Average Medicaid Office Visit Payments in South Bend, IN: $58.29
Avg. Paid
$58.29
Range
$0.00 – $182.45
Total Claims
778,111
Providers
448
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 South Bend, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Zhaijun Fan
1815 E Ireland Rd |
$70.96 | 17,446 | 16,144 |
|
Mitchell Robert Goldstein
107 N Eddy St |
$78.20 | 15,197 | 12,984 |
|
Michael B Platt
415 E Madison St |
$40.42 | 13,476 | 11,217 |
|
Michael Sean Kozak
621 Memorial Dr Ste 402 |
$52.57 | 12,911 | 10,386 |
|
Asad Ansari
100 Navarre Pl Ste 5550 |
$91.92 | 12,620 | 11,482 |
|
Manana Gegeshidze
415 E Madison St |
$32.45 | 11,769 | 9,624 |
|
Ruchita Kachru
1815 E Ireland Rd |
$62.84 | 10,925 | 10,588 |
|
Roohi Bano Sualeh
415 E Madison St |
$35.80 | 10,274 | 8,641 |
|
Gertrude Mumba-Kaunda
1901 W Western Ave |
$43.91 | 9,988 | 8,451 |
|
Brandon William Zabukovic
621 Memorial Dr Ste 402 |
$67.01 | 9,912 | 8,393 |
|
Akila T Karanja
1010 N Bendix Dr |
$45.18 | 9,812 | 7,903 |
|
Liliana Patricia Ruiz
1901 W Western Ave |
$65.36 | 9,596 | 7,880 |
|
Samira Hassan El-Zind
100 Navarre Pl Ste 5550 |
$88.53 | 9,065 | 8,396 |
|
Ziya Toper
6301 University Commons |
$77.59 | 8,808 | 7,843 |
|
Joseph G Glazier
2106 Ironwood Cir |
$20.64 | 8,798 | 7,796 |
|
Larissa M. Chism Buggs
3607 S Main St Ste 1 |
$34.13 | 8,750 | 7,127 |
|
Rebekah Kottkamp
621 Memorial Dr Ste 402 |
$54.35 | 8,261 | 7,306 |
|
Yahya El-Shinnawy
1901 W Western Ave |
$54.57 | 8,204 | 6,875 |
|
Drew Schmucker
621 Memorial Dr |
$64.20 | 8,154 | 6,000 |
|
Alicia Marie Wilson
211 N Eddy St |
$73.54 | 8,079 | 6,795 |
|
Anthony Vincent Aspesi
234 Chapin St Ste I |
$71.83 | 7,930 | 6,993 |
|
Kenneth Eugene Elek
714 N Michigan St |
$61.24 | 7,667 | 7,069 |
|
Frank V. Murphy
2930 W Cleveland Rd |
$50.89 | 7,631 | 6,193 |
|
Katrina Gregg
615 N Michigan St Fl 1 |
$44.50 | 7,427 | 3,904 |
|
Carol D Luzzi
100 Navarre Pl Ste 5570 |
$82.89 | 7,263 | 6,128 |
|
Sibel Toper
6301 University Commons |
$75.19 | 7,246 | 6,450 |
|
Soneka Wynter
1010 N Bendix Dr |
$59.60 | 7,127 | 5,651 |
|
Kayti Lynn Bonczynski
621 Memorial Dr Ste 402 |
$59.55 | 7,087 | 5,447 |
|
Wahaj M Zaidi
100 Navarre Pl Ste 5550 |
$88.35 | 7,000 | 6,560 |
|
Jagadeesh Reddy
707 N Michigan St |
$65.92 | 6,999 | 6,400 |
|
Mary Elizabeth Sutherland
621 Memorial Dr |
$73.12 | 6,752 | 5,110 |
|
Jayanthi Rachakonda Smucker
415 E Madison St |
$49.00 | 6,621 | 5,751 |
|
Christine Elizabeth Coulter
621 Memorial Dr Ste 402 |
$55.53 | 6,603 | 5,696 |
|
John L Rice
211 N Eddy St |
$63.09 | 6,422 | 5,477 |
|
Melissa Christine Quimby
100 Navarre Pl Ste 5570 |
$61.55 | 5,879 | 5,459 |
|
Timothy J Durham
211 N Eddy St |
$78.28 | 5,796 | 4,985 |
|
Matthew T. Dupre
714 N Michigan St |
$64.05 | 5,649 | 5,130 |
|
Michelle Lynn Pearson
234 Chapin St Ste I |
$60.81 | 5,577 | 4,614 |
|
Laura Ellen Albright
2102 E Inwood Rd |
$60.37 | 5,556 | 4,375 |
|
Shagufta J Chowhan
403 E Madison St |
$20.51 | 5,310 | 3,734 |
|
Janel L. Charlton
714 N Michigan St |
$71.07 | 5,250 | 4,782 |
|
Leah Diane Craft
2235 Cleveland Rd |
$46.72 | 5,165 | 4,456 |
|
Justin Leugers
234 Chapin St Ste I |
$73.23 | 4,984 | 4,131 |
|
Jason Eric Marker
714 N Michigan St |
$65.14 | 4,947 | 4,070 |
|
Javier Galan
211 N Eddy St |
$74.96 | 4,941 | 4,091 |
|
April Christine Chew
1901 W Western Ave Ste B |
$51.97 | 4,907 | 4,198 |
|
Christine Marie Ramirez
211 N Eddy St |
$75.02 | 4,779 | 4,169 |
|
Tucker G. Balam
714 N Michigan St |
$70.55 | 4,629 | 4,238 |
|
Rebecca Kathleen Kelln
100 Navarre Pl Ste 5550 |
$61.14 | 4,541 | 4,157 |
|
Jennifer Marie Beam
621 Memorial Dr Ste 402 |
$64.48 | 4,467 | 3,481 |
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 South Bend, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Bend, IN is $58.29 per claim, based on 778,111 claims from 448 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 South Bend, IN?
There are 448 Medicaid providers offering Office Visit related services in South Bend, IN according to public payment data.
What is the price range for Office Visit in South Bend, IN?
Medicaid reimbursement for Office Visit in South Bend, IN ranges from $0.00 to $182.45 per claim, with an average of $58.29. 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 South Bend, IN
Blood Work & Lab Tests
Avg $6.15
552,088 claims
Psychiatric Evaluation
Avg $67.17
188,449 claims
Emergency Room Visit
Avg $95.59
180,378 claims
Physical Therapy
Avg $31.56
170,960 claims
Vaccines & Immunizations
Avg $10.10
170,623 claims
Durable Medical Equipment (DME)
Avg $34.07
143,514 claims
Speech Therapy
Avg $58.84
113,674 claims
Ambulance Transport
Avg $111.92
105,740 claims