Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Troy, MI: $70.06

Avg. Paid

$70.06

Range

$1.94 – $268.41

Total Claims

302,479

Providers

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 Troy, MI

Provider	Avg. Paid	Claims	Patients
Thrive Chiropractic Llc 2133 Crooks Rd.	$5.50	12	12
Khalid Rao Md Pc 100 W Big Beaver Rd Ste 200	$62.70	12	12
Birgit Amann M D P L L C 1639 E Big Beaver Rd	$22.73	12	12
Pankaj Hukku, Md Pc 1380 Coolidge Hwy Ste 110	$35.81	13	12
Gastrointestinal Specialists Pc 264 W Maple Rd	$36.52	13	13
Blake Fenkell P.L.L.C. 6905 Rochester Rd Ste A	$97.07	15	15
Valerie Baskerville 3310 W Big Beaver Rd	$1.94	16	14
Arab American And Chaldean Council 363 W Big Beaver Rd Ste 315	$28.29	20	20
Sarah L Rauner 44201 Dequindre Rd	$23.66	21	21
Brigid Healthcare, Pllc 3456 Rochester Rd	$9.89	26	26
Kidology Pediatrics Pllc 4967 Crooks Rd Ste 250	$74.91	32	30
Norah Duncan 2041 E Square Lake Rd.	$107.87	47	43
Kathryn Knight-Lossing 500 Kirts Blvd Ste 200	$49.73	59	58
William Beaumont Hospital 44201 Dequindre Rd	$45.07	62	62
Marwa Ieliya Ibrahim 44201 Dequindre Rd	$59.88	63	60
Focus Program 2891 E Maple Rd Ste 200	$66.29	65	47
Renal Consultant Pc 1380 Coolidge Hwy Ste 150	$58.18	67	67
Ally Endocrinology Pllc 1380 Coolidge Hwy Ste 220	$72.90	70	67
Somerset Urgent Care Pllc 1500 W Big Beaver Rd	$55.23	89	89
Jamal R Ross 500 Kirts Blvd Ste 200	$10.91	93	87
Shailender Venkatratnam Madani 888 W Big Beaver Rd Ste 404	$69.73	103	86
Matthew John Yousif 1500 W Big Beaver Rd Ste 115	$86.22	107	101
Nada D Bachuri Md,Pc 41069 Dequindre Rd	$59.96	112	111
Ophthalmic Consultants Of Michigan P.C. 1950 E Wattles Rd	$54.10	115	114
Magdalena Malinowska Dillon 361 W Square Lake Rd	$74.97	116	113
Pcor, Llc 735 John R Rd	$32.09	139	129
American Trinity Psychiatry Pllc 1655 W Big Beaver Rd	$36.05	152	133
Troy Podiatrist Pc 4770 Rochester Rd	$24.98	154	144
Marc Adelman D.O., P.C. 1777 W Big Beaver Rd	$39.45	164	115
Beverly Datilus 500 Kirts Blvd Ste 200	$164.24	183	124
Tricia Lynn Hosyrami 1819 E Big Beaver Rd Ste 210	$60.11	190	117
Jay H Sandberg Do Pc 115 E Long Lake Rd	$63.69	205	189
Michigan Behavioral Medicine Pllc 2525 Crooks Rd	$35.52	262	215
Doctors Urgent Care Troy West Pc 1933 W Maple Rd	$79.67	267	265
Metropolitan Dermatology Center, P.C. 38865 Dequindre Rd	$2.91	279	261
Henry M Rosevear 130 Town Center Dr Ste 101	$44.03	283	244
Great Physicians, Pc 5032 Rochester Rd Ste 200	$59.55	298	270
Tamara Loy 44201 Dequindre Rd	$37.94	302	295
Premier Cardiovascular Consultants Pc 1629 W Big Beaver Rd	$66.64	312	304
Ahreum L Kim 2075 W Big Beaver Rd Ste 520	$37.42	317	295
Abhilasha Pandey 1380 Coolidge Hwy Ste 220	$69.99	353	324
Hammam Zmily Md Pc 1629 W Big Beaver Rd	$73.12	371	358
365 Health Care Group Plc 100 W Big Beaver Rd Ste 200	$51.62	404	381
Lequishia Alexander Md Pllc 2366 John R Rd Apt 205	$25.88	416	173
Matthew D Andrews Dpm Pc 1800 W Big Beaver Rd Ste 150	$50.34	518	463
Advanced Healthcare For Women Pc 1777 Axtell	$58.61	566	433
Advance Medical Home Physicians Plc 2888 E Long Lake Rd Ste 150	$28.82	577	514
Cassandra Meghann Bunker 44199 Dequindre Rd Ste 615	$143.48	583	578
Troy Medical P C 2649 Crooks Rd	$59.76	610	532
Troy Pediatrics 1380 Coolidge Hwy	$68.77	732	576

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 Troy, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Troy, MI is $70.06 per claim, based on 302,479 claims from 89 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 Troy, MI?

There are 89 Medicaid providers offering Office Visit related services in Troy, MI according to public payment data.

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

Medicaid reimbursement for Office Visit in Troy, MI ranges from $1.94 to $268.41 per claim, with an average of $70.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Troy, MI: $70.06

Providers Offering Office Visit in Troy, 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 Troy, MI

Blood Work & Lab Tests

Physical Therapy

Dental Cleaning & Exam

Behavioral & Mental Health Therapy

Urinalysis & Urine Tests

Emergency Room Visit

Durable Medical Equipment (DME)

X-Ray