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 |
|---|---|---|---|
|
Charles Skardarasy, Md, Pc
33464 Schoenherr Rd |
$31.68 | 12 | 12 |
|
Mohamad Al-Jarrah M D P C
36909 Schoenherr Rd Ste 100 |
$91.40 | 13 | 12 |
|
Janan Hawil, Md, Pc
35450 Dequindre Rd Ste 103 |
$58.15 | 14 | 12 |
|
Bojana Jovanovic
14500 Hall Rd |
$65.22 | 14 | 14 |
|
Butzin, Matoshko & Associates Chiropractic Clinics Pllc
2050 Chesley Dr |
$0.00 | 15 | 15 |
|
Podcare Pc
8244 Metro Pkwy |
$29.01 | 16 | 15 |
|
Autumn Nicole Greene
44344 Dequindre Rd Ste 260 |
$75.48 | 18 | 15 |
|
Robert Piccinini, Do Pllc
43157 Schoenherr Rd |
$63.98 | 29 | 29 |
|
Omni Footcare Associates, Pc
13811 19 Mile Rd |
$39.09 | 32 | 28 |
|
Sreeker Nallu Reddy
33376 Dequindre Rd |
$124.13 | 35 | 35 |
|
Great Lakes Pediatric Cardiology Pllc
43200 Dequindre Rd Ste 105 |
$99.97 | 47 | 47 |
|
Craig Joseph Shaeffer
4110 17 Mile Rd |
$28.97 | 48 | 48 |
|
Macomb Rehab Methods
14300 15 Mile Rd |
$13.47 | 53 | 53 |
|
Premier Services Of Michigan, Llc
34208 Van Dyke Ave |
$30.00 | 62 | 62 |
|
Hikmat P Gogue
39242 Dequindre Rd |
$51.61 | 71 | 55 |
|
Sns Medical Group
37300 Dequindre Rd Ste 102 |
$71.67 | 79 | 75 |
|
Rana Gogue
39242 Dequindre Rd |
$64.01 | 81 | 81 |
|
Legacy Family Medicine Pc
35429 Schoenherr Rd |
$84.88 | 87 | 82 |
|
Antonio H Nucum
5528 Metropolitan Pkwy |
$60.85 | 89 | 81 |
|
Michael Sackman
3755 15 Mile Rd |
$0.00 | 107 | 99 |
|
Normandy Optical West, Pllc
36838 Ryan Rd |
$42.75 | 150 | 136 |
|
Roshni Sudhir Desai
43698 Vintners Place Dr |
$82.12 | 155 | 126 |
|
William F Goss Dc I Pllc
5600 Metropolitan Pkwy |
$9.75 | 157 | 154 |
|
Training And Treatment Innovations Inc
13213 E 14 Mile Rd |
$62.61 | 167 | 163 |
|
Clinical Neurophysiology Services, Pc
44344 Dequindre Rd Ste 360 |
$46.33 | 170 | 152 |
|
Dr. Walter B. Coleman Pc
9001 15 Mile Rd |
$38.27 | 181 | 163 |
|
Bassam Kinaya Md Pc
35450 Dequindre Rd |
$24.07 | 193 | 176 |
|
Medcenter Urgent Care Pllc
33200 Dequindre Rd Ste 200 |
$70.68 | 223 | 219 |
|
Lilys Medical Group Pllc
37300 Dequindre Rd Ste 102 |
$81.89 | 232 | 228 |
|
Family Care Urgent Care Pllc
5843 17 Mile Rd |
$66.65 | 299 | 290 |
|
John P Lazoritz
3500 15 Mile Rd |
$17.62 | 309 | 265 |
|
Paul Luke Gogue
39242 Dequindre Rd |
$45.27 | 426 | 346 |
|
Nuch Of Michigan Inc
36765 Van Dyke Ave |
$64.28 | 433 | 430 |
|
Premier Hematology Oncology Care Inc
8244 Metro Pkwy |
$68.30 | 451 | 370 |
|
David M Viviano Md Orthopaedic Surgery Plc
42950 Schoenherr Rd |
$71.01 | 469 | 434 |
|
Comprehensive Health Care Center Of Michigan, Pllc
44344 Dequindre Rd |
$75.85 | 491 | 430 |
|
Kirk Francis Garcia-Rios
3500 15 Mile Rd |
$33.87 | 589 | 510 |
|
Alternacare P.C. Dba Complete Family Care
43956 Mound Rd |
$51.53 | 593 | 529 |
|
Ethel L Villanueva
5528 Metropolitan Pkwy |
$63.29 | 661 | 589 |
|
Dr Kyle W Sundblad Pc
41400 Dequindre Rd |
$52.56 | 661 | 644 |
|
Inder J Saini
3850 Metro Pkwy |
$48.20 | 735 | 528 |
|
Emil Sitto Md Pc
37538 Dequindre Rd |
$32.35 | 763 | 707 |
|
Arthritis And Rheumatology Center Of Mi Pc
39242 Dequindre Rd Ste 103 |
$57.58 | 838 | 817 |
|
Advanced Women'S Health Specialists Pllc
43138 Dequindre Rd |
$55.96 | 909 | 842 |
|
Sudad L Louis
39150 Dequindre Rd Ste 200 |
$59.27 | 982 | 960 |
|
William Massey Md Pc
43243 Schoenherr Rd |
$78.20 | 989 | 936 |
|
Sawsan Jamil Md Pllc
6043 19 Mile Rd |
$74.84 | 1,037 | 993 |
|
Rania Othman
44250 Dequindre Rd |
$69.69 | 1,057 | 1,012 |
|
Nasir Husain, M.D., P.C.
43303 Schoenherr Rd |
$67.95 | 1,081 | 1,053 |
|
David Basch Dpm Pc
39601 Van Dyke Ave |
$50.87 | 1,175 | 1,068 |
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.
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 Sterling Heights, MI
Dental Cleaning & Exam
Avg $35.14
308,192 claims
Physical Therapy
Avg $31.69
256,428 claims
Blood Work & Lab Tests
Avg $5.34
163,292 claims
Vaccines & Immunizations
Avg $8.67
137,671 claims
Psychiatric Evaluation
Avg $63.83
123,170 claims
Ambulance Transport
Avg $93.94
109,353 claims
Dental Filling
Avg $110.14
72,607 claims
Urinalysis & Urine Tests
Avg $2.30
47,139 claims