Average Medicaid Office Visit Payments in Warren, MI: $59.97
Avg. Paid
$59.97
Range
$0.00 – $123.93
Total Claims
1,025,133
Providers
121
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 Warren, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hoover Urgent Care Of Warren Pllc
26000 Hoover Rd |
$59.15 | 153,394 | 144,261 |
|
Henry Ford Health Macomb-Oakland Hospital
11800 E 12 Mile Rd |
$51.82 | 59,537 | 55,630 |
|
Universal Clinic And Urgent Care Pc
4600 E 14 Mile Rd |
$61.33 | 58,403 | 47,203 |
|
Ascension Medical Group Michigan
28000 Dequindre Road |
$62.63 | 57,943 | 53,691 |
|
Michigan Surgery Specialists, P.C.
11012 E 13 Mile Rd Ste 112 |
$63.43 | 53,234 | 49,981 |
|
Macomb Pediatric Associatea P.C
29703 Hoover Rd |
$68.54 | 43,652 | 39,332 |
|
Ascension Medical Group Michigan
11900 E 12 Mile Rd Ste 210 |
$59.49 | 43,424 | 40,947 |
|
Ascension Medical Group Michigan
28000 Dequindre Road |
$63.68 | 39,783 | 37,515 |
|
Best Family Practice Pllc
11446 E 13 Mile Rd |
$77.23 | 33,888 | 32,293 |
|
Alshefa Family Practice Pllc
28780 Ryan Rd |
$68.66 | 33,184 | 29,645 |
|
Northpointe Pediatrics, P.C.
30061 Schoenherr Rd |
$64.74 | 32,445 | 29,500 |
|
Grace Family Care Pc
31500 Dequindre Rd |
$76.84 | 28,755 | 26,184 |
|
Behavioral Infermiera Care Solutions Inc
28800 Ryan Rd |
$46.58 | 27,276 | 24,754 |
|
Maan Askar M.D. P.C
26000 Hoover Rd |
$60.57 | 26,298 | 24,710 |
|
Charles G Kissel Dpm Pc
29433 Ryan Rd |
$42.96 | 22,149 | 20,780 |
|
The Pain Center Usa Pllc
27423 Van Dyke Ave |
$40.78 | 20,691 | 20,015 |
|
Bg Tricounty Neurology& Sleep Clinic Pc
31150 Hoover Rd |
$67.22 | 19,736 | 19,003 |
|
Moniruzzaman Khan
4402 E 9 Mile Rd |
$65.46 | 17,347 | 14,224 |
|
Warren Urgent Care Pc
31700 Van Dyke Ave |
$68.89 | 17,316 | 16,812 |
|
Great Lakes Pediatrics
26000 Hoover Rd |
$53.91 | 15,427 | 14,276 |
|
Detroit Health Care For The Homeless
4669 E 8 Mile Rd |
$2.25 | 15,120 | 14,177 |
|
Sudad Louis Md Pllc
31500 Dequindre Rd Ste 500 |
$67.78 | 14,658 | 13,641 |
|
Barry S. Meyer,D.O., P.C.
23423 Ryan Rd |
$53.61 | 13,953 | 10,965 |
|
Medcare Inc
2243 E 12 Mile Rd |
$52.01 | 12,597 | 11,873 |
|
Husain Arastu
28771 Hoover Rd |
$55.48 | 11,934 | 11,044 |
|
Sterling Family Medicine Pc
2539 E 12 Mile Rd |
$72.27 | 11,791 | 11,003 |
|
Laith Nafil Md Pllc
31200 Dequindre Rd |
$74.91 | 9,629 | 8,244 |
|
Manhal H Naoumi Md Pc
31500 Dequindre Rd |
$60.61 | 9,135 | 8,685 |
|
Delta Primary & Urgent Care Pllc
27122 Dequindre Rd |
$55.09 | 6,969 | 6,540 |
|
Corondan Medical Pc Corp
14050 E 14 Mile Rd |
$36.81 | 6,377 | 6,024 |
|
Dolora Pain Management Associates, Pc
27301 Schoenherr Rd |
$55.10 | 6,126 | 5,620 |
|
Michigan Compassionate Care L.L.C.
28401 Hoover Rd |
$87.81 | 6,086 | 5,167 |
|
Center For Physical Medicine & Rehabilitation Pc
13850 E 12 Mile Rd |
$43.83 | 5,719 | 5,515 |
|
Warren Urgent Care Walk-In Clinic Llc
30736 Hoover Rd |
$65.59 | 5,444 | 5,142 |
|
Pulmonary And Medicine Associates
27472 Schoenherr Rd Ste 100 |
$68.70 | 5,432 | 5,076 |
|
Mendelson Orthopedics Pc
5504 E 12 Mile Rd Ste 200 |
$70.19 | 4,829 | 4,493 |
|
Pathways 2 Pllc
11662 Martin Rd |
$60.46 | 4,442 | 3,848 |
|
Schoenherr Medical Assoicates Pc
27101 Schoenherr Rd |
$59.25 | 3,976 | 3,462 |
|
Salem Medical P.C.
28111 Hoover Rd |
$74.76 | 3,866 | 3,724 |
|
Southeast Michigan Surgical Hospital, Llc
21230 Dequindre Rd |
$39.13 | 3,656 | 3,507 |
|
Schreiber Cardiology, P.C.
8545 Common Rd Ste 150 |
$47.99 | 3,520 | 3,400 |
|
Martin Quiroga Pc
27101 Schoenherr Rd Ste 200 |
$46.81 | 3,298 | 2,970 |
|
Judson Center, Inc.
12200 E 13 Mile Rd |
$66.19 | 3,194 | 2,840 |
|
Macomb Medical And Wellness Center Pllc
29135 Ryan Rd Ste E |
$59.11 | 3,079 | 2,943 |
|
Warren Gastroenterology Pc
27560 Hoover Rd |
$45.37 | 2,848 | 2,643 |
|
Lakeside Neurology P C
28573 Schoenherr Rd |
$51.52 | 2,708 | 2,665 |
|
Joshua Aaron Rosenbloom
11885 E 12 Mile Rd |
$123.93 | 2,705 | 2,415 |
|
Peter Trent Smith Md Pc
3410 E 12 Mile Rd Ste B |
$53.31 | 2,690 | 2,654 |
|
Doctors Home Line Pllc
30500 Van Dyke Ave |
$60.09 | 2,482 | 2,382 |
|
Dhafer S Younan Salama
11446 13 Mile Rd |
$72.04 | 2,212 | 2,141 |
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 Warren, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warren, MI is $59.97 per claim, based on 1,025,133 claims from 121 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 Warren, MI?
There are 121 Medicaid providers offering Office Visit related services in Warren, MI according to public payment data.
What is the price range for Office Visit in Warren, MI?
Medicaid reimbursement for Office Visit in Warren, MI ranges from $0.00 to $123.93 per claim, with an average of $59.97. 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 Warren, MI
Blood Work & Lab Tests
Avg $5.64
410,849 claims
Ambulance Transport
Avg $110.25
375,004 claims
Dental Cleaning & Exam
Avg $34.33
266,180 claims
Physical Therapy
Avg $24.46
257,050 claims
X-Ray
Avg $12.32
240,339 claims
Vaccines & Immunizations
Avg $7.51
224,312 claims
Emergency Room Visit
Avg $188.70
203,746 claims
Urinalysis & Urine Tests
Avg $1.54
191,180 claims