Average Medicaid Office Visit Payments in Washington, IN: $55.43
Avg. Paid
$55.43
Range
$28.49 – $116.24
Total Claims
167,200
Providers
57
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 Washington, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amy R Waggner
1402 Grand Ave |
$61.72 | 13,560 | 10,354 |
|
Vasdev Lohano
1314 E Walnut St |
$46.49 | 10,166 | 8,380 |
|
Linda Y Callaghan
1402 Grand Ave |
$63.99 | 9,346 | 7,794 |
|
Trudy Wessell
2005 State St |
$58.01 | 8,515 | 7,333 |
|
Tamela L Twitty
1402 Grand Ave |
$47.71 | 7,499 | 5,896 |
|
Lucas Pittman
2007 State St |
$51.82 | 6,967 | 5,764 |
|
Erin M Collison
1805 S Sr 57 |
$58.80 | 6,353 | 4,665 |
|
Trisha Anne Garrett
1402 Grand Ave |
$69.74 | 6,248 | 4,930 |
|
Amanda Mattingly
2005 State St |
$59.37 | 6,238 | 5,215 |
|
Erica Story
2005 State St |
$51.49 | 5,883 | 5,180 |
|
Melanie Josephine Pickett
1301 E National Hwy |
$46.80 | 5,677 | 4,614 |
|
Lauren Nicole Bouchie
1805 S State Road 57 |
$52.13 | 5,359 | 4,173 |
|
Amy Michelle Archer
2005 State St |
$74.31 | 5,253 | 4,602 |
|
James Pfleging
2007 State St |
$47.53 | 4,972 | 4,212 |
|
Tina Kelley
4 Ne 21St St |
$54.64 | 4,494 | 3,672 |
|
Art O Obaseki
1110 E Main St |
$52.29 | 3,659 | 2,179 |
|
Stephen L Cullen
2005 State St |
$51.41 | 3,569 | 3,072 |
|
Andrew C Houchins
421 E Van Trees St |
$39.49 | 3,295 | 2,493 |
|
Debra Jo Ramsey
1805 S Sr 57 |
$34.85 | 3,132 | 2,419 |
|
Hillary M Lawyer
1401 Memorial Ave Ste C |
$48.48 | 3,054 | 2,558 |
|
Susan Elaine Kraft
1402 Grand Ave |
$50.67 | 2,650 | 1,936 |
|
Kristina Nicole Troutman
1805 South, In-57 |
$57.01 | 2,449 | 1,959 |
|
Emily Otto
1805 S State Road 57 |
$47.59 | 2,428 | 2,103 |
|
James Edward Lewis
1303 Grand Ave |
$58.84 | 2,344 | 1,772 |
|
Shayna Wagler
2007 State St |
$70.59 | 2,338 | 1,995 |
|
John Lodney Stafford
1401 Memorial Ave Ste B |
$70.91 | 2,193 | 1,944 |
|
Norma J Kreilein
1402 Grand Ave |
$44.78 | 2,111 | 1,694 |
|
Alicia Brook Fields
1314 E Walnut St |
$50.00 | 1,970 | 1,699 |
|
Thomas Bradley Parkes
1314 E Walnut St |
$56.71 | 1,896 | 1,806 |
|
Jonathan E Frances
1401 Memorial Ave Ste B |
$64.58 | 1,840 | 1,655 |
|
Julie Elizabeth Myers
1301 E National Hwy |
$70.47 | 1,834 | 1,520 |
|
Lachelle Andrea Ahlert
1314 E Walnut St |
$68.97 | 1,796 | 1,374 |
|
Tanya De La Vergne
1402 Grand Ave |
$45.24 | 1,754 | 1,346 |
|
Andrea Tomey
2007 State St |
$69.97 | 1,560 | 1,386 |
|
Jessica Torres
1805 S State Road 57 |
$65.39 | 1,450 | 1,301 |
|
Kristi Kingsley
10 White Ridge Ct |
$51.97 | 1,379 | 1,274 |
|
Chonnie Laine Cockroft
1805 S State Road 57 |
$60.63 | 1,306 | 1,200 |
|
Kiran Burla
1401 Memorial Ave Ste C |
$44.19 | 1,265 | 876 |
|
Allyson Mudd
1402 Grand Ave |
$50.27 | 1,253 | 996 |
|
Jessica Kavanaugh
102 E Van Trees St |
$55.13 | 1,188 | 913 |
|
Leanna Kay Graber
1805 S State Road 57 |
$49.37 | 986 | 828 |
|
Valerie A Dyer
300 Ne 14Th St |
$36.28 | 977 | 472 |
|
Allison Leann Krieger
421 E Van Trees St |
$39.70 | 906 | 667 |
|
Marcus Ali Thorne
421 E Van Trees St |
$61.75 | 859 | 702 |
|
William S Walker
1314 E Walnut St |
$48.13 | 705 | 599 |
|
David Nicholas Dahl
600 S State Road 57 |
$46.04 | 605 | 526 |
|
Kayla Richter
1301 E National Hwy |
$72.99 | 553 | 495 |
|
Marcus A Kurucz
1401 Memorial Ave Ste C |
$28.49 | 389 | 229 |
|
V Chowdry Pinnamaneni
204 Ne 15Th St |
$49.30 | 379 | 319 |
|
Taylor Ann Popp
600 S State Road 57 |
$85.67 | 329 | 287 |
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 Washington, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Washington, IN is $55.43 per claim, based on 167,200 claims from 57 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 Washington, IN?
There are 57 Medicaid providers offering Office Visit related services in Washington, IN according to public payment data.
What is the price range for Office Visit in Washington, IN?
Medicaid reimbursement for Office Visit in Washington, IN ranges from $28.49 to $116.24 per claim, with an average of $55.43. 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 Washington, IN
Blood Work & Lab Tests
Avg $4.47
100,763 claims
Vaccines & Immunizations
Avg $7.12
36,280 claims
Ambulance Transport
Avg $70.55
26,131 claims
Chiropractic Care
Avg $21.40
24,572 claims
Nursing Facility Care
Avg $11.25
24,320 claims
Psychiatric Evaluation
Avg $56.49
18,807 claims
Durable Medical Equipment (DME)
Avg $24.96
17,374 claims
Urinalysis & Urine Tests
Avg $2.86
15,150 claims