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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sullivan, IN: $51.04

Avg. Paid

$51.04

Range

$15.43 – $81.59

Total Claims

129,916

Providers

29

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 Sullivan, IN

Provider Avg. Paid Claims Patients
Daniel Choyce Callahan

2120 N Section St

 $49.34 23,600 15,182
Stacey L Smith

2229 Mary Sherman Dr

 $61.51 12,247 9,620
Carl F. Conwell

2229 Mary Sherman Dr

 $52.54 12,146 8,984
Sharif Reda Abdelfattah

2120 N Section St

 $28.89 9,377 3,370
Dustin Clay Ellis

2186 N Hospital Blvd Ste 2

 $47.92 8,943 7,401
Kathleen Pirtle

2186 N Hospital Blvd Ste 2

 $52.08 7,975 6,129
Tabitha Dee Simpson

2186 N Hospital Blvd Ste 2

 $46.17 6,957 5,905
Samir Ali Wahib

2200 N Section St

 $81.59 6,319 2,829
Terri Lee Brown

2229 Mary Sherman Dr

 $44.24 6,025 5,107
William Eric Heath

2229 Mary Sherman Dr

 $56.37 5,910 4,445
Jessica A Dean-Hester

2200 N Section St

 $49.15 5,235 4,235
Robert Ealy

2120 N Section St

 $53.89 4,600 3,534
Kelly Sue Evans

2204 North Section Street

 $47.55 4,471 2,787
Billie J Thurman

2200 N Section St

 $58.73 4,315 1,945
Holly Laue

2200 N Section St

 $53.18 2,841 2,442
Jessica Myers

2200 N Section St

 $43.99 2,541 2,366
Jeanna Rennee Lisman

2229 Mary Sherman Dr

 $40.03 1,694 1,406
Marsha Mae Cummins

2134 Mary Sherman Dr

 $32.09 1,328 1,219
Amy Nicole Sparks

2200 N Section St

 $55.51 1,221 1,030
Kevin Braun Flinn

2120 N Section St

 $48.59 778 637
Alexandria Clements

2186 N Hospital Blvd Ste 2

 $63.04 711 629
Sullivan County Community Hospital

2200 N Section St

 $39.65 229 220
Robert Avena

2200 N Section St

 $51.19 210 194
Kaylee May Retseck

2232 N Hospital Blvd # 265

 $15.43 59 46
William Harold Jones Jr

117 S Main St

 $35.57 54 39
Angela D Walters

2200 N Section St Ste A

 $28.43 42 42
Thomas J Newbauer

777 N Wolfenberger St

 $51.45 41 32
Steven R Anderson

114 S Court St

 $63.39 31 27
Van Evanoff

2204 N Section St

 $67.27 16 16

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 Sullivan, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sullivan, IN is $51.04 per claim, based on 129,916 claims from 29 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 Sullivan, IN?

There are 29 Medicaid providers offering Office Visit related services in Sullivan, IN according to public payment data.

What is the price range for Office Visit in Sullivan, IN?

Medicaid reimbursement for Office Visit in Sullivan, IN ranges from $15.43 to $81.59 per claim, with an average of $51.04. 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 Sullivan, IN

Blood Work & Lab Tests

Avg $6.51

63,976 claims

X-Ray

Avg $11.07

24,916 claims

Emergency Room Visit

Avg $79.46

22,793 claims

Urinalysis & Urine Tests

Avg $1.85

13,453 claims

Vaccines & Immunizations

Avg $9.71

12,554 claims

Chiropractic Care

Avg $24.89

12,300 claims

Ambulance Transport

Avg $58.88

8,840 claims

Speech Therapy

Avg $14.40

8,102 claims