Average Medicaid Office Visit Payments in Warsaw, IN: $70.29
Avg. Paid
$70.29
Range
$0.00 – $106.07
Total Claims
449,967
Providers
101
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 Warsaw, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Megan Flager
3505 Lake City Hwy |
$62.22 | 13 | 12 |
|
Renea Marie Williams
1210 Provident Dr |
$50.10 | 16 | 15 |
|
Kayla Rose Weston
1275 Provident Dr |
$51.92 | 17 | 15 |
|
Matthew C Ralstin
2251 Dubois Dr |
$37.46 | 25 | 24 |
|
Jena Elizabeth Gould
1205 Provident Drive |
$46.12 | 29 | 26 |
|
Scott James Caughell
2250 North Pointe Dr |
$67.95 | 36 | 31 |
|
Dhananjay Bhavsar
2101 Dubois Dr |
$42.59 | 44 | 41 |
|
Kevin D. Waldo
1355 Mariners Dr |
$59.73 | 65 | 63 |
|
Kirsten L. Hansen
1205 Provident Dr Ste A |
$56.75 | 73 | 68 |
|
Matthew G Johnson
427 E Fort Wayne St |
$51.04 | 75 | 68 |
|
Patrick B. Ilada
1000 Provident Dr Ste C |
$38.55 | 81 | 65 |
|
David F Ryser
2251 Dubois Dr |
$23.72 | 94 | 87 |
|
Charles Lee Hill
1355 Mariners Dr |
$73.84 | 96 | 90 |
|
Andrew Paul Jankowski
2251 Dubois Dr |
$21.14 | 97 | 92 |
|
Steven B. Ashton
2280 Provident Ct Ste C |
$69.04 | 109 | 76 |
|
Kyle Richard Carlson
1500 Provident Dr Ste B |
$48.36 | 109 | 94 |
|
Stefani E Yudasz
1275 Provident Dr |
$52.10 | 110 | 104 |
|
Lindsay Leigh Sciarra
1205 Provident Dr Ste A |
$47.43 | 117 | 105 |
|
Caitlin J Ryser
1355 Mariners Dr |
$63.08 | 123 | 110 |
|
Sarah Linda Masterson
725 East Market St |
$24.66 | 130 | 105 |
|
Mary Otoo
2101 Dubois Dr |
$78.51 | 140 | 122 |
|
Jon E Mark
2251 Dubois Dr |
$13.79 | 142 | 118 |
|
Luis Alberto Gonzalez
3505 Lake City Hwy |
$57.34 | 149 | 141 |
|
Colin Michael Ridenour
2251 Dubois Dr |
$23.96 | 163 | 140 |
|
Bowen Health Inc
850 N Harrison St |
$106.07 | 167 | 157 |
|
Kristen L. Leffel
850 N Harrison St |
$68.89 | 169 | 146 |
|
Kevin R Hickman
2251 Dubois Dr |
$21.46 | 196 | 166 |
|
Norman George Macdonald
2235 Dubois Dr |
$52.41 | 220 | 178 |
|
Mohammed A. Rahman
1355 Mariners Dr |
$34.27 | 222 | 220 |
|
Douglas E. Sawyer
2235 Dubois Dr |
$55.96 | 225 | 193 |
|
Amy Lynn Mayernik
100 N Detroit St |
$0.00 | 246 | 206 |
|
Iwona Podzielinski
737 N Detroit St |
$50.82 | 251 | 215 |
|
Donald A Durecki
1275 Provident Dr |
$64.66 | 279 | 218 |
|
Victoria Ong-Murrell
3510 Commerce Dr |
$60.50 | 281 | 236 |
|
Kristen M Bagot
2101 Dubois Dr |
$58.63 | 319 | 279 |
|
Allison Anne Pernic
2251 Dubois Dr |
$12.72 | 329 | 292 |
|
Vashtie Leonard
1210 Provident Dr |
$55.30 | 338 | 296 |
|
Dennis R Miller
2251 Dubois Dr |
$13.83 | 387 | 365 |
|
Jill Slonaker
2235 Dubois Dr |
$50.37 | 392 | 313 |
|
Corey French Graham
1000 Provident Dr |
$48.23 | 443 | 364 |
|
Laura Hudson
901 Anchorage Point Dr |
$69.09 | 478 | 420 |
|
James M. Harig
1205 Provident Dr Ste A |
$69.07 | 486 | 406 |
|
Ann U Madden
2251 Dubois Dr |
$15.16 | 509 | 437 |
|
Kay L. Church
1205 Provident Dr Ste A |
$29.51 | 538 | 402 |
|
Erin Hendricks
1355 Mariners Dr |
$62.96 | 541 | 435 |
|
Victoria M Watters
1355 Mariners Dr |
$49.52 | 576 | 494 |
|
Amie L Roberts
1500 Provident Dr Ste A |
$60.46 | 591 | 507 |
|
Richard E Ruhrold
850 N Harrison St |
$20.95 | 690 | 581 |
|
April R. Morrison
1355 Mariners Dr |
$59.95 | 705 | 615 |
|
Lindsay M Neff
1355 Mariners Dr |
$42.48 | 756 | 565 |
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 Warsaw, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warsaw, IN is $70.29 per claim, based on 449,967 claims from 101 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 Warsaw, IN?
There are 101 Medicaid providers offering Office Visit related services in Warsaw, IN according to public payment data.
What is the price range for Office Visit in Warsaw, IN?
Medicaid reimbursement for Office Visit in Warsaw, IN ranges from $0.00 to $106.07 per claim, with an average of $70.29. 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 Warsaw, IN
Behavioral & Mental Health Therapy
Avg $159.20
2,250,160 claims
Psychiatric Evaluation
Avg $71.80
1,460,748 claims
Case Management Services
Avg $31.13
650,795 claims
Vaccines & Immunizations
Avg $9.01
57,822 claims
Speech Therapy
Avg $29.31
56,801 claims
Blood Work & Lab Tests
Avg $11.63
47,872 claims
Chiropractic Care
Avg $24.82
29,900 claims
Physical Therapy
Avg $51.65
23,327 claims