Average Medicaid Office Visit Payments in Wayne, MI: $68.19
Avg. Paid
$68.19
Range
$3.63 – $96.23
Total Claims
167,624
Providers
32
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 Wayne, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Suraiya Khanom Azom
33155 Annapolis St |
$38.46 | 13 | 13 |
|
Tucker Gisler Jennings
33101 Annapolis St Ste 100 |
$20.91 | 16 | 13 |
|
Ch Aslam Urgent Pllc
34904 W Michigan Ave |
$54.08 | 46 | 44 |
|
John W. Armstead M.D. Pc
4020 Venoy Rd. |
$43.70 | 66 | 64 |
|
Damian Joseph Hilbert
33155 Annapolis St |
$24.80 | 69 | 60 |
|
David Scott Huntsman
33155 Annapolis St |
$59.58 | 88 | 69 |
|
Urte Zableckas
33155 Annapolis St |
$63.07 | 106 | 98 |
|
Heba R Tajwar
33155 Annapolis St |
$45.00 | 115 | 113 |
|
Ryan Quick
33155 Annapolis St |
$23.67 | 116 | 108 |
|
Rakesh Soni
Oakwood Annapolis Hospital |
$58.62 | 149 | 148 |
|
Community Living Services, Inc.
35425 W Michigan Ave |
$96.23 | 201 | 187 |
|
Wayne County Treasurer Payroll-County Of Wayne
33030 Van Born Rd |
$3.63 | 243 | 221 |
|
South Eastern Michigan Colon & Rectal Surgery
3106 S Wayne Rd |
$55.79 | 340 | 335 |
|
Ganesh R Deshmukh
3106 S Wayne Rd |
$45.69 | 497 | 487 |
|
Fairfield Pediatrics Pllc
3106 S Wayne Rd |
$83.27 | 497 | 475 |
|
Community Living Services, Inc.
35425 W Michigan Ave |
$84.14 | 817 | 755 |
|
Annapolis Medical Center
4811 Venoy Rd Ste B |
$56.19 | 839 | 672 |
|
Michigan Surgical Associates Pllc
3106 S Wayne Rd |
$55.25 | 894 | 884 |
|
Michigan Cardiology Associates Pc
4020 Venoy Rd |
$44.63 | 905 | 862 |
|
Above & Beyond Urgent Care Pllc
32413 Michigan Ave |
$82.63 | 1,012 | 931 |
|
Normita Vicencio Md Pc
4020 Venoy Rd Ste 300 |
$64.78 | 2,324 | 2,130 |
|
Surindar K Jolly
4020 Venoy Rd |
$66.32 | 2,378 | 2,286 |
|
Khawar Aslam Chaudhry
34815 W Michigan Ave Ste 1 |
$59.59 | 2,417 | 1,789 |
|
Wafa A Elhassan Md Pllc
4020 Venoy Rd Ste 300 |
$52.74 | 3,115 | 2,884 |
|
Jolly Neurological Clinic Pc
4020 Venoy Rd |
$64.03 | 3,588 | 3,474 |
|
Wayne Primary Care
2901 S Newburgh Rd |
$72.66 | 4,670 | 4,341 |
|
Kavitha Ponduri Md Pc
34659 W Michigan Ave |
$87.37 | 7,445 | 6,874 |
|
Essa J. Sidiqi
33155 Annapolis St |
$56.51 | 8,146 | 7,029 |
|
Wayne Neurology Plc
34815 W Michigan Ave |
$67.33 | 8,566 | 8,358 |
|
Pocs Mental Health Pc
34841 Veterans Plz |
$52.74 | 21,287 | 19,291 |
|
Ch Aslam Enterprises Pllc
34904 W Michigan Ave |
$87.50 | 37,187 | 26,099 |
|
Pure Psychiatry Of Michigan Pllc
34841 Veterans Plaza |
$63.09 | 59,472 | 50,808 |
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 Wayne, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wayne, MI is $68.19 per claim, based on 167,624 claims from 32 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 Wayne, MI?
There are 32 Medicaid providers offering Office Visit related services in Wayne, MI according to public payment data.
What is the price range for Office Visit in Wayne, MI?
Medicaid reimbursement for Office Visit in Wayne, MI ranges from $3.63 to $96.23 per claim, with an average of $68.19. 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 Wayne, MI
Case Management Services
Avg $302.61
265,632 claims
Home Health Visit
Avg $71.56
208,411 claims
Blood Work & Lab Tests
Avg $3.06
185,055 claims
Emergency Room Visit
Avg $212.00
136,004 claims
Vaccines & Immunizations
Avg $14.62
100,499 claims
X-Ray
Avg $31.32
59,456 claims
Urinalysis & Urine Tests
Avg $0.35
53,401 claims
Psychiatric Evaluation
Avg $85.22
47,514 claims