Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sterling Heights, MI: $64.34

Avg. Paid

$64.34

Range

$0.00 – $124.13

Total Claims

859,446

Providers

112

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 Sterling Heights, MI

Provider	Avg. Paid	Claims	Patients
Hillsdale Pediatric Clinic Pc 3755 15 Mile Rd	$66.66	66,690	49,950
Laith Potrous Md Pllc 5843 17 Mile Rd	$69.73	50,469	41,732
Gogue Pediatrics, P.C. 39242 Dequindre Rd Ste 101	$67.23	47,615	42,461
Maple Crest Medical Plc 35450 Dequindre Rd	$57.72	46,922	42,856
Elite Internal Medicine, Pc 34580 Dequindre Rd	$71.62	37,671	34,001
Get Well Urgent Care Sterling Heights Plc 2567 Metropolitan Pkwy	$60.88	36,635	33,754
Pain Clinic Management Group, Pllc 35634 Dequindre Rd	$62.29	33,381	31,863
Sterling Heights Urgent Care,P.L.L.C 37771 Schoenherr Rd	$59.31	32,504	31,152
Trinity Medical Center, P.C. 37300 Dequindre Rd	$68.72	30,832	27,337
Town Pediatric Clinic Pllc 3755 E. 15 Mile Road	$54.66	29,784	25,924
Sterling Medical Center Pllc 13409 E 14 Mile Rd	$61.40	27,041	22,532
Michigan Primary Care Pllc 41400 Dequindre Rd Ste 121	$73.31	22,984	22,147
Associates In Family Practice Pllc 42755 Mound Rd	$74.14	22,217	20,051
Forum Medical Clinic, Pc 43184 Dequindre Rd Ste 202	$80.07	20,938	20,033
Macomb Medical Clinic Pc 2405 E 14 Mile Rd	$82.95	20,071	18,627
Raja Lewis Md Pc 33164 Ryan Rd	$66.72	19,364	16,548
Toma & Yaldo Medical Center Pc 39150 Dequindre Rd Ste 200	$66.77	17,872	16,785
Care And Transformation Center 2311 15 Mile Rd	$56.42	16,177	15,578
Durdana Rehman Md Pc 35450 Dequindre Rd	$58.33	16,158	14,515
Thaeer Sawa Md Pllc 35450 Dequindre Rd	$62.22	15,274	12,652
Basmit Medical Center Pc. 34764 Dequindre Rd	$83.74	15,271	14,028
Mendelson Orthopedics Pc 35735 Mound Rd Ste 100	$62.25	12,997	12,195
Enas Nakkash, Md Pc 35200 Dequindre Rd	$67.05	12,562	11,810
Sheldon L Gonte 42370 Van Dyke Ave	$66.83	12,402	11,751
Sterling Heights Urgent Care Walk-In Clinic 43722 Schoenherr Rd	$66.64	11,913	11,374
St Peter Medical Center Pc 3058 Metropolitan Pkwy	$49.23	11,352	10,769
Khadhory Mercy Pllc 35200 Dequindre Rd Ste 600	$62.11	10,983	10,059
Michigan Kidney Consultants, P.C. 5280 Metropolitan Pkwy	$63.88	10,271	9,961
Pediatric And Adolescent Care Associates, Pc 43184 Dequindre Rd	$80.01	9,735	8,730
Chronic Pain Consultants, P.C. 43401 Schoenherr Rd	$50.46	9,159	8,552
Macomb Physicians Group, Pllc 8244 Metropolitan Pkwy	$64.65	8,833	8,125
Pediatric Healthcare 42141 Mound Rd	$63.47	8,063	7,327
Pediatrics Plus Plc 37300 Dequindre Rd	$74.79	7,846	6,802
Dynamic Healthcare Pllc 33464 Schoenherr Rd Ste 160	$90.93	6,861	4,491
Elite Family Medicine Pllc 33200 Dequindre Rd	$74.05	6,645	6,095
Dumitru Medical Center, P.C. 38300 Van Dyke Ave Ste 104	$70.89	6,137	6,037
Bhanu J Shah 37300 Dequindre Rd Ste 115	$74.77	4,873	4,260
Hikmat P. Gogue, Md. Pc 39242 Dequindre Rd	$56.06	4,622	4,011
Cardiovascular Consultants Pc 37771 Schoenherr Rd	$64.15	4,450	4,262
Tiffany Davis 44250 Dequindre Rd	$0.05	4,448	4,364
Krishna Patel 2673 Avis Dr South	$2.93	4,178	3,715
K Heart & Vascular Institute, Pllc 33376 Dequindre Road	$57.64	3,776	3,690
Bhadresh Nayak Md Plc 8202 Irving Rd	$45.19	3,456	3,204
Katie Hamelink 14500 Hall Rd	$0.99	3,422	3,252
Kuldip S. Deogun, Md, Pc 43145 Schoenherr Rd	$42.11	3,288	3,122
Arthritis And Internal Medicine, P.C. 37300 Dequindre Rd.	$51.48	2,934	2,848
Tri-County Medical Clinic, P.C. 37450 Dequindre Rd	$68.19	2,782	2,622
Mazen Alsaqa Md Pllc 1988 Long Meadow Dr	$45.28	2,700	2,432
Silver Pine Medical Group Plc 43455 Schoenherr	$35.19	2,670	2,445
Skywalk Internal Medicine, Pc 44344 Dequindre Rd	$20.33	2,607	2,389

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 Sterling Heights, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sterling Heights, MI is $64.34 per claim, based on 859,446 claims from 112 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 Sterling Heights, MI?

There are 112 Medicaid providers offering Office Visit related services in Sterling Heights, MI according to public payment data.

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

Medicaid reimbursement for Office Visit in Sterling Heights, MI ranges from $0.00 to $124.13 per claim, with an average of $64.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sterling Heights, MI: $64.34

Providers Offering Office Visit in Sterling Heights, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Sterling Heights, MI

Dental Cleaning & Exam

Physical Therapy

Blood Work & Lab Tests

Vaccines & Immunizations

Psychiatric Evaluation

Ambulance Transport

Dental Filling

Urinalysis & Urine Tests