Average Medicaid Office Visit Payments in Amelia, OH: $53.42
Avg. Paid
$53.42
Range
$7.10 – $87.48
Total Claims
44,049
Providers
15
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 Amelia, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lance Reeves
1238 W Ohio Pike |
$25.10 | 14 | 12 |
|
Andrea Doherty
262 W Main St |
$42.49 | 20 | 20 |
|
Brittany Nicole Ridner
262 W Main St |
$43.81 | 24 | 21 |
|
Robert Earl Meyer
1815 E Ohio Pike |
$66.10 | 67 | 67 |
|
The Healthcare Connection, Inc
43 E Main St |
$7.10 | 453 | 278 |
|
Vaughn Daniel Blackburn
5 W Main St |
$20.21 | 756 | 573 |
|
Beth Zanovic
262 W Main St |
$50.99 | 761 | 703 |
|
Nabarun Sarkar
1324 State Route 125 |
$34.71 | 1,254 | 1,161 |
|
Katherine Kohler
262 W Main St |
$60.94 | 1,733 | 1,527 |
|
Chauntel Lynn Dunham
262 W Main St |
$43.04 | 2,369 | 2,230 |
|
Jacqueline Renee Slone
262 W Main St |
$26.58 | 2,945 | 2,500 |
|
Mary Ann Collier
43 E Main St |
$84.67 | 3,986 | 3,378 |
|
Amy Trent
43 E Main St |
$87.48 | 6,549 | 5,990 |
|
Michelle Lynn Ducat
43 E Main St |
$77.51 | 9,499 | 8,511 |
|
Susan Marie Kasperczyk
262 W Main St |
$22.97 | 13,619 | 7,526 |
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 Amelia, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Amelia, OH is $53.42 per claim, based on 44,049 claims from 15 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 Amelia, OH?
There are 15 Medicaid providers offering Office Visit related services in Amelia, OH according to public payment data.
What is the price range for Office Visit in Amelia, OH?
Medicaid reimbursement for Office Visit in Amelia, OH ranges from $7.10 to $87.48 per claim, with an average of $53.42. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Amelia, OH
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Avg $57.03
21,340 claims
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Avg $23.79
18,728 claims
Psychiatric Evaluation
Avg $81.10
8,656 claims
Nursing Facility Care
Avg $5.71
3,826 claims
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Avg $11.52
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Avg $26.65
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Chiropractic Care
Avg $18.84
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Blood Work & Lab Tests
Avg $6.26
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