Based on public Medicaid payment data.

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
Chad Walton Katona 621 Memorial Dr Ste 502	$64.29	12	12
Merl J. Mast 5735 S Ironwood Rd	$182.45	12	12
Daphne Pontius 621 Memorial Dr Ste 403	$55.37	12	12
Yolanda Marie Roche 1001 N Hickory Rd Ste 3	$90.20	12	12
Frank Deno Pennoni 100 Navarre Pl Ste 4460	$84.50	12	12
Charles E Peterson 621 Memorial Dr Ste 502	$48.30	13	12
Rebecca Susanne Rockers 3371 W Cleveland Road Ext Ste 120	$52.46	13	12
Kristin Joy Kile 621 Memorial Dr	$69.46	13	12
Linda Higginbotham 211 N Eddy St	$0.00	13	13
Caroline L Walters 621 Memorial Dr Ste 502	$79.53	13	13
Zuhair Habib Yaseen 621 Memorial Dr Ste 511	$101.19	14	13
Kristin Marie Wymer 211 N Eddy St	$67.32	14	12
Patrick Warmoth 53880 Carmichael Dr	$109.40	14	14
Daniel Quinn Minter 2930 W Cleveland Road Ext	$64.37	16	15
Carlos Rhashad Bolden 615 N Michigan St	$40.56	16	14
Rajendra Vito Shah 515 N Lafayette Blvd	$69.92	16	12
Megan Lee Mace 53880 Carmichael Dr	$34.23	17	15
Ashley Famillion 714 N Michigan St	$42.55	17	17
Glendora G Pompey 4401 W Western Ave Ste C	$9.78	17	15
Robert G. Credi 621 Memorial Dr Ste 502	$69.31	18	13
William Anderson 621 Memorial Dr	$34.88	18	12
Sheryl Ann Vinci 707 N Michigan St Ste 400	$69.84	18	17
Jessica Ilish Filipski 1815 E Ireland Rd	$41.33	18	15
Michelle Scott 515 N Lafayette Blvd	$92.62	19	16
Robert M Einterz 714 N Michigan St	$54.03	20	16
Brett Hooker 621 Memorial Dr Ste 502	$26.52	21	14
Rita Schmid 211 N Eddy St	$36.96	21	14
Harrison Glen Walter 621 Memorial Dr Ste 502	$38.47	21	19
Amber Taylor 621 Memorial Dr Ste 403	$17.91	22	16
Amy Hertzler Deel 100 Navarre Pl Ste 4440	$46.89	25	25
Ryan James O'Rourke 1815 E Ireland Rd	$64.63	25	24
Crystal S Beneker 211 N Eddy St Ste 6600	$24.89	25	16
Kevin Taubman 100 Navarre Pl Ste 5500	$22.04	26	25
Kathryn Anne Kenney 615 N Michigan St	$19.04	27	26
John Glenn Mathis 17501 Generations Dr	$31.97	27	25
Katelyn J Yoder 100 Navarre Pl Ste 4440	$48.17	27	24
Shelby L Towner 615 N Michigan St	$53.81	27	24
Sara A Baumgartner 6301 University Commons Ste 310	$41.17	28	16
Alyssa Raye Carney 100 Navarre Pl Ste 4440	$51.95	28	26
Daniel Francis Czarnecki 515 N Lafayette Blvd	$52.60	29	24
David Alan Hornback 621 Memorial Dr Ste 100	$69.70	30	27
Molly Pestow 53880 Carmichael Dr	$53.60	30	28
Devin Kinney 2235 Cleveland Rd	$39.17	31	27
Melissa Demetriou 100 Navarre Pl	$45.16	33	27
Thomas P Seasly 4440 North Portage Avenue	$67.07	33	25
Brianne Elizabeth Mahone 610 N Michigan St Ste 400	$57.45	33	28
John R Majewski 1402 Portage Ave	$2.51	34	22
Sheri A Wilson 1245 E Ireland Rd	$20.19	34	21
Mark J Meekhof 211 N Eddy St	$56.14	35	28
Mackenzie S Warrick 53880 Carmichael Dr	$87.77	37	36

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.

Average Medicaid Office Visit Payments in South Bend, IN: $58.29

Providers Offering Office Visit in South Bend, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in South Bend, IN

Blood Work & Lab Tests

Psychiatric Evaluation

Emergency Room Visit

Physical Therapy

Vaccines & Immunizations

Durable Medical Equipment (DME)

Speech Therapy

Ambulance Transport