Average Medicaid Office Visit Payments in West Bloomfield, MI: $82.12
Avg. Paid
$82.12
Range
$0.00 – $88.82
Total Claims
448,300
Providers
44
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 West Bloomfield, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gina Gora
6900 Orchard Lake Rd Ste 100 |
$55.67 | 12 | 12 |
|
Ronald S Lederman, Md, Pllc
2300 Haggerty Rd |
$71.29 | 12 | 12 |
|
Center For Ear,Nose And Throat Pc
2300 Haggerty Road |
$66.84 | 13 | 12 |
|
Alison Yasuyo Weidel
6777 W Maple Rd |
$46.79 | 13 | 12 |
|
Walnut Lake Obgyn Pllc
2300 Haggerty Rd |
$52.06 | 14 | 13 |
|
Murad Medical Associates Pc
7071 Orchard Lake Rd |
$72.79 | 15 | 15 |
|
Nazia Munir
6530 Farmington Rd |
$59.38 | 17 | 17 |
|
Chest Specialists, P.C.
7399 Middlebelt Rd |
$52.05 | 18 | 14 |
|
Michigan Interventional Pain Associates Pllc
2300 Haggerty Rd |
$57.17 | 19 | 17 |
|
Anil K Jain
4483 Laurel Club Cir Apt 25 |
$0.00 | 21 | 21 |
|
Avery Arora, Md Pc
7001 Orchard Lake Rd Ste 220 |
$65.64 | 26 | 24 |
|
Lakes Urgent Care Inc
2300 Haggerty Rd |
$60.18 | 26 | 26 |
|
Bhanu L. Swamy
2300 Haggerty Rd Ste 2150 |
$49.04 | 28 | 28 |
|
Lawrence M Dell
2300 Haggerty Road |
$54.26 | 37 | 37 |
|
Zivit Cohen
7125 Orchard Lake Rd Ste 100 |
$48.65 | 64 | 63 |
|
Shelley Sue Binkley
4936 Fairway Ridge Cir |
$44.90 | 66 | 66 |
|
West Bloomfield Internal Medicine Pllc
6014 W Maple Rd |
$76.10 | 67 | 66 |
|
Beaumont Medical Group- Specialty Services
6900 Orchard Lake Rd Ste 100 |
$46.08 | 67 | 64 |
|
Michelle Tang Day
6530 Farmington Rd |
$49.99 | 74 | 73 |
|
Gordon Chiropractic P.C.
7887 Cooley Lake Rd |
$6.70 | 89 | 87 |
|
Moca Group Pc
5777 W Maple Rd |
$56.37 | 126 | 120 |
|
Mary Lee Md, Pc
33200 W 14 Mile Rd |
$79.49 | 140 | 130 |
|
Knee Institute
6016 W Maple Rd |
$31.01 | 158 | 64 |
|
Haley Mae Johnson
6777 W Maple Rd |
$55.25 | 183 | 171 |
|
Hua Gao
6530 Farmington Rd |
$60.96 | 203 | 202 |
|
Onward Health
5829 W Maple Rd Ste 115 |
$51.37 | 350 | 313 |
|
Steven H Schechter
6900 Orchard Lake Rd |
$59.17 | 506 | 502 |
|
Sarmed Gabriel Sinawi
7125 Orchard Lake Rd Ste 100 |
$65.47 | 825 | 798 |
|
Lakes Psychiatric Center, Pllc
2300 Haggerty Rd |
$84.51 | 852 | 377 |
|
Tiffany Marie St. Clair
6667 Orchard Lake Rd |
$73.78 | 1,274 | 1,063 |
|
Orchard Pediatrics Pc
6900 Orchard Lake Rd |
$50.98 | 1,409 | 1,241 |
|
Jewish Family Service
6555 W Maple Rd |
$52.82 | 1,542 | 1,323 |
|
Lawrence M Dell, Md, Pc
2300 Haggerty Rd |
$80.91 | 1,566 | 1,428 |
|
Krystal Howell
6667 Orchard Lake Rd |
$38.87 | 1,857 | 1,632 |
|
Wasif Hafeez Md Pc
5542 Hobnail Cir |
$65.61 | 2,032 | 1,997 |
|
Robert B Ferguson M.D. P.C.
4256 Orchard Lake Rd |
$59.53 | 2,919 | 2,766 |
|
Heather Christine Gupta
6530 Farmington Rd |
$57.41 | 3,087 | 2,928 |
|
Henry Ford West Bloomfield Physicians
6777 W Maple Rd |
$73.22 | 3,250 | 3,037 |
|
Children'S Eye Care, Pc
7001 Orchard Lake Road |
$53.65 | 6,076 | 5,833 |
|
Ronald D Kerwin Md Pc
6330 Orchard Lake Rd |
$41.92 | 7,410 | 6,885 |
|
A And G Aesthetics Pllc
7125 Orchard Lake Rd |
$45.05 | 10,043 | 8,584 |
|
Lakes Urgent Care, Inc.
2300 Haggerty Rd |
$59.90 | 19,449 | 18,747 |
|
Michigan Pediatric Ent Associates, Pllc
7001 Orchard Lake Rd |
$61.48 | 29,928 | 29,386 |
|
Wellstreet Urgent Care Of Michigan
6900 Orchard Lake Rd Ste 100 |
$88.82 | 352,417 | 341,636 |
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 West Bloomfield, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Bloomfield, MI is $82.12 per claim, based on 448,300 claims from 44 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 West Bloomfield, MI?
There are 44 Medicaid providers offering Office Visit related services in West Bloomfield, MI according to public payment data.
What is the price range for Office Visit in West Bloomfield, MI?
Medicaid reimbursement for Office Visit in West Bloomfield, MI ranges from $0.00 to $88.82 per claim, with an average of $82.12. 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 West Bloomfield, MI
Blood Work & Lab Tests
Avg $2.84
153,452 claims
Urinalysis & Urine Tests
Avg $2.74
98,546 claims
Dental Cleaning & Exam
Avg $35.92
88,736 claims
Emergency Room Visit
Avg $189.76
51,039 claims
X-Ray
Avg $19.48
41,846 claims
Eye Exam
Avg $40.50
29,733 claims
Psychiatric Evaluation
Avg $66.19
28,622 claims
Home Health Visit
Avg $52.04
28,156 claims