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
Megan Leah Stilwill 4020 W Royal Dr	$58.92	12	12
Mary Priestly 550 Munson Ave	$28.57	14	14
Stephen L Morgan 550 Munson Ave	$28.72	14	14
Birch Tree Podiatry Group Pc 620 Woodmere Ave	$63.28	14	14
Specialized Eye Care And Eye Wear Services, Pllc 1325 W South Airport Rd	$52.83	14	12
Munson Medical Group 5041 N Royal Dr	$68.25	14	14
Munson Medical Center 5085 Anna Dr Ste B&C	$19.75	16	12
Darnell B Ganley 4075 Copper Ridge Dr	$18.96	21	19
Eric B Lerche Do Pc 5246 N Royal Dr	$38.86	24	24
Scarbrough Professional Services, P.C. 527 W Front St	$34.96	25	25
Dr Justin J Hollander Pc 5246 N Royal Dr	$44.39	25	25
Munson Medical Center 5085 Anna Dr Ste A	$52.63	26	26
Great Lakes Plastic Surgery Center 5085 Anna Dr	$48.13	26	25
County Of Grand Traverse 2600 Lafranier Rd Ste A	$38.06	26	24
Northern Michigan Gastroenterology Plc 224 Circle Dr	$45.46	28	26
14Th Street Chiropractic, Pllc 115 E 14Th St.	$13.50	28	28
E. A. Austin Do Pc 110 S Madison St	$57.76	29	28
Amelia Louise Bueche 869 Robinwood Ct	$51.46	31	24
J Weber Medical Group Pllc 620 Woodmere Ave Ste C	$64.91	37	36
Cody Alan Overmyer 1105 Sixth St	$52.28	39	36
Steven E Slikkers 1221 Sixth St Ste 300	$64.53	41	36
Jeffrey C Magnatta 3601 W Front St	$36.07	43	38
Hilarion Bibicoff 3537 W Front St Ste E	$35.81	45	45
The Behavioral Medicine Clinic Of Northwest Michigan, P.C. 745 S Garfield Ave	$60.01	46	42
Abigail Elizabeth Bobbitt 5085 Anna Dr Ste A	$19.32	50	38
Simone E King 815 Business Park Dr Ste A	$33.46	51	46
Murphy Chiropractic, Plc. 2044 S Airport Rd W	$12.63	52	52
Munson Medical Center 1105 Sixth St	$26.23	55	52
Sergei Shumaster 1400 Medical Campus Dr	$31.87	63	63
Choices Inc 3180 Racquet Club Dr Ste D	$250.00	63	62
Munson Home Care 550 Munson Ave	$55.14	78	68
April Elizabeth Kurkowski 10850 E Traverse Hwy Ste 4400	$35.10	86	86
Munson Medical Group 550 Munson Ave	$65.54	91	82
Vein Center And Medical Spa 4020 Copper Vw Ste 212	$46.10	94	87
Brian D. Heeringa Pc 880 Munson Ave Ste A	$37.73	95	88
Kelly Ryan 1719 S Garfield Ave	$35.28	102	87
Adam Bryant Smith 4977 Skyview Ct	$30.07	127	95
Rebecca De Carolis 1105 6Th St	$42.39	127	127
Monica M Wellings 4075 Copper Ridge Dr	$102.79	131	131
Autism Center Of Northern Michigan 990 Garfield Woods Dr Ste B	$248.05	133	132
Traverse City Eye Consultants P C 5199 N Royal Dr	$67.56	138	129
William Corry Stych 4001 W Royal Dr	$36.62	146	134
Structure And Function Chiropractic And Rehab Plc 310 W Front St	$1.83	147	136
Lori Ann Lemonnier 1104 Cass St	$20.30	155	134
Munson Medical Center 5087 N Royal Dr Ste B	$61.02	158	157
Indigo Hospital Medicine - Traverse City, Plc 1105 Sixth St	$42.00	165	132
Amy Patel Couturier 802 S Garfield Ave Ste C	$0.78	169	165
Novello Specialty Clinic Pc 4100 Park Forest Dr Ste 200	$60.74	174	174
Dr. Heather K. Lee, D.O., Pllc 3537 W Front St Ste A	$53.88	181	178
Munson Medical Group 921 W Front St	$85.93	185	167

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

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