand
411 W Tipton St |
$65.17 | 4,277 | 3,844 |
|
Lisa Marie Lindsay Snow
Schneck Pediatrics |
$69.15 | 4,094 | 3,615 |
|
Thomas Scott Roberts
1130 Medical Pl |
$51.87 | 3,950 | 3,423 |
|
Kristen N Gilbert
Schneck Specialty Associates |
$44.05 | 3,904 | 3,050 |
|
Elizabeth Tape
225 S Pine St Ste 300 |
$40.55 | 3,827 | 2,890 |
|
Nicholas R Lemming
225 S Pine St |
$46.26 | 3,604 | 2,914 |
|
Rebecca J Darlage
225 S Pine St, Jmb, 2Nd Floor |
$43.23 | 3,449 | 1,905 |
|
Melanie Lehr
411 W Tipton St |
$54.02 | 3,383 | 2,927 |
|
Naveed Chowhan
411 W Tipton St |
$38.35 | 3,289 | 2,569 |
|
Tara Pearcy
411 W Tipton St |
$55.18 | 3,209 | 2,281 |
|
Justin Neal Rasner
411 W Tipton St |
$73.59 | 3,134 | 2,853 |
|
Hannah Mae Henson
113 N Chestnut St Ste 102 |
$57.60 | 3,068 | 2,402 |
|
Shannon Lea Bedja
225 S Pine St Ste 120 |
$30.89 | 2,729 | 2,424 |
|
Steven R West
225 S Pine St Ste 310 |
$30.37 | 2,713 | 2,043 |
|
Kenneth Boyd Bates
411 W Tipton St |
$41.61 | 2,694 | 2,229 |
|
Kristin Renee Sanders
411 W Tipton St |
$68.70 | 2,681 | 2,364 |
|
Ahmad Soliman
120 Saint Louis Ave |
$42.02 | 2,589 | 2,222 |
|
Cynthia Louise Rice
411 W Tipton St |
$50.99 | 2,508 | 2,119 |
|
Emilia M Diaz
1414 E Tipton St |
$45.06 | 2,457 | 1,930 |
|
Paul Kevin Gerth
411 W Tipton St |
$39.14 | 2,436 | 2,046 |
|
Jordan C. Maryfield
411 W Tipton St |
$70.62 | 2,320 | 1,621 |
|
Charity Hope Welch
225 S Pine St, Suite 130 |
$33.08 | 2,234 | 1,841 |
|
Rachel Elaine Hoevener
225 S Pine St, Jmb, 2Nd Floor |
$64.91 | 2,196 | 2,020 |
|
Jason Boyd Woods
411 W Tipton St |
$25.74 | 2,179 | 1,688 |
|
Lynnelle Driver
411 W Tipton St |
$71.02 | 2,164 | 1,979 |
|
Debra Schroer
113 N Chestnut St |
$53.54 | 2,146 | 1,804 |
|
Jamah Stahl
411 W Tipton St |
$68.95 | 2,096 | 1,852 |
|
Gerald Brandon Millick
Schneck Professional Building |
$83.09 | 2,085 | 1,860 |
|
Adam J Jablonski
411 W Tipton St |
$83.95 | 2,049 | 1,884 |
|
Courtney Burns Kleber
1171 W Tipton St |
$48.08 | 1,980 | 1,556 |
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 Seymour, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seymour, IN is $52.10 per claim, based on 310,780 claims from 141 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 Seymour, IN?
There are 141 Medicaid providers offering Office Visit related services in Seymour, IN according to public payment data.
What is the price range for Office Visit in Seymour, IN?
Medicaid reimbursement for Office Visit in Seymour, IN ranges from $3.09 to $106.10 per claim, with an average of $52.10. 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 Seymour, IN
Blood Work & Lab Tests
Avg $10.99
112,038 claims
Psychiatric Evaluation
Avg $42.74
80,326 claims
Emergency Room Visit
Avg $93.73
65,023 claims
Vaccines & Immunizations
Avg $9.55
56,347 claims
Ambulance Transport
Avg $60.34
53,488 claims
Physical Therapy
Avg $33.70
38,084 claims
Eye Exam
Avg $37.68
29,359 claims
Non-Emergency Medical Transportation
Avg $18.52
27,496 claims