Average Medicaid Office Visit Payments in Athens, OH: $49.39
Avg. Paid
$49.39
Range
$0.00 – $115.76
Total Claims
611,668
Providers
206
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 Athens, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Nathan Boggs
400 E State St Ste D |
$85.39 | 25,807 | 16,496 |
|
Martin E Menosky
2131 E State St |
$59.00 | 15,950 | 13,973 |
|
Randall A Colucci
75 Hospital Dr |
$91.39 | 15,694 | 10,318 |
|
Kimberly Ann Brozak
5 Charles St |
$97.42 | 15,092 | 14,241 |
|
Jessica A. James
2131 E State St |
$42.90 | 14,737 | 13,872 |
|
Bobbie Jo Huffman
90 Hospital Dr |
$47.60 | 14,248 | 9,076 |
|
Amanda Pack
141 Columbus Rd |
$92.02 | 13,633 | 12,922 |
|
Laura Sue Wills
2131 E State St |
$55.58 | 13,452 | 12,550 |
|
Amy Maggard
2131 E State St |
$49.96 | 11,001 | 9,897 |
|
Jason Adams Allen
265 W Union St Ste B |
$48.80 | 10,755 | 10,294 |
|
Anthony R Derrico
100 Hospital Dr |
$74.21 | 9,675 | 6,855 |
|
Bobbi J. Lundy
2131 E State St |
$39.66 | 9,494 | 8,793 |
|
Katherine Kiger
206 Columbus Rd Ste 203 |
$39.45 | 8,720 | 8,216 |
|
Leeann Nicole Reed
90 Hospital Dr |
$19.22 | 8,612 | 5,144 |
|
Benjamin William Jordan
90 Hospital Dr |
$31.11 | 8,529 | 5,347 |
|
Timothy Tulley Kermode
75 Hospital Dr |
$55.62 | 8,448 | 7,438 |
|
Jason A Reed
20 University Estates Blvd |
$43.57 | 8,076 | 6,959 |
|
Shelly Lee Brown
90 Hospital Dr |
$33.73 | 8,051 | 4,940 |
|
Lacey Whitlatch
206 Columbus Rd Ste 203 |
$21.69 | 8,005 | 5,065 |
|
Cortney L Cahoe
75 Hospital Dr |
$48.53 | 7,778 | 7,291 |
|
Wendy Lynn Shields
90 Hospital Dr |
$48.95 | 7,512 | 5,854 |
|
Derrick Allen Grey
90 Hospital Dr |
$30.01 | 7,108 | 4,029 |
|
Patricia Lynne Debruin
2131 East State Street |
$31.27 | 7,037 | 6,463 |
|
Matthew J Comeau
2131 E State St |
$46.03 | 6,930 | 6,441 |
|
Earl L Driggs
75 Hospital Dr |
$30.23 | 6,855 | 6,339 |
|
Tina M Perkins
90 Hospital Dr |
$51.48 | 6,582 | 6,261 |
|
Charlotte Rose Barnhart
2 Health Center Dr |
$39.53 | 6,282 | 5,886 |
|
Amy Leigh Mcnaughton
265 W Union St Ste A |
$41.30 | 5,770 | 5,283 |
|
Leslie Mira Abromowitz
90 Hospital Dr |
$40.66 | 5,566 | 3,494 |
|
Julie C Lew
2131 East State St |
$27.34 | 5,469 | 4,667 |
|
Seth Andrew Kearney
2131 East State Street |
$26.19 | 5,432 | 4,983 |
|
Christy D Massie
2131 E State St |
$50.18 | 5,428 | 4,733 |
|
Jason J Cox
2131 E State St |
$38.00 | 5,357 | 4,889 |
|
Staci Lynn James
75 Hospital Dr Ste 350 |
$44.99 | 5,180 | 4,735 |
|
Melinda E Ford
24 W Green Dr Ste 246 |
$38.98 | 5,030 | 4,285 |
|
Amy Marie Zidron
75 Hospital Dr Ste 350 |
$42.93 | 4,950 | 4,622 |
|
Kerry Ann Wyman
90 Hospital Dr |
$35.91 | 4,926 | 3,083 |
|
Sergio Agni Ulloa
75 Hospital Dr Ste 140 |
$34.82 | 4,842 | 4,527 |
|
Juanita Curnutte
26 E Park Dr Ste 105 |
$58.36 | 4,771 | 3,671 |
|
Jonathan Andrew Digby
75 Hospital Dr Ste 350 |
$47.46 | 4,757 | 4,325 |
|
Hopewell Health Centers, Inc.
90 Hospital Dr |
$2.06 | 4,677 | 3,729 |
|
Mary Helen Hanessian
90 Hospital Dr |
$23.15 | 4,600 | 3,156 |
|
David Grant Johnson
2131 E State St |
$46.98 | 4,590 | 4,327 |
|
Christopher T. Meyer
75 Hospital Dr Ste 350 |
$61.89 | 4,533 | 3,118 |
|
Tammy L Ball
2131 E State St |
$34.77 | 4,490 | 4,074 |
|
Sheltering Arms Hospital Foundation, Inc.
55 Hospital Dr |
$72.31 | 4,477 | 3,592 |
|
Cory Morris
265 W Union St Ste A |
$36.31 | 4,396 | 4,021 |
|
Rosanna Dillard
2131 E State St |
$35.15 | 4,390 | 3,993 |
|
Jane Ellery Broecker
75 Hospital Dr |
$54.42 | 4,330 | 3,915 |
|
Brian Andrew Torski
2131 E State St |
$31.02 | 4,194 | 3,982 |
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 Athens, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Athens, OH is $49.39 per claim, based on 611,668 claims from 206 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 Athens, OH?
There are 206 Medicaid providers offering Office Visit related services in Athens, OH according to public payment data.
What is the price range for Office Visit in Athens, OH?
Medicaid reimbursement for Office Visit in Athens, OH ranges from $0.00 to $115.76 per claim, with an average of $49.39. 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 Athens, OH
Behavioral & Mental Health Therapy
Avg $103.43
846,448 claims
Psychiatric Evaluation
Avg $61.86
384,984 claims
Blood Work & Lab Tests
Avg $6.94
229,532 claims
Substance Abuse Treatment
Avg $90.89
205,739 claims
Vaccines & Immunizations
Avg $11.14
76,548 claims
Emergency Room Visit
Avg $94.95
71,756 claims
Ambulance Transport
Avg $53.02
39,578 claims
Urinalysis & Urine Tests
Avg $2.60
39,247 claims