Average Medicaid Office Visit Payments in Trafalgar, IN: $57.55
Avg. Paid
$57.55
Range
$39.44 – $84.25
Total Claims
28,202
Providers
10
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 Trafalgar, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mirela Ungureanu
14 Trafalgar Sq |
$58.87 | 8,189 | 6,312 |
|
Michael W Chitwood
14 Trafalgar Sq |
$39.44 | 7,316 | 5,578 |
|
Kylee Caitlin Stinson
106 S State Road 135 |
$84.25 | 3,317 | 2,874 |
|
Brittany Martin
14 Trafalgar Sq |
$58.79 | 2,848 | 2,395 |
|
Patricia Ann Hallett
106 S State Road 135 Ste C |
$61.00 | 2,579 | 2,132 |
|
Lindsay Lindsey
106 S State Road 135 Ste C |
$50.49 | 1,812 | 1,509 |
|
Amanda Yuan Gu
14 Trafalgar Sq |
$75.77 | 1,690 | 1,470 |
|
Monica Hauger
106 S State Road 135 Ste C |
$67.10 | 200 | 178 |
|
Sarah Lynne Weber
106 S State Road 135 Ste C |
$61.66 | 182 | 159 |
|
Randall A Lee
14 Trafalgar Sq |
$56.93 | 69 | 61 |
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 Trafalgar, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Trafalgar, IN is $57.55 per claim, based on 28,202 claims from 10 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 Trafalgar, IN?
There are 10 Medicaid providers offering Office Visit related services in Trafalgar, IN according to public payment data.
What is the price range for Office Visit in Trafalgar, IN?
Medicaid reimbursement for Office Visit in Trafalgar, IN ranges from $39.44 to $84.25 per claim, with an average of $57.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Trafalgar, IN
Speech Therapy
Avg $36.18
7,829 claims
Blood Work & Lab Tests
Avg $3.36
5,269 claims
Psychiatric Evaluation
Avg $60.80
3,366 claims
Vaccines & Immunizations
Avg $8.89
1,614 claims
Physical Therapy
Avg $25.24
1,472 claims
Behavioral & Mental Health Therapy
Avg $93.35
48 claims
Hearing Test (Audiometry)
Avg $4.55
31 claims
Non-Emergency Medical Transportation
Avg $16.20
30 claims