Average Medicaid Office Visit Payments in Southgate, MI: $68.11
Avg. Paid
$68.11
Range
$2.26 – $95.96
Total Claims
408,900
Providers
41
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 Southgate, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
City Medical P C
13636 Dix Toledo |
$61.39 | 78,653 | 71,816 |
|
The Guidance Center
13101 Allen Rd |
$87.18 | 54,744 | 52,114 |
|
Dr. Dinesh Nayak, Md, P.C.
15255 Northline Rd |
$75.57 | 54,277 | 49,002 |
|
Michael L. Gambel M.D., P.C.
12100 Dix Toledo Rd |
$58.40 | 22,754 | 19,212 |
|
Ghassan A Atto Md Pllc
11275 Allen Rd |
$75.35 | 22,079 | 20,099 |
|
Southgate Urgent Care Pc
14523 Northline Rd |
$66.06 | 21,131 | 20,444 |
|
Orthopedic Associates, P.C.
13479 Northline Rd |
$40.39 | 21,051 | 12,224 |
|
Get Well Urgent Care Southgate Plc
15830 Fort St |
$64.32 | 16,659 | 14,985 |
|
Child And Adolescent Center P C
15350 Trenton Rd |
$75.34 | 15,134 | 14,159 |
|
Southgate Medical Group, Pllc
3 Heritage Center |
$74.48 | 12,562 | 11,673 |
|
Health First Medical Center Plc
12100 Dix Toledo Rd |
$73.96 | 12,333 | 10,705 |
|
Allergy And Asthma Clinic Of Michigan Pllc
12811 Northline Rd |
$63.23 | 8,887 | 8,514 |
|
Downriver Heart And Vascular Specialists Pc
15150 Fort St |
$47.49 | 7,986 | 7,790 |
|
Southgate Medical Center Pllc
12815 Northline Rd |
$61.91 | 6,850 | 6,093 |
|
Downriver Urgent Care Pllc
15830 Fort St |
$67.05 | 5,846 | 5,303 |
|
Southgate Medical Clinic Pc
13819 Trenton Rd |
$83.95 | 5,700 | 5,185 |
|
Internal Medicine Assoc Of Mi Pc
15105 Northline Rd |
$63.71 | 5,670 | 5,376 |
|
Farah Iftikhar
15777 Northline Rd |
$54.14 | 5,294 | 4,903 |
|
Lakshmi Hanasoge
15555 Northline Rd |
$35.21 | 4,701 | 4,361 |
|
Southgate Urgent Care Pc
14523 Northline Rd |
$61.66 | 4,591 | 4,430 |
|
Markeeta West
15777 Northline Rd Ste 200 |
$77.90 | 3,288 | 3,079 |
|
Acadian Supreme Health Services
12866 Fort St |
$84.96 | 3,108 | 2,457 |
|
Ahmad Ammar Mourad
15350 Trenton Rd |
$94.14 | 2,195 | 2,190 |
|
Dix-Eureka Med Center Pc
14797 Dix Toledo Rd |
$75.79 | 1,844 | 1,379 |
|
Lamis,Inc.
15450 Northline Rd |
$87.56 | 1,775 | 1,715 |
|
Ahmad R Zeibo Md Pllc
15450 Northline Rd Ste 102 |
$91.44 | 1,738 | 1,646 |
|
Downriver Endocrinology Plc
15125 Northline Rd |
$59.30 | 1,552 | 1,473 |
|
Suzette Michele Watson
16525 Fort St |
$3.14 | 1,224 | 721 |
|
Southgate Foot And Ankle Center Pllc
14535 Northline Rd. |
$41.68 | 1,072 | 975 |
|
Margaret Diane Barden
13667 Eureka Rd |
$2.87 | 1,043 | 995 |
|
R.R. Vemuri, M.D.
13225 Northline Rd |
$68.88 | 922 | 897 |
|
R.R. Yalamanchi, M.D. P.C.
13300 Northline Rd |
$70.92 | 619 | 516 |
|
Michigan Hematology & Oncology Institute, P.C.
15750 Northline Rd |
$56.79 | 585 | 560 |
|
Kathryn Shannon Maloy
15675 Northline Rd |
$65.12 | 261 | 241 |
|
Family Medical Center Of Michigan,Inc
13101 Allen Rd |
$2.26 | 238 | 226 |
|
Mohamad Al-Jarrah
15830 Fort St |
$60.86 | 194 | 192 |
|
Rachelle Jeanette Liriano
14799 Dix Toledo Rd |
$83.57 | 188 | 184 |
|
Danny A Kaplan Dpm P.C.
15830 Fort St |
$50.89 | 53 | 53 |
|
Lekeysha Marie Robinson-Royster
13667 Eureka Rd |
$41.71 | 46 | 42 |
|
Megha Mohey Md Pc
14752 Northline Rd |
$95.96 | 29 | 28 |
|
Patricia Mary Milner
13101 Allen Rd |
$40.35 | 24 | 24 |
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 Southgate, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Southgate, MI is $68.11 per claim, based on 408,900 claims from 41 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 Southgate, MI?
There are 41 Medicaid providers offering Office Visit related services in Southgate, MI according to public payment data.
What is the price range for Office Visit in Southgate, MI?
Medicaid reimbursement for Office Visit in Southgate, MI ranges from $2.26 to $95.96 per claim, with an average of $68.11. 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 Southgate, MI
Behavioral & Mental Health Therapy
Avg $100.61
507,805 claims
Substance Abuse Treatment
Avg $29.64
155,117 claims
Psychiatric Evaluation
Avg $104.07
140,596 claims
Case Management Services
Avg $180.80
119,834 claims
Vaccines & Immunizations
Avg $7.08
105,169 claims
Blood Work & Lab Tests
Avg $18.75
86,916 claims
Urinalysis & Urine Tests
Avg $2.12
26,338 claims
Dental Cleaning & Exam
Avg $37.76
19,424 claims