Average Medicaid Office Visit Payments in Zionsville, IN: $66.24
Avg. Paid
$66.24
Range
$3.07 – $207.72
Total Claims
98,372
Providers
65
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 Zionsville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tajuana Davis
3253 Autumn Ash Dr |
$77.58 | 14,725 | 11,424 |
|
Minuteclinic Diagnostics Of Indiana, Llc
1466 W Oak St |
$36.92 | 8,107 | 6,824 |
|
Harmeet Sarao
10801 N Michigan Rd Ste 110 |
$73.89 | 5,225 | 4,920 |
|
Claudina David
10801 N Michigan Rd Ste 110 |
$207.72 | 4,780 | 4,586 |
|
Taryn Marie Bolton
1466 W Oak St |
$12.07 | 4,503 | 3,863 |
|
Michelle Mccarthy
1650 W Oak St Ste 101 |
$73.21 | 4,051 | 3,604 |
|
Donna Renee Gill
1650 W Oak St Ste 200 |
$55.73 | 3,665 | 3,112 |
|
Sarah Hafsa Gangadhar
10801 N Michigan Rd |
$71.73 | 3,385 | 3,156 |
|
Kyla N Wells
1466 W Oak St |
$11.84 | 3,200 | 2,693 |
|
Amber Boksa
10801 N Michigan Rd |
$70.24 | 3,095 | 2,805 |
|
Lindsay Diemer
60 N First St Ste B |
$75.66 | 2,641 | 2,376 |
|
Luis Felipe Romero-Cortez
10801 N Michigan Rd |
$59.65 | 2,605 | 1,839 |
|
Hao D Yan
10801 N Michigan Rd Ste 110 |
$67.18 | 2,479 | 2,237 |
|
Shawn M Stout
200 S Ford Rd |
$41.31 | 2,038 | 1,768 |
|
Janice Kunkel
6085 Heartland Dr Ste 208 |
$58.21 | 1,900 | 1,697 |
|
Suzanne M Bachman
10801 N Michigan Rd Ste 110 |
$62.89 | 1,792 | 1,559 |
|
Jane W Buroker
6085 Heartland Dr Ste 208 |
$61.49 | 1,727 | 1,491 |
|
Richard W Boersma
10801 N Michigan Rd Ste 110 |
$43.52 | 1,539 | 1,184 |
|
Kristen R Osburn
10801 N Michigan Rd Ste 110 |
$55.74 | 1,535 | 1,244 |
|
Emily Crane
55 Brendon Way Ste 100 |
$64.15 | 1,523 | 1,380 |
|
Harvey Sievers
10801 N Michigan Rd |
$39.93 | 1,359 | 1,032 |
|
Michael P Mckenna
10801 N Michigan Rd |
$64.19 | 1,349 | 1,165 |
|
Brandon J Yohn
55 Brendon Way Ste 100 |
$69.29 | 1,298 | 1,141 |
|
Helen Sandford
10801 N Michigan Rd Ste 110 |
$63.26 | 1,261 | 1,133 |
|
Michael W. Chapman
6085 Heartland Dr Ste 205 |
$67.31 | 1,209 | 1,083 |
|
Heather B Gutwein
6085 Heartland Dr Ste 205 |
$60.33 | 1,154 | 984 |
|
Lisa M Richter
55 Brendon Way Ste 100 |
$53.56 | 1,124 | 1,018 |
|
Markella Reno
55 Brendon Way Ste 100 |
$74.47 | 1,054 | 949 |
|
Alexandria D Slash
10801 N Michigan Rd Ste 110 |
$60.84 | 914 | 829 |
|
Vivian Cruz Nanagas
4400 Weston Pointe Dr Ste 150 |
$94.75 | 913 | 787 |
|
Max E Lewis
1650 W Oak St Ste 101 |
$64.98 | 871 | 734 |
|
Rachel Andrews Trupe
262 S Ford Rd Ste 300 |
$79.55 | 836 | 627 |
|
Natalie Karin Wilson
1466 W Oak St |
$3.07 | 756 | 515 |
|
Min Wang
10801 N Michigan Rd |
$58.01 | 733 | 607 |
|
Beata E Samuel
51 N Ford Rd |
$58.48 | 721 | 597 |
|
Melissa Marie Arthur
51 N Ford Rd |
$53.71 | 720 | 579 |
|
Ann Therese Esquivel
4400 Weston Pointe Dr Ste 150 |
$80.76 | 672 | 592 |
|
Sarah Coleman
10801 N Michigan Rd |
$62.59 | 635 | 488 |
|
Shelby C Fitzpatrick
10801 N Michigan Rd Ste 110 |
$62.27 | 617 | 549 |
|
Katherine Moss Pedersen
51 N Ford Rd |
$74.81 | 582 | 458 |
|
Harold Hibbs
1475 West Oak Street #138 |
$74.64 | 545 | 394 |
|
Sean Streff
1501 W Oak St Ste 100 |
$65.43 | 502 | 435 |
|
Christopher J Dull
1650 W Oak St Ste 207 |
$39.71 | 493 | 262 |
|
Jessica Louise Gilliam
1466 W Oak St |
$6.67 | 436 | 366 |
|
Evan Murray
1120 W Oak St Ste 100 |
$62.12 | 428 | 375 |
|
Mary R Brunner
1650 W Oak St |
$92.41 | 361 | 262 |
|
Jim Gus Megremis
10801 N Michigan Rd |
$79.43 | 350 | 301 |
|
Michael J. Cloud
6085 Heartland Dr Ste 205 |
$69.89 | 327 | 264 |
|
Vince M Pokrifcak
1650 W Oak St Ste 100 |
$14.60 | 301 | 247 |
|
Roxanne Bielak
1466 W Oak St |
$58.29 | 298 | 260 |
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 Zionsville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Zionsville, IN is $66.24 per claim, based on 98,372 claims from 65 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 Zionsville, IN?
There are 65 Medicaid providers offering Office Visit related services in Zionsville, IN according to public payment data.
What is the price range for Office Visit in Zionsville, IN?
Medicaid reimbursement for Office Visit in Zionsville, IN ranges from $3.07 to $207.72 per claim, with an average of $66.24. 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 Zionsville, IN
Psychiatric Evaluation
Avg $53.13
35,901 claims
Vaccines & Immunizations
Avg $5.62
29,206 claims
Blood Work & Lab Tests
Avg $33.78
23,079 claims
Substance Abuse Treatment
Avg $35.24
22,093 claims
Eye Exam
Avg $47.24
9,779 claims
X-Ray
Avg $7.06
5,480 claims
Emergency Room Visit
Avg $82.28
4,441 claims
Behavioral & Mental Health Therapy
Avg $214.91
3,986 claims