Average Medicaid Office Visit Payments in Shelbyville, IN: $61.18
Avg. Paid
$61.18
Range
$20.69 – $106.66
Total Claims
218,831
Providers
99
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 Shelbyville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Laura Lee Rife
1626 E State Road 44 |
$58.16 | 12 | 12 |
|
Priority Care, Llc
30 W Rampart St Ste 250 |
$46.96 | 15 | 14 |
|
Jennifer Joy Shaul
2451 Intelliplex Dr |
$62.83 | 17 | 16 |
|
Ovidiu Gratian Cristea
2158 Intelliplex Dr Ste 100 |
$24.86 | 22 | 13 |
|
Jennifer Lee Hartman
2158 Intelliplex Dr |
$42.98 | 27 | 27 |
|
James Leroy Springer
104 Foxborough Run |
$31.81 | 28 | 20 |
|
Sarah Jane Laird
2451 Intelliplex Dr |
$46.91 | 31 | 29 |
|
Amanda Rae Savell
2451 Intelliplex Dr |
$83.12 | 49 | 34 |
|
Megan Linville
2451 Intelliplex Dr Ste 230 |
$56.60 | 57 | 52 |
|
Erika L Hartman
2451 Intelliplex Dr |
$26.95 | 58 | 49 |
|
Erik Allen Pattison
2451 Intelliplex Dr |
$25.61 | 73 | 52 |
|
Shotaro Sano
2451 Intelliplex Dr Ste 280 |
$80.00 | 81 | 50 |
|
Christa M Lewis
2451 Intelliplex Dr Ste 260 |
$79.17 | 82 | 53 |
|
Eric Thomas Lux
17 S Tompkins St |
$24.22 | 83 | 52 |
|
Ann Elizabeth Klosterkemper
2158 Intelliplex Dr Ste 100 |
$28.76 | 98 | 89 |
|
Melanie Renee Dowell
2455 Intelliplex Dr |
$57.14 | 99 | 65 |
|
R Gregory Scheible
2451 Intelliplex Dr Ste 260 |
$94.63 | 132 | 118 |
|
Nora Jean Spenos
2451 Intelliplex Dr Ste 250 |
$80.41 | 136 | 122 |
|
Vincent Gemma
2451 Intelliplex Dr Ste 280 |
$88.23 | 161 | 122 |
|
Alicia R Grove
106 W Boggstown Rd |
$53.89 | 163 | 142 |
|
Shelley Gaye Snyder
150 W Washington St |
$66.89 | 186 | 104 |
|
Suzanna M Carlton
2451 Intelliplex Dr Ste 215 |
$39.30 | 211 | 196 |
|
Karen Patterson
2451 Intelliplex Dr |
$72.67 | 213 | 123 |
|
Daniel P Duran
302 Duran Dr |
$45.31 | 214 | 179 |
|
Gregory Howard
2120 Intelliplex Dr |
$35.00 | 248 | 184 |
|
Nicole Renee Quainoo
1778 E State Road 44 |
$81.75 | 252 | 221 |
|
Bonnie L Frye
7 East Hendricks Street |
$52.41 | 260 | 227 |
|
Denise Lorene Skinner
2158 Intelliplex |
$79.68 | 270 | 117 |
|
Carlos Vieira
2158 Intelliplex Dr Ste 100 |
$41.43 | 274 | 222 |
|
Jessica Haviland
1800 E. State Road |
$59.99 | 292 | 242 |
|
Maria E Faget
2451 Intelliplex Dr Ste 230 |
$106.66 | 306 | 198 |
|
Kathryn Nicole Neisler
2451 Intelliplex Dr Ste 210 |
$25.81 | 338 | 264 |
|
Elizabeth June Fish Moats
2451 Intelliplex Dr |
$30.42 | 378 | 246 |
|
George Mathenge Wairiuko
2451 Intelliplex Dr |
$72.71 | 396 | 366 |
|
Brian Lauer
275 W Bassett Rd Ste 3 |
$72.88 | 427 | 369 |
|
Mitchel Stammen
302 Duran Dr |
$53.48 | 446 | 428 |
|
Caprice Gilpin
2451 Intelliplex Dr |
$82.01 | 451 | 372 |
|
Jacey Marie Grieselding
30 W Rampart St Ste 250 |
$67.61 | 458 | 435 |
|
Lloyd Lewis
2451 Intelliplex Dr |
$63.91 | 476 | 275 |
|
Kevin James Lemme
30 W Rampart St |
$47.08 | 508 | 420 |
|
Victoria A Martin-Smith
2120 Intelliplex Dr |
$57.49 | 585 | 470 |
|
Chris L Loman
2451 Intelliplex Dr Ste 260 |
$61.72 | 605 | 484 |
|
Gregory J Esslinger
2451 Intelliplex Dr Ste 260 |
$57.35 | 666 | 391 |
|
Sean Martin Garringer
30 W Rampart St |
$65.53 | 679 | 608 |
|
Kayla Kohlman Meyer
2451 Intelliplex Dr Ste 260 |
$71.51 | 699 | 614 |
|
Anupama Mohanram
2451 Intelliplex Dr Ste 210 |
$41.47 | 930 | 847 |
|
Fidelity Ageh Akonji
1778 E. State Road 44 |
$80.10 | 1,144 | 1,023 |
|
Mary A Wentzel
2451 Intelliplex Dr Ste 220 |
$35.85 | 1,161 | 901 |
|
Tammie Jean Phillips
2451 Intelliplex Dr |
$66.88 | 1,259 | 664 |
|
Bradley Michael Rund
2154 Intelliplex Dr |
$48.73 | 1,377 | 775 |
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 Shelbyville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shelbyville, IN is $61.18 per claim, based on 218,831 claims from 99 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 Shelbyville, IN?
There are 99 Medicaid providers offering Office Visit related services in Shelbyville, IN according to public payment data.
What is the price range for Office Visit in Shelbyville, IN?
Medicaid reimbursement for Office Visit in Shelbyville, IN ranges from $20.69 to $106.66 per claim, with an average of $61.18. 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 Shelbyville, IN
Blood Work & Lab Tests
Avg $5.12
110,268 claims
Durable Medical Equipment (DME)
Avg $38.22
69,964 claims
X-Ray
Avg $8.51
47,824 claims
Vaccines & Immunizations
Avg $11.01
43,796 claims
Emergency Room Visit
Avg $57.70
36,000 claims
Physical Therapy
Avg $41.34
33,327 claims
Psychiatric Evaluation
Avg $52.19
29,844 claims
Speech Therapy
Avg $52.15
26,363 claims