Average Medicaid Office Visit Payments in Winamac, IN: $52.04
Avg. Paid
$52.04
Range
$24.94 – $71.42
Total Claims
26,482
Providers
18
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 Winamac, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clinton L. Kauffman
540 Hospital Dr |
$55.41 | 7,119 | 6,038 |
|
Tisha Fry
540 Hospital Dr |
$42.54 | 4,077 | 3,099 |
|
Melissa D Zahrt
616 E 13Th St |
$59.86 | 3,763 | 3,017 |
|
Samantha J Pugh
540 Hospital Dr |
$45.63 | 2,304 | 1,865 |
|
Timothy Day
540 Hospital Dr |
$60.71 | 1,947 | 1,511 |
|
Michael Ryan Keller
540 Hospital Dr |
$65.45 | 1,417 | 1,249 |
|
Curtis Mitchell Bejes
540 Hospital Dr |
$52.20 | 908 | 714 |
|
Nadine Alene Nufer
540 Hospital Dr |
$34.69 | 885 | 700 |
|
Whitney Dawn Scheffer
540 Hospital Dr |
$50.09 | 672 | 552 |
|
David P Johnson
540 Hospital Dr |
$58.83 | 618 | 518 |
|
Rebecca Marie Anderson
540 Hospital Dr |
$42.37 | 606 | 505 |
|
Elizabeth Ann Curtis
2418 Curtis Dr |
$24.94 | 606 | 481 |
|
Morgan Faanes
616 E 13Th St |
$36.95 | 479 | 372 |
|
Jennifer Crystal Biesiadecki
540 Hospital Dr |
$71.42 | 441 | 383 |
|
Rex Allen Allman
540 Hospital Dr |
$62.55 | 247 | 210 |
|
Taylor Gibson
540 Hospital Dr |
$40.00 | 233 | 186 |
|
Daniel Richard Anderson
540 Hospital Dr |
$38.48 | 103 | 80 |
|
Alexa Good
540 Hospital Dr |
$38.13 | 57 | 51 |
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 Winamac, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winamac, IN is $52.04 per claim, based on 26,482 claims from 18 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 Winamac, IN?
There are 18 Medicaid providers offering Office Visit related services in Winamac, IN according to public payment data.
What is the price range for Office Visit in Winamac, IN?
Medicaid reimbursement for Office Visit in Winamac, IN ranges from $24.94 to $71.42 per claim, with an average of $52.04. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Winamac, IN
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Avg $2.93
14,058 claims
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Avg $41.40
5,911 claims
Ambulance Transport
Avg $100.59
2,910 claims
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Avg $27.93
1,638 claims
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Avg $12.47
1,215 claims
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Avg $2.80
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Avg $16.80
278 claims