Average Medicaid Office Visit Payments in Valparaiso, IN: $59.36
Avg. Paid
$59.36
Range
$0.00 – $147.18
Total Claims
396,607
Providers
200
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 Valparaiso, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Allen Nemeth
85 E Us Highway 6 Ste 240 |
$71.57 | 12 | 12 |
|
Genri Pinkhasov
85 E Us Highway 6 Ste 230 |
$31.75 | 13 | 13 |
|
Shannon Gail Markle
413 W 100 N |
$53.81 | 13 | 12 |
|
Ann Catherine Pearl
85 E Us Highway 6 Ste 330 |
$61.48 | 13 | 13 |
|
Michelle Dincecco Greenawald
3306 Greyfox Dr |
$11.15 | 14 | 12 |
|
Paul Gilbert Sommer
1610 Pointe Dr |
$65.90 | 15 | 13 |
|
Crystal Ilke Tuncay
1231 Cumberland Crossing Drive |
$70.78 | 16 | 13 |
|
Megan Nicole Hall
1805 Calumet Ave |
$13.57 | 16 | 16 |
|
Darrell Scott Beauvais
265 Morthland Dr Ste E |
$53.58 | 16 | 16 |
|
Jennifer Davy
502 Wall St Ste 102B |
$71.22 | 16 | 13 |
|
Porter County Chiropractic Clinic Inc.
2600 Roosevelt Rd |
$0.00 | 17 | 16 |
|
Julia Lynn Kocal
225 Wexford Rd |
$56.39 | 17 | 12 |
|
Jeffrey E Miller
1101 E Glendale Blvd |
$51.99 | 17 | 17 |
|
Elizabeth A Rutherford
85 East Us Highway 6 |
$60.45 | 17 | 12 |
|
Britt Noelle Vanda
85 E Us Highway 6 |
$49.84 | 18 | 15 |
|
Anna Marie Farmer
2307 Laporte Ave Ste 8 |
$73.81 | 18 | 13 |
|
Lee Jennifer Murphy
85 East Us Highway 6 |
$66.72 | 24 | 24 |
|
Lisa Rowe
5 Washington St |
$14.16 | 27 | 12 |
|
Elizabeth A Loudenber
880 Eastport Centre Dr Ste 200 |
$50.92 | 32 | 29 |
|
Jun Hu
85 E Us Highway 6 |
$51.73 | 32 | 31 |
|
Michael A Woods
2000 Roosevelt Rd |
$32.13 | 34 | 27 |
|
Hector Juan Marchand
1231 Cumberland Xing |
$77.13 | 40 | 37 |
|
Jessica M Sharp
3101 Evans Ave |
$8.23 | 40 | 12 |
|
Priscah Ouma Odongo
1001 Sturdy Rd |
$43.74 | 42 | 38 |
|
Rebecca Sue Herrold-Engstrom
1101 Glendale Blvd Ste 103 |
$20.94 | 44 | 42 |
|
Douglas Adolph Mazurek
1101 Glendale Blvd |
$27.08 | 44 | 38 |
|
Christopher M Wirsing
880 Eastport Centre Dr |
$53.64 | 45 | 37 |
|
Haley Megan Johnson
1805 Calumet Ave |
$46.18 | 48 | 40 |
|
Aravindhan Arumugarajah
2711 Leonard Dr Ste 101 |
$48.13 | 54 | 47 |
|
Alexandria Molaro
1805 Calumet Ave |
$53.43 | 55 | 42 |
|
Jennifer Leigh Defauw
1101 Glendale Blvd # 102A |
$68.60 | 58 | 53 |
|
Tamara Lynn Kay
2421 Laporte Ave |
$50.40 | 60 | 57 |
|
Chrysanthemum M Davis
1551 South Sturdy Rd. |
$46.83 | 61 | 51 |
|
Porter Hospital Llc
85 E Us Highway 6 |
$95.48 | 69 | 57 |
|
Jane Christine Maddox
2307 Laporte Ave Ste 8 |
$11.81 | 77 | 57 |
|
Raghu Chakravarthy Vanama
85 E Us Highway 6 |
$47.83 | 83 | 79 |
|
Daniel Paul Linert
85 E Us Highway 6 Ste 300 |
$13.93 | 85 | 68 |
|
Sangeeta D Sehgal
1231 Cumberland Xing |
$70.57 | 94 | 84 |
|
Michael Schwuchow
85 E Us Highway 6 |
$52.59 | 99 | 89 |
|
Crystal A Strickland
85 East Us Highway 6 |
$65.85 | 107 | 100 |
|
Tricia Louise Burkins
1861 South Sturdy Road |
$69.10 | 133 | 115 |
|
Sunil N Patel
813 Porter Campus Dr |
$56.83 | 137 | 126 |
|
Stephen Harry Paul
2206 Roosevelt Rd Ste A |
$49.05 | 143 | 124 |
|
Christopher Lawrence Mercer
5 Washington St Ste 300-158 |
$68.41 | 150 | 136 |
|
Valerie Lynn Hennin
1001 Sturdy Rd |
$59.39 | 157 | 136 |
|
Kristina Tomic
1805 Calumet Ave |
$14.90 | 163 | 135 |
|
Emily Marie Osowski
2421 Laporte Ave |
$76.21 | 165 | 144 |
|
Anne E Bates
601 Wall St |
$0.29 | 175 | 162 |
|
Mary Elizabeth Wells
122 Wheatridge Rd |
$57.48 | 178 | 155 |
|
Daniel P Taglia
2101 Burlington Beach Rd. |
$33.08 | 182 | 141 |
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 Valparaiso, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Valparaiso, IN is $59.36 per claim, based on 396,607 claims from 200 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 Valparaiso, IN?
There are 200 Medicaid providers offering Office Visit related services in Valparaiso, IN according to public payment data.
What is the price range for Office Visit in Valparaiso, IN?
Medicaid reimbursement for Office Visit in Valparaiso, IN ranges from $0.00 to $147.18 per claim, with an average of $59.36. 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 Valparaiso, IN
Substance Abuse Treatment
Avg $18.37
588,414 claims
Psychiatric Evaluation
Avg $72.11
397,142 claims
Blood Work & Lab Tests
Avg $9.74
173,276 claims
Behavioral & Mental Health Therapy
Avg $77.28
134,349 claims
Emergency Room Visit
Avg $96.61
115,868 claims
Physical Therapy
Avg $32.43
105,693 claims
Ambulance Transport
Avg $40.38
96,205 claims
Case Management Services
Avg $32.17
55,078 claims