Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow in Michigan
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Michigan
| Provider | Medicare | Services |
|---|---|---|
| Phillips, Eric D.O. | $83.22 | 622 |
Michigan Pricing in Context
In Michigan, CPT code G0181 (Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow) carries an average Medicare payment of $78.09 — 4% below the national benchmark of $80.93. 252 providers across the state submitted claims for this procedure in 2023, performing 5.5K total services. Individual payments in MI ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Michigan is $173.72, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Michigan sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Michigan lands near $213.62, with self-pay cash prices typically around $123.35. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow cost in Michigan?
The average Medicare payment for Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow in Michigan is $78.09, which is 4% below the national average of $80.93. Providers in MI typically bill $173.72 for this procedure.
What does Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow cost with insurance in Michigan?
With commercial insurance in Michigan, Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow costs an estimated $213.62. Without insurance, the estimated cash price is $123.35. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow in Michigan?
252 providers in Michigan billed Medicare for Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow in 2023, performing 5.5K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow cheaper in Michigan than the national average?
Yes — Physician Or Allowed Practitioner Supervision Of A Patient Receiving Medicare-Covered Services Provided By A Participating Home Health Agency (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Or Allow costs 4% below the national average in Michigan. The state average Medicare payment is $78.09 compared to $80.93 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.