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
A Comprehensive Dermatology Center 1575 W Big Beaver Rd	$52.93	48,813	47,187
Mercy Family Care Center Pllc 4091 Chatwal Ct	$69.06	37,287	29,316
Neil D Jaddou Md Pc 1615 W Big Beaver Rd	$62.08	30,034	26,980
Metro Medical Practice Pc 2891 E Maple Rd	$68.15	26,708	24,389
Nancy F Mansour-Habib M.D. P,C, 3940 John R Rd	$57.57	21,117	19,240
Ghinwa Nakkash, Md Pc 1899 E Wattles Rd	$67.01	12,737	11,924
Heart And Vascular Specialists Pc 2221 Livernois Rd	$67.86	11,925	11,589
Vpa Pc 500 Kirts Blvd	$268.41	9,725	9,547
Kheir Al Zouhayli Md Pc 1639 E Big Beaver	$80.22	8,968	8,727
Mini Invasive Podiatry Plc 1607 E Big Beaver Rd Ste 110	$52.14	8,664	7,519
Pediatric Cardiology Of Southeastren Michigan 1934 Bluff Ct	$78.27	8,358	8,314
Troy Urgent Care Walk-In Clinic 4060 Rochester Rd	$67.48	8,230	7,917
Mathews Medical Center Pllc 2221 Livernois Rd	$66.17	5,811	5,557
Troy Sleep Center, Plc 1500 W Big Beaver Rd Ste 107	$70.02	5,634	5,440
Troy Primary Care Center, P.C. 1380 Coolidge Hwy	$66.48	4,840	4,545
Ahad Md Pc 1380 Coolidge Hwy	$83.28	4,029	3,752
Tamer Massarani M.D P.C 1579 W Big Beaver Rd	$64.28	3,991	3,622
Jagannathan Neurosurgical Institute Pllc 3290 W Big Beaver Rd	$57.20	3,760	3,672
Zakaria & Zakaria Pc 1080 Kirts Blvd	$78.86	3,061	2,502
Elite Healthcare Pllc 6905 Rochester Rd.	$54.25	2,898	2,559
Neda Saker 1380 Coolidge Hwy	$58.23	2,650	2,132
Changhee Kim Md Phd Plc 38815 Dequindre Rd	$59.70	2,231	1,929
Saad Naaman, Md, Pc 2221 Livernois Rd Ste 100	$66.84	2,167	2,043
Kristi K Morris 500 Kirts Blvd Ste 200	$36.18	1,902	1,818
Josephine Iskander, Md Pllc 44199 Dequindre Rd	$66.54	1,753	1,623
Fakhr Abou-Rass 500 Kirts Blvd	$43.72	1,567	1,370
Mark R Zohoury 1950 E Wattles Rd	$57.64	1,553	1,334
Meahealth Plc 3250 W Big Beaver Rd	$61.96	1,413	1,280
Karma Internists, Pc 2221 Livernois Rd	$65.40	1,337	939
Crystal Vision Optical Inc. 2943 E Big Beaver Rd	$64.74	1,160	1,156
Somerset Urgent Care Pllc 1500 W Big Beaver Rd	$56.30	1,112	1,068
Little People Urgent Care Plc 363 W Big Beaver Rd	$56.60	1,017	995
Waseem G Petros Md Pllc 2221 Livernois Rd Ste 100	$93.03	987	899
Janineh Plastic Surgery Pc 5600 Rochester Rd	$53.05	910	760
Yousif Orthopedic Surgery Pllc 1500 W Big Beaver Rd Ste 115	$85.35	893	849
Vascular & Endovascular Associates Plc 525 East Big Beaver Rd	$41.00	855	823
Ausi Medical Center Pc 5032 Rochester Rd	$82.27	804	742
Somerset Hematology Oncology Pc 1380 Coolidge Hwy	$62.39	798	699
Kimberly Kay Benkner 44201 Dequindre Rd Ste Ec	$86.85	783	581
Troy Pediatrics 1380 Coolidge Hwy	$68.77	732	576
Troy Medical P C 2649 Crooks Rd	$59.76	610	532
Cassandra Meghann Bunker 44199 Dequindre Rd Ste 615	$143.48	583	578
Advance Medical Home Physicians Plc 2888 E Long Lake Rd Ste 150	$28.82	577	514
Advanced Healthcare For Women Pc 1777 Axtell	$58.61	566	433
Matthew D Andrews Dpm Pc 1800 W Big Beaver Rd Ste 150	$50.34	518	463
Lequishia Alexander Md Pllc 2366 John R Rd Apt 205	$25.88	416	173
365 Health Care Group Plc 100 W Big Beaver Rd Ste 200	$51.62	404	381
Hammam Zmily Md Pc 1629 W Big Beaver Rd	$73.12	371	358
Abhilasha Pandey 1380 Coolidge Hwy Ste 220	$69.99	353	324
Ahreum L Kim 2075 W Big Beaver Rd Ste 520	$37.42	317	295

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

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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