Based on public Medicaid payment data.

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
Tzvetan Fatchikov 75 Hospital Dr Ste 260	$22.53	12	12
Jane Therese Balbo 2 Health Center Dr	$32.37	13	12
Regina Anderson 224 Columbus Rd	$19.34	15	15
Eric F Freed 14 W Stimson Ave	$35.04	16	15
Danielle C Ortman 206 Columbus Rd Ste 304	$23.24	16	14
Martha A Simpson 265 W Union St	$40.91	17	17
Paul F Carey 147 Columbus Rd	$29.60	20	17
Roger Canter 90 Hospital Dr	$0.00	20	18
Erica L Johnson 400 E State St	$88.38	24	24
Amber Gilliland 224 Columbus Rd	$21.42	25	22
Bradley Alan Bryan 75 Hospital Dr Ste 310	$53.41	26	25
David C Eland 408 Parks Hall	$37.34	26	26
James Diskin 100 Hospital Dr	$110.30	26	24
Margaret Jane Weckbacher 20 University Estates Blvd Unit 100	$59.53	28	28
Kathleen Marie Nemer 2111 E State St	$93.28	28	28
Lori Bartoe 224 Columbus Rd	$20.72	28	26
Ryan Christian Guillory 55 Hospital Dr # 1	$36.30	28	26
Aakash Kapoor 55 Hospital Dr	$34.76	34	33
Benjamin Wade Booker 191 W Union St Ste 127	$41.45	37	36
Drew R Williams 817 W Union St	$24.39	38	36
Ian Stewart Hunter 75 Hospital Dr Ste 250	$28.83	41	40
Ahmed Mohammed Ghany 75 Hospital Dr Ste 170	$23.60	43	42
Hopewell Health Centers Inc 90 Hospital Dr	$26.96	54	51
Vipin Badhwar Koshal 65 Hospital Dr	$20.36	65	63
Umamahesh Yellamraju 75 Hospital Dr	$23.99	69	67
Cheryl Taylor 224 Columbus Rd	$15.28	73	12
Todd Robert Fredricks 265 W Union Street	$43.01	75	71
Henry Fooks 224 Columbus Rd	$28.66	88	79
Krista M Duval 2 Health Center Dr	$33.91	103	90
Michael J Clark 4411 Fisher Rd	$35.70	111	103
David Sams 2 Health Center Dr	$34.80	113	113
Victoria M Steen 75 Hospital Dr Ste 140	$30.79	117	107
Wheaton Bissell Wood 6543 Fox Run Rd	$70.13	120	106
Noel M Novicky 1 Ohio University	$22.24	121	111
Audrey Larrimer 2 Health Center Dr	$34.08	122	96
Shayla Janee Thomas 400 E State St Ste D	$20.20	165	144
Hopewell Health Centers Inc 90 Hospital Dr	$2.58	196	174
Patricia B Mickunas 310 W Union St Ste 102	$56.25	206	177
Anew Behavioral Health, Llc 400 E State St Ste D	$37.14	216	132
Sarah M Croft 2111 E State St	$38.73	236	205
Samantha Fresia Johnson 2131 E State St	$41.57	243	234
Reginald Anunobi 75 Hospital Dr Ste 310	$25.79	276	260
David Eugene Burton 2 Health Center Dr	$44.38	283	280
Stevan Walkowski 191 W Union St Ste 127	$25.45	291	256
Amanda Emmalene Rose Caldwell 2131 E State St	$42.25	294	288
Jessica Janet Yang 55 Hospital Dr	$51.46	302	268
Lenard G Presutti 2Nd Floor Parks Hall	$35.26	327	301
Angela Ellison 75 Hospital Dr	$40.99	340	331
Neal James Nesbitt 75 Hospital Dr	$18.36	362	328
William J Resch 90 Hospital Dr	$41.93	364	326

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.

Average Medicaid Office Visit Payments in Athens, OH: $49.39

Providers Offering Office Visit in Athens, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

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Other Procedures in Athens, OH

Behavioral & Mental Health Therapy

Psychiatric Evaluation

Blood Work & Lab Tests

Substance Abuse Treatment

Vaccines & Immunizations

Emergency Room Visit

Ambulance Transport

Urinalysis & Urine Tests