Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Traverse City, MI: $64.72

Avg. Paid

$64.72

Range

$0.78 – $250.00

Total Claims

506,245

Providers

139

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 Traverse City, MI

Provider	Avg. Paid	Claims	Patients
Traverse Health Clinic And Coalition 1719 S Garfield Ave	$8.50	37,510	34,228
Kids Creek Childrens Clinic Pc 5024 N Royal Dr	$71.18	35,647	31,556
Northern Lakes Community Mental Health Authority 105 Hall Street	$231.07	30,776	27,924
Grand Traverse Children'S Clinic 3537 W Front St Ste G	$69.52	27,540	25,317
Munson Medical Center 550 Munson Ave	$43.75	26,380	25,541
Traverse Area Pediatric And Adolescent Clinic Plc 4020 W Royal Dr	$70.51	22,694	19,895
Best Medical Services Plc 814 S Garfield Ave Ste C	$60.05	18,563	15,971
Grand Traverse Womens Clinic Pllc 1200 6Th St	$53.68	18,483	16,918
Munson Medical Group 1200 Sixth St	$45.70	18,297	18,058
Munson Medical Group 1400 Medical Campus Dr	$51.03	18,107	16,492
Crystal Lake Clinic, Pc 5191 Rosewood Dr	$66.44	17,211	16,124
Munson Medical Center 3074 N Us 31 S	$60.79	14,486	13,848
Northern Michigan Medicine And Pediatrics, Pllc 3643 W Front St	$68.20	13,184	12,250
Munson Medical Center 4230 Copper Ridge Dr	$48.48	10,944	9,539
West Front Primary Care, P.L.L.C. 4290 Copper Ridge Dr Ste 200	$64.36	10,343	9,442
Richard C Schultz Md & Associates Pc 1104 Cass St	$56.51	9,508	9,147
Crystal Lake Clinic P.C. 4025 Chums Village Dr	$71.35	9,250	8,774
Munson Medical Center 1105 Sixth St	$57.51	8,846	8,690
Digestive Health Associates Of Northern Michigan, P.C. 4100 Park Forest Dr	$60.70	8,553	8,445
Bayside Allergy, P.C. 447 Munson Ave	$71.57	8,450	8,340
Great Lakes Orthopaedic Center, P.C. 4045 W Royal Dr	$46.11	8,064	7,828
Urgent Care Of Traverse City Pllc 3074 N Us 31 S	$60.03	7,655	7,278
Rahul Ramesh Sampat 1400 Medical Campus Dr	$46.22	7,279	6,517
Jake Robert Jones 801 S Garfield Ave Ste 229	$62.77	6,908	6,144
Sally Ann Shevlin 550 Munson Ave	$54.66	6,826	5,890
Munson Medical Center 1400 Medical Campus Dr	$37.83	6,752	5,959
Northwestern Michigan Emergency Physicians Pc 1105 6Th St	$49.46	6,141	6,035
Munson Medical Center 217 S Madison Street	$44.05	5,332	4,912
Munson Medical Center 1221 Sixth St Ste 208	$48.30	5,283	5,186
Munson Medical Center 550 Munson Ave	$35.96	4,942	4,824
Munson Medical Center 3922 Cedar Run Rd	$42.19	4,570	4,493
Grand Traverse Allergy Pc 3899 W Front St Ste 1	$66.41	4,556	4,471
Addiction Treatment Services, Inc. 1010 S Garfield Ave	$58.16	4,518	3,676
Grand Traverse Ophthalmology Clinic Pc 929 Business Park Dr	$55.23	3,534	3,316
Munson Medical Group 224 Circle Dr	$60.50	3,077	2,965
Munson Medical Center 3922 Cedar Run Rd	$52.77	2,657	2,630
Anne P Taylor 1105 Sixth St	$43.52	2,585	1,716
Bay Area Family Care Of Traverse City Plc 906 Business Park Dr	$65.40	2,464	2,327
Cherry Bend Family Care, Plc 10223 E Cherry Bend Rd	$62.30	2,413	2,177
Grand Traverse Foot & Ankle Center P.C. 4246 N. Three Mile Rd.	$33.27	2,297	2,117
Munson Medical Center 1221 Sixth St	$43.11	2,178	2,135
Northwood Obstetrics And Gynecology,Pc 3960 W Royal Dr	$49.79	2,164	2,005
Partners In Family Practice, P.C. 3601 W Front St	$59.11	2,138	1,971
Thirlby Clinic Plc 4110 Copper Ridge Drive	$54.38	1,940	1,809
Munson Medical Center 550 Munson Ave	$62.81	1,776	1,768
Grand Traverse Internists, Pc 5015 N. Royal Drive	$61.82	1,690	1,604
Munson Medical Center 1221 6Th St	$46.24	1,629	1,565
Munson Medical Center 3537 W Front St	$67.39	1,574	1,545
Northern Lakes Community Mental Health Authority 105 Hall St	$58.43	1,569	1,496
Dbmj Rehabilitation Services Pllc 3988 W Royal Dr	$47.28	1,509	1,489

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 Traverse City, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Traverse City, MI is $64.72 per claim, based on 506,245 claims from 139 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 Traverse City, MI?

There are 139 Medicaid providers offering Office Visit related services in Traverse City, MI according to public payment data.

What is the price range for Office Visit in Traverse City, MI?

Medicaid reimbursement for Office Visit in Traverse City, MI ranges from $0.78 to $250.00 per claim, with an average of $64.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Traverse City, MI: $64.72

Providers Offering Office Visit in Traverse City, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Traverse City, MI

Blood Work & Lab Tests

X-Ray

Substance Abuse Treatment

Emergency Room Visit

Psychiatric Evaluation

Case Management Services

Vaccines & Immunizations

Home Health Visit