Average Medicaid Office Visit Payments in Waterford, MI: $61.75
Avg. Paid
$61.75
Range
$0.85 – $82.99
Total Claims
259,110
Providers
46
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 Waterford, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Devyani Khambete, M.D.,P.C.
2561 Elizabeth Lake Rd |
$72.38 | 43,112 | 35,724 |
|
Lakeland Physicians Group Pc
1265 W Huron St |
$48.48 | 25,061 | 21,076 |
|
Elizabeth Lake Urgent Care Pllc
2446 Elizabeth Lake Rd |
$63.03 | 24,832 | 23,741 |
|
Dr Yeras Pllc
4764 Dixie Highway |
$74.56 | 17,761 | 16,190 |
|
Cory J Rubin Md Pc
2665 Elizabeth Lake Rd |
$71.04 | 17,558 | 16,770 |
|
Iha Ooma Primary Llc
4400 Highland Rd |
$69.59 | 15,192 | 14,295 |
|
Glenn Bauer
6600 Highland Rd |
$76.05 | 13,596 | 12,428 |
|
Thabet Abbarah Md Ent Pc
4000 Highland Rd |
$57.28 | 13,539 | 12,125 |
|
Oakland Integrated Healthcare Network
279 Summit Drive |
$5.96 | 13,442 | 12,481 |
|
Pinetree Medical Center, Pc
4186 Pontiac Lake Rd |
$64.26 | 10,985 | 9,885 |
|
Strength & Health Medical Pc
1305 N Oakland Blvd |
$72.83 | 8,033 | 7,498 |
|
Airport Family Physicians Llc
1724 Airport Rd |
$71.68 | 7,075 | 6,818 |
|
Naila Ahmad Md Plc
6744 Highland Rd |
$65.93 | 6,687 | 6,055 |
|
Sjmh Medical Practice-Smhc
4400 Highland Rd |
$44.59 | 6,026 | 5,789 |
|
Heart Care Pc
6889 Highland Rd |
$54.45 | 5,943 | 5,764 |
|
Michigan Internal Medicine Associates,P.C.
1012 W Huron St |
$62.32 | 5,312 | 5,144 |
|
Dr Khalifa Reda Pllc
950 N Cass Lake Rd |
$57.09 | 3,541 | 3,356 |
|
Safiul Hasan M.D. Pc
4000 Highland Rd |
$47.07 | 3,058 | 3,015 |
|
Esa M Ali Md Pc
2590 Elizabeth Lake Rd |
$65.58 | 2,440 | 2,361 |
|
Healing Mental Health Pllc
5770 Highland Rd Ste A |
$75.71 | 2,209 | 2,042 |
|
Js Dudovitz, Inc
6650 Highland Rd |
$50.43 | 2,201 | 2,124 |
|
Todd T Best
4000 Highland |
$40.88 | 1,534 | 1,488 |
|
Community Programs, Inc.
269 Summit Dr |
$80.94 | 1,533 | 1,528 |
|
Community Programs Inc.
1255 N Oakland Blvd |
$54.93 | 1,329 | 846 |
|
Jeffrey Scott Dudovitz
6650 Highland Rd |
$57.94 | 1,317 | 1,261 |
|
Waterford Urgent Care Pc
5800 Highland Rd |
$62.56 | 1,101 | 955 |
|
Peyton & Davenport, Inc
4388 Sedum Gln |
$56.62 | 943 | 878 |
|
Stacey Stefansky Dpm Pllc
2130 Marshall Court |
$40.06 | 581 | 511 |
|
Ent Care Of Michigan Plc
5220 Highland Rd Ste 230 |
$66.18 | 481 | 471 |
|
Transitional Care Services, Llc
4568 W Walton Blvd Ste D |
$34.70 | 463 | 217 |
|
Amarjeet Sethi Md Plc
4000 Highland Rd |
$58.66 | 384 | 370 |
|
Navneet Kumar
3901 Highland Rd Ste A |
$20.64 | 255 | 244 |
|
Community Programs, Inc.
269 Summit Dr |
$74.62 | 240 | 239 |
|
Jeffrey D. Danto
4396 Dixie Hwy Ste 1 |
$24.03 | 211 | 172 |
|
Esa M Ali
2590 Elizabeth Lake Rd |
$61.39 | 177 | 159 |
|
Michael R Nicholson Md Pllc
5220 Highland Rd |
$41.09 | 166 | 148 |
|
Reda A Khalifa
3675 Highland Rd |
$71.77 | 138 | 128 |
|
Christine Glowacki
5800 Highland Rd |
$71.37 | 121 | 110 |
|
Jeffrey Danto Dpm
4396 Dixie Hwy Ste 1 |
$35.64 | 106 | 96 |
|
Oakland Integrated Healthcare Network
501 N Cass Lake Rd |
$4.64 | 103 | 93 |
|
White Lake Chiropractic D O P C
6929 Highland Rd |
$0.85 | 78 | 71 |
|
Medical Practice Management Consulting Pllc
3901 Highland Rd Ste A |
$65.76 | 74 | 71 |
|
Keith V Atkinson
6889 Highland Rd |
$23.92 | 71 | 55 |
|
James White
950 N Cass Lake Rd |
$73.06 | 40 | 38 |
|
Lawrence Livernois Joseph Macdonald
5220 Highland Rd Ste 240 |
$27.43 | 34 | 27 |
|
John Marshall Ketner
5624 Highland Rd |
$82.99 | 27 | 26 |
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 Waterford, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waterford, MI is $61.75 per claim, based on 259,110 claims from 46 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 Waterford, MI?
There are 46 Medicaid providers offering Office Visit related services in Waterford, MI according to public payment data.
What is the price range for Office Visit in Waterford, MI?
Medicaid reimbursement for Office Visit in Waterford, MI ranges from $0.85 to $82.99 per claim, with an average of $61.75. 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 Waterford, MI
Blood Work & Lab Tests
Avg $22.40
223,669 claims
Behavioral & Mental Health Therapy
Avg $65.56
135,664 claims
Substance Abuse Treatment
Avg $86.90
90,869 claims
Dental Cleaning & Exam
Avg $34.49
74,053 claims
Vaccines & Immunizations
Avg $9.06
64,159 claims
Psychiatric Evaluation
Avg $67.23
58,967 claims
Physical Therapy
Avg $16.62
42,870 claims
Chiropractic Care
Avg $21.41
33,783 claims