Average Medicaid Office Visit Payments in Sturgis, MI: $43.68
Avg. Paid
$43.68
Range
$1.86 – $57.72
Total Claims
104,620
Providers
14
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 Sturgis, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ascension Medical Group Promed
1555 E Chicago Rd |
$57.72 | 35,738 | 32,210 |
|
Center For Health And Wellness Of Sturgis Pc
1904 E Chicago Rd |
$56.66 | 19,551 | 16,488 |
|
Revolution Health Pc
104 S Lakeview Ave |
$56.41 | 15,938 | 14,114 |
|
Sturgis Hospital, Inc.
1717 E Chicago Rd |
$2.55 | 14,072 | 12,602 |
|
Sturgis Hospital, Inc.
1555 E Chicago Rd |
$1.86 | 10,397 | 8,904 |
|
Dany Mamou
1717 E Chicago Rd |
$53.24 | 4,342 | 3,985 |
|
Sturgis Hospital, Inc.
916 Myrtle St |
$43.60 | 3,114 | 2,905 |
|
Sturgis Hospital, Inc.
916 Myrtle St |
$56.01 | 802 | 778 |
|
Robin D Moffitt
1717 E Chicago Rd |
$52.88 | 315 | 256 |
|
Illume Wellness Group
1904 E Chicago Rd |
$44.96 | 172 | 134 |
|
Bharat M. Vakharia, Md Pc
26273 Us Highway 12 |
$49.83 | 91 | 79 |
|
Traci J Van Gorden
104 S Lakeview Ave |
$42.79 | 38 | 36 |
|
William Brett Rogers
916 Myrtle St |
$53.29 | 30 | 29 |
|
Sturgis Hospital, Inc.
916 Myrtle St |
$42.47 | 20 | 18 |
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 Sturgis, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sturgis, MI is $43.68 per claim, based on 104,620 claims from 14 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 Sturgis, MI?
There are 14 Medicaid providers offering Office Visit related services in Sturgis, MI according to public payment data.
What is the price range for Office Visit in Sturgis, MI?
Medicaid reimbursement for Office Visit in Sturgis, MI ranges from $1.86 to $57.72 per claim, with an average of $43.68. 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 Sturgis, MI
Home Health Visit
Avg $69.61
10,030,835 claims
Personal Care Services
Avg $44.83
5,684,948 claims
Blood Work & Lab Tests
Avg $2.99
88,502 claims
Vaccines & Immunizations
Avg $3.23
40,548 claims
Behavioral & Mental Health Therapy
Avg $67.50
36,487 claims
Emergency Room Visit
Avg $166.74
29,516 claims
Physical Therapy
Avg $37.05
19,559 claims
Urinalysis & Urine Tests
Avg $1.08
19,424 claims