Average Medicaid Office Visit Payments in Wyoming, MI: $47.09
Avg. Paid
$47.09
Range
$0.00 – $86.85
Total Claims
621,928
Providers
37
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 Wyoming, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Metropolitan Hospital
5900 Byron Center Ave Sw |
$51.33 | 412,080 | 377,937 |
|
Metropolitan Hospital
5900 Byron Center Ave Sw |
$45.41 | 60,570 | 55,644 |
|
Metropolitan Hospital
781 36Th St Se |
$37.28 | 42,857 | 38,645 |
|
Thomas W Pfennig Do
1555 - 44Th Street Sw |
$63.77 | 27,288 | 26,882 |
|
Cherry Street Services Inc
2929 Burlingame Ave Sw |
$5.66 | 23,368 | 21,485 |
|
Jared Thompson
2215 44Th St Sw |
$0.25 | 8,652 | 8,158 |
|
Gastroenterology Associates Of Western Michigan Plc
2093 Health Drive |
$46.05 | 7,010 | 6,824 |
|
Metropolitan Hospital
5950 Metro Way Sw |
$37.34 | 5,727 | 5,221 |
|
Brookville Pediatric & Internal Medicine, Pc
1200 56Th St Sw |
$65.94 | 4,210 | 3,939 |
|
Clyde Park Pediatrics, P.C.
3637 Clyde Park Ave Sw Ste 4 |
$53.96 | 4,114 | 3,078 |
|
Catherines Health Center
950 36Th St Sw |
$5.96 | 3,912 | 3,528 |
|
West Michigan Surgical Specialists Plc
1045 Gezon Pkwy Sw |
$50.11 | 3,887 | 3,783 |
|
Nottawaseppi Huron Band Of The Potawatomi
4415 Byron Center Ave Sw |
$2.08 | 2,745 | 2,477 |
|
Orandi Allergy And Asthma Center Pllc
2221 Health Dr Sw Ste 1400 |
$55.09 | 2,729 | 2,662 |
|
Nathan Andrews
5900 Byron Center Ave Sw |
$9.47 | 2,623 | 2,480 |
|
Spectrum Health Primary Care Partners
5500 Clyde Park Ave Sw |
$48.78 | 2,172 | 2,109 |
|
Janette R Buhl
1000 29Th Street Sw |
$55.48 | 1,765 | 1,702 |
|
Wolverine Dermatology, Pc
1673 Gezon Pkwy Sw |
$48.36 | 1,037 | 1,016 |
|
Ryan Volk
5060 Amanda Dr Sw |
$73.03 | 974 | 713 |
|
Mershed Alsamara
2122 Health Dr Sw |
$29.47 | 917 | 878 |
|
Fenix Health Mi Pllc
1428 44Th St Sw Ste A |
$33.06 | 830 | 617 |
|
Ben Yan
5950 Metro Way Sw |
$26.51 | 676 | 484 |
|
Ali A Saab
2122 Health Dr Sw |
$24.69 | 361 | 326 |
|
Cody Edward Campbell
5900 Byron Center Ave Sw |
$58.79 | 333 | 291 |
|
Danielle L Kfoury
5900 Byron Center Ave Sw |
$77.50 | 314 | 296 |
|
Timothy Rescigno
2093 Health Dr Sw Ste 302 |
$3.79 | 279 | 219 |
|
Soheil Assar
5838 Metro Way Sw |
$46.91 | 92 | 83 |
|
Kooistra Chiropractic Clinic Pllc
2855 Byron Center Ave Sw |
$0.00 | 81 | 79 |
|
Rafael Torres
5838 Metro Way Sw |
$86.85 | 63 | 59 |
|
Richard A. Switzer, M.D., P.C.
4166 56Th St Sw |
$53.82 | 63 | 57 |
|
Sarah L Edgerton
5900 Byron Center Ave Sw |
$84.02 | 57 | 50 |
|
Allan G Coates
2093 Health Drive Sw |
$29.44 | 56 | 48 |
|
Anthony Joseph Camodeca
5900 Byron Center Ave Sw |
$15.01 | 33 | 31 |
|
Rivertown Family Chiropractic Llc
4020 Del Mar Dr Sw |
$1.64 | 15 | 13 |
|
Barbara E Swartz
2122 Health Dr Sw Ste 160 |
$75.56 | 14 | 12 |
|
Sheila Lynn Barrenechea Glashower
1000 28Th St Sw |
$2.00 | 12 | 12 |
|
Ashley Gaebel
5900 Byron Center Ave Sw |
$24.37 | 12 | 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 Wyoming, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wyoming, MI is $47.09 per claim, based on 621,928 claims from 37 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 Wyoming, MI?
There are 37 Medicaid providers offering Office Visit related services in Wyoming, MI according to public payment data.
What is the price range for Office Visit in Wyoming, MI?
Medicaid reimbursement for Office Visit in Wyoming, MI ranges from $0.00 to $86.85 per claim, with an average of $47.09. 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 Wyoming, MI
Blood Work & Lab Tests
Avg $3.58
690,547 claims
Emergency Room Visit
Avg $103.44
330,784 claims
Vaccines & Immunizations
Avg $11.44
291,661 claims
Urinalysis & Urine Tests
Avg $3.32
137,854 claims
X-Ray
Avg $15.27
134,224 claims
Dental Cleaning & Exam
Avg $42.74
99,892 claims
EKG / ECG (Electrocardiogram)
Avg $8.51
90,539 claims
Ultrasound
Avg $41.98
59,034 claims