Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Southfield, MI: $55.84

Avg. Paid

$55.84

Range

$0.00 – $201.63

Total Claims

1,378,505

Providers

188

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 Southfield, MI

Provider	Avg. Paid	Claims	Patients
Vhs Physicians Of Michigan 29201 Telegraph Rd Ste 404N	$56.61	561,409	536,436
Southfield City Urgent Care Pc 23832 Southfield Rd	$60.75	112,502	106,816
Ascension Providence Hospital 16001 W 9 Mile Rd	$49.95	58,539	56,334
Ascension Providence Hospital 16001 W 9 Mile Rd	$48.20	50,116	47,619
Michigan Orthopaedic Surgeons Pllc 26025 Lahser Rd Fl 2	$54.17	41,937	40,791
Ear Nose And Throat Consultants Pc 29201 Telegraph Rd	$68.14	37,353	36,448
New Horizon Pediatric Care P.C. 23077 Greenfield Rd	$63.43	32,033	30,453
Ascension Providence Hospital 16001 W 9 Mile Rd	$45.49	21,497	20,943
Ascension St John Hospital 22301 Foster Winter Dr	$53.85	21,195	20,265
University Neurosurgical Associates Pc 29275 Northwestern Hwy	$53.24	19,918	19,309
Academic Internal Medicine Specialists Pllc 26677 W 12 Mile Rd # B6	$49.06	19,596	18,536
Ascension Providence Hosptial 16001 W 9 Mile Rd	$61.19	18,761	18,129
University Allergy & Asthma Center Pllc 23077 Greenfield Rd	$62.17	17,697	16,998
Ascension Providence Hospital 16001 W 9 Mile Rd	$64.17	17,160	14,907
Ascension Providence Hospital 16001 W 9 Mile Rd	$49.68	14,528	14,179
Hasan Hasaba Md Pllc 15990 W 9 Mile Rd Ste 100	$65.25	14,390	13,502
Dr. S.Rao Talla 17356 W 12 Mile Rd	$63.89	13,832	12,832
Priya Rajkumar 28411 Northwestern Hwy	$2.93	13,531	8,573
Health Centers Detroit Foundation, Inc. 23077 Greenfield Rd Ste 489	$1.20	12,937	11,981
Singer Dermatology 29355 Northwestern Hwy	$56.49	12,510	12,015
Southfield Family Practice Pllc 22972 Lahser Road	$68.05	11,433	10,794
Karmo Pediatric Center 26206 W 12 Mile Rd	$65.17	10,549	9,621
Michigan Pain Management Consultants, Pc 22255 Greenfield Rd Ste 500	$50.63	10,111	9,411
Express Med Urgent Care, Pllc 19725 W 12 Mile Rd	$47.64	9,675	8,977
May M Antone Md Pc 29275 Northwestern Hwy	$60.81	8,314	7,286
Doctors Urgent Care Oakpark Southfield 23303 Greenfield Rd	$67.71	7,699	7,272
Michigan Spine And Brain Surgeons, Pllc 22250 Providence Dr	$50.37	7,560	7,427
Jeffrey T Najor Md Pllc 24060 W 9 Mile Rd	$57.23	7,092	6,393
Laina Feinstein Md Pc 29829 Telegraph Rd	$44.08	7,091	6,421
Straith Hospital For Special Surgery 23901 Lahser Rd	$44.34	6,681	6,437
Gastrointestinal And Liver Disorders Specialists Pllc 27200 Lahser Rd	$74.42	6,480	6,428
Oakland Integrated Healthcare Network 22200 W. Nine Mile Rd	$3.46	5,756	5,340
Ascension Southeast Michigan Community Health 15590 W 9 Mile Rd	$32.32	5,535	5,162
Rashmi Gupta Md Pc 29592 Northwestern Hwy	$72.65	5,512	5,445
Hamid Sattar Md Pc 25130 Southfield Rd Ste 120	$57.11	5,473	5,258
Advanced Eye Care Md Pc 23077 Greenfield Suite 144	$53.23	5,432	5,252
Michigan Eyecare Institute, P.C. 29877 Telegraph Rd	$57.68	5,231	4,975
Dhia Louis Yousif Md 28437 Greenfield Rd	$79.07	5,112	3,584
Leonard Ellison Jr Md Pc 17330 Northland Park Ct	$63.51	5,060	4,886
Robert S Singer 29355 Northwestern Hwy	$63.42	4,967	4,759
Glaucoma Center Of Michigan Pc 29201 Telegraph Rd	$62.54	4,910	4,851
Harold Weiss Md&Mark Haimann Md&Joel Miller Md&Susan Malinowski Md 29201 Telegraph Rd	$52.18	4,798	4,719
Amjad Shidyak 28411 Northwestern Hwy	$35.98	4,790	4,049
Sarmad Al-Mansour, Md, Pc 22972 Lahser Rd	$44.17	4,343	4,284
Northwest Neurology Pc 27200 Lahser Rd	$68.61	4,286	4,122
First Ideal Enterprises Inc. 21700 Northwestern Hwy	$73.06	3,905	3,590
Edison Health Care Associates, Inc 20755 Greenfield Rd	$70.55	3,544	3,386
O L Matthews Md Pc 29201 Telegraph Rd Ste 400	$68.61	3,535	3,243
Melvin C. Murphy, M.D. P.C. 23077 Greenfield Rd	$48.98	3,460	3,088
Consultants In Ophthalmic & Facial Plastic Surgery 29201 Telegraph Rd	$65.84	3,387	3,354

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 Southfield, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Southfield, MI is $55.84 per claim, based on 1,378,505 claims from 188 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 Southfield, MI?

There are 188 Medicaid providers offering Office Visit related services in Southfield, MI according to public payment data.

What is the price range for Office Visit in Southfield, MI?

Medicaid reimbursement for Office Visit in Southfield, MI ranges from $0.00 to $201.63 per claim, with an average of $55.84. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Southfield, MI: $55.84

Providers Offering Office Visit in Southfield, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Southfield, MI

Home Health Visit

X-Ray

Emergency Room Visit

Dental Cleaning & Exam

Vaccines & Immunizations

Behavioral & Mental Health Therapy

Ultrasound

CT Scan (Computed Tomography)