Average Medicaid Office Visit Payments in West Branch, MI: $33.51
Avg. Paid
$33.51
Range
$10.10 – $53.97
Total Claims
77,037
Providers
17
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 Branch, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mymichigan Medical Center Gladwin
335 E Houghton Ave |
$25.01 | 33,160 | 31,745 |
|
Mymichigan Medical Center West Branch
2463 S M 30 |
$49.55 | 12,921 | 12,260 |
|
Mclaren Central Michigan
2110 S M 76 |
$48.07 | 12,144 | 11,418 |
|
Mclaren Primary Care
2110 S M 76 Ste 6 |
$29.02 | 4,626 | 4,293 |
|
Sterling Area Health Center
621 Court St Ste 102 |
$13.21 | 4,305 | 4,011 |
|
Mclaren Medical Group
611 Court St |
$38.79 | 3,606 | 3,068 |
|
Himali Sheshtra Wijesooriya
640 Court Street |
$14.99 | 2,414 | 2,245 |
|
Rem Nation Pllc
611 Court St |
$51.00 | 1,976 | 1,928 |
|
Lucas John Wyzlic
621 Court Street |
$23.30 | 681 | 610 |
|
Dialysis And Nephrology Consultants Pc
648 Progress St Ste 101 |
$50.77 | 452 | 448 |
|
West Branch Eyecare P.C.
304 W Houghton Ave |
$25.84 | 312 | 308 |
|
Mclaren Primary Care
2331 Progress St |
$14.02 | 218 | 198 |
|
John N Di Bella Mdpc
335 E Houghton Ave |
$53.97 | 103 | 103 |
|
Mid Michigan Family Orthopaedics Pc
2333 Progress St |
$49.75 | 38 | 38 |
|
Ogemaw Eye Institute Pc
559 Progress St Ste E |
$42.74 | 31 | 31 |
|
Dr. Timothy Marsh, P.C.
2339 Progress St |
$47.29 | 26 | 25 |
|
Mymichigan Medical Center West Branch
2463 S M 30 |
$10.10 | 24 | 12 |
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 Branch, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Branch, MI is $33.51 per claim, based on 77,037 claims from 17 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 Branch, MI?
There are 17 Medicaid providers offering Office Visit related services in West Branch, MI according to public payment data.
What is the price range for Office Visit in West Branch, MI?
Medicaid reimbursement for Office Visit in West Branch, MI ranges from $10.10 to $53.97 per claim, with an average of $33.51. 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 Branch, MI
Blood Work & Lab Tests
Avg $2.51
98,294 claims
Physical Therapy
Avg $25.44
81,639 claims
Emergency Room Visit
Avg $113.08
65,127 claims
Durable Medical Equipment (DME)
Avg $61.42
60,865 claims
Urinalysis & Urine Tests
Avg $0.35
22,223 claims
Vaccines & Immunizations
Avg $7.93
19,954 claims
X-Ray
Avg $27.09
11,296 claims
CT Scan (Computed Tomography)
Avg $96.67
11,262 claims