Average Medicaid Office Visit Payments in Winchester, IN: $60.95
Avg. Paid
$60.95
Range
$31.76 – $188.65
Total Claims
63,016
Providers
23
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 Winchester, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Lloyd Wegg
386 Symmes Center Dr Ste 1 |
$56.56 | 7,092 | 5,843 |
|
Jeffery Howard Baron
386 Symmes Center Dr Ste 1 |
$59.61 | 6,457 | 5,433 |
|
Kelly J Campbell
409 E Greenville Ave |
$50.76 | 6,371 | 5,203 |
|
Samantha M Morris
409 E Greenville Ave |
$55.70 | 6,331 | 5,189 |
|
Cierra N. Fisher
386 Symmes Center Dr Ste 1 |
$68.87 | 5,800 | 4,818 |
|
Amanda K Clevenger
409 E Greenville Ave |
$65.75 | 4,793 | 3,634 |
|
Kenneth Dale Watkins
108 E Hospital Dr |
$40.99 | 4,284 | 2,979 |
|
Lisa Marcella Moore
409 Se Greenville Ave |
$48.97 | 4,019 | 3,271 |
|
Alison Anne Syme
409 E Greenville Ave |
$54.62 | 3,656 | 3,003 |
|
Heidi Marie Krauskopf
409 Se Greenville Ave |
$188.65 | 2,998 | 2,623 |
|
Stephanie B Eckerle
473 Se Greenville Ave |
$39.74 | 2,701 | 2,321 |
|
Alice Pauline Watkins
108 E Hospital Dr |
$55.88 | 2,524 | 2,109 |
|
Lacie Shae Burge
400 South Oak Street |
$52.19 | 1,892 | 1,443 |
|
Pauletta J Hummel
473 E Greenville Ave |
$39.92 | 1,037 | 743 |
|
S Kathryn Joyner
409 E Greenville Ave |
$37.05 | 820 | 683 |
|
Mabrey Jen Chamberlin
409 E Greenville Ave |
$49.19 | 767 | 585 |
|
Andrew Nathan Felman
409 E Greenville Ave |
$50.10 | 671 | 513 |
|
Arthur R Boerner
409 Se Greenville Ave |
$49.54 | 256 | 193 |
|
Kenneth Sowinski
409 E Greenville Ave |
$40.30 | 246 | 222 |
|
Lisa Morgan
409 E Greenville Ave |
$31.76 | 124 | 107 |
|
Adam Reichert
882 Se Greenville Ave |
$42.34 | 83 | 78 |
|
Michael Arthur Eifrid
409 E Greenville Ave |
$52.78 | 57 | 45 |
|
David D Davis
910 E Washington St |
$92.41 | 37 | 36 |
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 Winchester, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Winchester, IN is $60.95 per claim, based on 63,016 claims from 23 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 Winchester, IN?
There are 23 Medicaid providers offering Office Visit related services in Winchester, IN according to public payment data.
What is the price range for Office Visit in Winchester, IN?
Medicaid reimbursement for Office Visit in Winchester, IN ranges from $31.76 to $188.65 per claim, with an average of $60.95. 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 Winchester, IN
Blood Work & Lab Tests
Avg $4.47
22,197 claims
Speech Therapy
Avg $33.06
12,880 claims
Chiropractic Care
Avg $29.12
10,548 claims
Nursing Facility Care
Avg $15.65
8,791 claims
Vaccines & Immunizations
Avg $7.23
8,433 claims
Ambulance Transport
Avg $89.94
6,830 claims
Pregnancy & Prenatal Care
Avg $47.89
6,543 claims
Eye Exam
Avg $39.36
3,667 claims