Average Medicaid Office Visit Payments in Three Rivers, MI: $19.60
Avg. Paid
$19.60
Range
$4.93 – $72.74
Total Claims
69,037
Providers
16
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 Three Rivers, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michele Marie Brock
1021 Hill St Ste 100 |
$59.73 | 38 | 28 |
|
Lacey B Freeman
701 S Health Pkwy |
$16.78 | 71 | 54 |
|
Anthony B Janas
517 S Erie St |
$48.01 | 123 | 117 |
|
Muhammad S. Ahmed
701 S Health Pkwy |
$18.74 | 179 | 136 |
|
River Country Eye Care, Pllc
1107 W Broadway St |
$62.42 | 287 | 281 |
|
Three Rivers Health System, Inc
715 S Health Parkway |
$43.83 | 293 | 271 |
|
Cheri Denise Benner
601 S Us Highway 131 |
$72.74 | 424 | 419 |
|
Bennett Optometry Llc
56847 N Main St |
$36.03 | 619 | 597 |
|
Three Rivers Health System Inc
655 S Erie St |
$52.70 | 755 | 669 |
|
Karan L Thomas
701 S Health Pkwy |
$72.29 | 1,659 | 1,528 |
|
Three Rivers Health System, Inc
701 S Health Parkway |
$32.62 | 2,500 | 1,661 |
|
Three Rivers Health System, Inc
16587 Enterprise Dr |
$60.30 | 3,741 | 3,663 |
|
Three Rivers Health System, Inc
850 S Health Parkway |
$25.30 | 5,405 | 5,086 |
|
Three Rivers Health System, Inc
1021 Hill St Ste 300 |
$52.50 | 7,926 | 7,531 |
|
Three Rivers Health System, Inc
711 S Health Parkway Ste 1 |
$6.16 | 12,244 | 11,685 |
|
Three Rivers Health System, Inc
721 6Th Ave Ste A |
$4.93 | 32,773 | 30,441 |
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 Three Rivers, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Three Rivers, MI is $19.60 per claim, based on 69,037 claims from 16 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 Three Rivers, MI?
There are 16 Medicaid providers offering Office Visit related services in Three Rivers, MI according to public payment data.
What is the price range for Office Visit in Three Rivers, MI?
Medicaid reimbursement for Office Visit in Three Rivers, MI ranges from $4.93 to $72.74 per claim, with an average of $19.60. 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 Three Rivers, MI
Blood Work & Lab Tests
Avg $3.69
116,807 claims
Emergency Room Visit
Avg $138.11
67,359 claims
Vaccines & Immunizations
Avg $1.30
35,915 claims
Urinalysis & Urine Tests
Avg $0.60
30,864 claims
Physical Therapy
Avg $23.99
23,921 claims
Chiropractic Care
Avg $21.28
15,797 claims
X-Ray
Avg $25.90
14,825 claims
Prescription Medications
Avg $3.36
13,017 claims