Average Medicaid Office Visit Payments in Shelby Township, MI: $61.15
Avg. Paid
$61.15
Range
$0.00 – $78.13
Total Claims
34,234
Providers
17
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 Shelby Township, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cardiology Associates Of Michigan, P.C.
50505 Schoenherr Rd |
$61.78 | 9,237 | 8,555 |
|
Get Well Urgent Care Shelby Plc
13467 23 Mile Rd |
$67.59 | 5,895 | 5,635 |
|
Crossing Paths, P.C.
50258 Van Dyke Ave Ste A |
$47.88 | 4,918 | 4,548 |
|
Advanced Cardiovascular Associates, Plc
49050 Schoenherr Rd |
$55.18 | 3,837 | 3,689 |
|
Uzma Rehman Do Pc
45628 Schoenherr Rd |
$67.82 | 3,309 | 3,235 |
|
Macomb Primary Care Pc
51850 Dequindre Rd Ste 2 |
$78.13 | 2,590 | 2,488 |
|
David W. Calton, M.D., P.C.
8180 26 Mile Rd Ste 100 |
$67.32 | 2,027 | 1,837 |
|
Shelby Pediatric Associates And Child Lung Center Pc
15125 22 Mile Rd |
$34.58 | 441 | 399 |
|
Great Lakes Medicine, Plc
50505 Schoenherr Rd |
$42.03 | 398 | 307 |
|
Integrative Family Care, Pllc
52915 Mound Rd |
$60.91 | 390 | 366 |
|
Stony Creek Urgent Care Pllc
8180 26 Mile Rd |
$46.90 | 344 | 297 |
|
Vein Center At Allure Medical Spa, Pllc
8180 26 Mile Rd |
$40.76 | 307 | 287 |
|
Anne White Md Pllc
50505 Schoenherr Rd |
$64.25 | 281 | 267 |
|
Macomb Pain Management
8152 25 Mile Rd Ste B |
$63.94 | 150 | 137 |
|
Shelby Foot & Ankle, Pllc
50505 Schoenherr Rd |
$30.37 | 61 | 56 |
|
Touch Of Life P.C.
46755 Hayes Rd |
$0.00 | 37 | 36 |
|
Diegel Chiropractic Inc
49780 Van Dyke Ave |
$0.00 | 12 | 12 |
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 Shelby Township, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shelby Township, MI is $61.15 per claim, based on 34,234 claims from 17 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 Shelby Township, MI?
There are 17 Medicaid providers offering Office Visit related services in Shelby Township, MI according to public payment data.
What is the price range for Office Visit in Shelby Township, MI?
Medicaid reimbursement for Office Visit in Shelby Township, MI ranges from $0.00 to $78.13 per claim, with an average of $61.15. 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 Shelby Township, MI
Physical Therapy
Avg $56.74
100,370 claims
Dental Cleaning & Exam
Avg $35.79
67,646 claims
Nursing Facility Care
Avg $23.82
43,252 claims
Psychiatric Evaluation
Avg $73.93
41,952 claims
Speech Therapy
Avg $65.56
38,666 claims
Chiropractic Care
Avg $20.65
19,815 claims
Eye Exam
Avg $24.05
17,354 claims
Durable Medical Equipment (DME)
Avg $28.30
15,497 claims