Average Medicaid Office Visit Payments in Ada, OH: $45.94
Avg. Paid
$45.94
Range
$0.38 – $79.85
Total Claims
22,999
Providers
10
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 Ada, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jenelle Niese
604 W North Ave |
$42.93 | 5,809 | 4,930 |
|
Akeem A Adeniyi
520 W Lincoln Ave Ste A |
$79.85 | 4,905 | 4,200 |
|
Jewel A Engle
520 W Lincoln Ave Ste A |
$42.86 | 4,579 | 4,087 |
|
Timothy Deemer Law
604 W North Ave |
$37.77 | 2,901 | 2,405 |
|
Mercy Health - Defiance Hospital Llc
604 W North Ave |
$0.38 | 2,174 | 1,244 |
|
Kaitlin Elizabeth Law
604 W North Ave |
$43.11 | 1,692 | 1,438 |
|
Teresa E Rush
604 W North Ave |
$37.91 | 783 | 628 |
|
Sarah Wischmeyer Niese
520 W Lincoln Ave |
$41.83 | 126 | 119 |
|
Beau James Griffin
4171 State Route 235 Ste 101 |
$35.57 | 16 | 16 |
|
Lawrence Joseph Kuk
520 W Lincoln Ave |
$27.76 | 14 | 14 |
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 Ada, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ada, OH is $45.94 per claim, based on 22,999 claims from 10 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 Ada, OH?
There are 10 Medicaid providers offering Office Visit related services in Ada, OH according to public payment data.
What is the price range for Office Visit in Ada, OH?
Medicaid reimbursement for Office Visit in Ada, OH ranges from $0.38 to $79.85 per claim, with an average of $45.94. 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 Ada, OH
Speech Therapy
Avg $30.52
5,859 claims
Eye Exam
Avg $37.49
5,551 claims
Physical Therapy
Avg $21.25
3,817 claims
Vaccines & Immunizations
Avg $15.59
2,046 claims
Psychiatric Evaluation
Avg $81.11
1,884 claims
Chiropractic Care
Avg $17.88
1,748 claims
Blood Work & Lab Tests
Avg $2.17
1,190 claims
Behavioral & Mental Health Therapy
Avg $44.97
456 claims