Average Medicaid Office Visit Payments in Trenton, MI: $71.74
Avg. Paid
$71.74
Range
$23.26 – $112.56
Total Claims
62,902
Providers
22
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 Trenton, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Trenton Total Health Care Center Pc
1675 Kingsway Ct |
$83.00 | 17,134 | 15,411 |
|
Kashif Qureshi Md Pc
3645 West Rd |
$84.94 | 10,042 | 9,438 |
|
River Urgent Care & Medical Clinic Pc
3645 West Rd |
$62.08 | 5,510 | 5,211 |
|
Baldev Gupta M.D., P.C.
3700 West Rd |
$90.25 | 5,182 | 4,993 |
|
Downriver Obstetrics And Gynecology Plc
1651 Kingsway Ct |
$51.00 | 5,036 | 4,775 |
|
A Access Pc
1640 Fort St |
$74.62 | 4,126 | 3,996 |
|
Riverside Ob Gyn P C
2275 W Jefferson Ave |
$47.15 | 4,042 | 3,689 |
|
Henry Ford Wyandotte Hospital
1640 Fort Street |
$61.25 | 2,579 | 2,515 |
|
Ahmad Farah Dpm Pc
2105 West Rd |
$45.69 | 1,878 | 1,718 |
|
Lucia A Leone
2901 West Rd |
$46.62 | 1,422 | 1,352 |
|
Michael Ducato Md, Pc
2901 West Rd |
$75.14 | 1,329 | 1,220 |
|
N Gupta Md Pc
1660 Kingsway Ct |
$57.29 | 1,132 | 926 |
|
Steven R Papp Do Pc
3231 West Rd |
$45.59 | 1,123 | 1,105 |
|
Max Asa Izbicki
5400 Fort St Ste 250 |
$37.96 | 651 | 541 |
|
South Valley Internal Medicine, P.C.
2674 W Jefferson Ave |
$72.22 | 350 | 314 |
|
River Urgent Care & Medical Clinic Pc
3645 West Rd |
$45.16 | 338 | 327 |
|
Hussein Abu Daya
5400 Fort St Ste 200 |
$99.37 | 280 | 250 |
|
Rabia Akbar
2363 W Jefferson Ave Ste 100 |
$47.88 | 272 | 232 |
|
Jennifer Aye
5450 Fort St |
$112.56 | 246 | 238 |
|
Ahmed G A Ali
5450 Fort St |
$78.51 | 99 | 93 |
|
Esli Gollapalli
Oakwood Southshore Medical Center |
$47.32 | 91 | 81 |
|
Kristen Johannessen
5450 Fort St |
$23.26 | 40 | 39 |
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 Trenton, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Trenton, MI is $71.74 per claim, based on 62,902 claims from 22 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 Trenton, MI?
There are 22 Medicaid providers offering Office Visit related services in Trenton, MI according to public payment data.
What is the price range for Office Visit in Trenton, MI?
Medicaid reimbursement for Office Visit in Trenton, MI ranges from $23.26 to $112.56 per claim, with an average of $71.74. 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 Trenton, MI
Blood Work & Lab Tests
Avg $3.46
160,316 claims
Emergency Room Visit
Avg $159.99
143,925 claims
Urinalysis & Urine Tests
Avg $1.38
36,824 claims
X-Ray
Avg $41.10
23,663 claims
EKG / ECG (Electrocardiogram)
Avg $9.22
22,817 claims
Prescription Medications
Avg $0.10
19,857 claims
CT Scan (Computed Tomography)
Avg $98.28
17,252 claims
Ultrasound
Avg $54.55
16,459 claims