Average Medicaid Office Visit Payments in Bellefontaine, OH: $38.54
Avg. Paid
$38.54
Range
$1.96 – $91.75
Total Claims
185,677
Providers
81
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 Bellefontaine, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William A. Houser
1134 N Main St Ste 2500 |
$31.41 | 16 | 14 |
|
Emily Ann Edwards
1134 N Main St Ste 3100 |
$30.60 | 16 | 14 |
|
Mindy Nicole Thompson
205 E Palmer Rd |
$45.52 | 22 | 19 |
|
Anthony John Beisler
2160 Ewing Crawfis Cir |
$22.34 | 26 | 25 |
|
Nancy Byers Schmelzer
212 E Columbus Ave Ste 1 |
$22.03 | 26 | 13 |
|
Meghan B. Kromer
205 E Palmer Rd |
$27.90 | 34 | 27 |
|
Lyn Patusky
205 E Palmer Rd |
$10.72 | 41 | 31 |
|
Mary Rutan Hospital
205 Palmer Avenue |
$19.09 | 50 | 49 |
|
Sanchita Dhond Layton
212 E Columbus Ave Ste 1 |
$13.49 | 66 | 29 |
|
June A Hinkle
2220 Timber Trl Fl 1 |
$34.63 | 75 | 74 |
|
Jason Martinez
212 E Columbus Ave |
$8.26 | 78 | 55 |
|
Boyd Clifford Hoddinott
2211 Timber Trl |
$31.05 | 84 | 72 |
|
John C O'Connor
2211 Timber Trl |
$36.37 | 94 | 89 |
|
Scott Z. Costin
130 N Detroit St |
$55.90 | 103 | 91 |
|
Mary Rutan Hospital
205 E Palmer Rd |
$28.86 | 116 | 116 |
|
Leanne Elizabeth Spring
212 E Columbus Ave Ste 1 |
$19.01 | 161 | 82 |
|
Gregg S Fulmer
205 Palmer Ave. |
$32.10 | 164 | 103 |
|
Scott C Kayatin
412 E Columbus Ave |
$1.96 | 170 | 143 |
|
Jmal Aldeen Alhaj
118 Dowell Ave |
$45.33 | 192 | 186 |
|
Muhammad Iyad Azrak
1107 Rush Ave |
$30.87 | 212 | 204 |
|
Eric P. Bailey
2220 Timber Trl |
$34.91 | 224 | 214 |
|
Janet L Zurovchak
110 Dowell Ave |
$41.38 | 242 | 222 |
|
Kristen Theobald Braig
2211 Timber Trl |
$36.62 | 273 | 241 |
|
Joseph M Fawcett
1134 N Main St Ste 3100 |
$29.29 | 296 | 249 |
|
Harpreet Singh Brar
2160 Ewing Crawfis Cir |
$45.56 | 343 | 314 |
|
Chelsea Mangia Freels
1850 S Main St |
$63.83 | 362 | 348 |
|
Abigail L. Gamby
2220 Timber Trl |
$27.31 | 430 | 406 |
|
Ashlinn Naseman
205 E Palmer Rd |
$23.70 | 531 | 493 |
|
Dana Nicole Frazier
1860 S Main Street |
$70.86 | 552 | 489 |
|
Matthew Hillery
1134 N Main St Fl 3 |
$38.76 | 568 | 533 |
|
Stephanie A Young
165 Reynolds Ave Ste A |
$37.23 | 572 | 537 |
|
Meaghan Alexa Tranovich
1134 N Main St Ste 3100 |
$48.65 | 762 | 708 |
|
Robert C Anderson
2221 Timber Trl |
$46.12 | 794 | 724 |
|
Shudonica Garlington
221 School St |
$91.75 | 925 | 575 |
|
Neil Mast
1134 N Main St Ste 3100 |
$35.47 | 994 | 853 |
|
Xiaomei Gao-Hickman
2160 Ewing Crawfis Cir |
$44.49 | 1,246 | 1,186 |
|
Jessica A. Rolfes
118 Dowell Ave |
$41.69 | 1,348 | 1,244 |
|
Jason M Anane-Sefah
1134 N Main St Ste 3100 |
$37.84 | 1,373 | 1,168 |
|
Chelsea Graham
212 E Columbus Ave |
$26.86 | 1,527 | 1,378 |
|
Gordon J Katz
1134 N Main St Ste 3100 |
$44.38 | 1,573 | 1,476 |
|
Kelley Dawn Dyer
110 Dowell Ave |
$42.05 | 1,579 | 1,349 |
|
Sophia Do Vang
1860 S Main Street |
$65.04 | 1,624 | 1,521 |
|
Matthew W Schilling
2231 Timber Trl |
$40.81 | 1,652 | 1,520 |
|
Abdul A Dada
2231 Timber Trl |
$48.44 | 1,659 | 1,518 |
|
Kristina Caine
110 Dowell Ave |
$36.45 | 1,683 | 1,360 |
|
Linda J Hoover
118 Dowell Ave |
$44.30 | 1,755 | 1,691 |
|
Linda A Costin
118 Dowell Ave |
$45.24 | 2,065 | 1,949 |
|
Wayne Cummings
205 E Palmer Rd |
$71.17 | 2,073 | 1,143 |
|
Zoe Louise Henderson
212 E Columbus Ave Ste 1 |
$28.63 | 2,285 | 1,747 |
|
Angela L Rutan
2231 Timber Trl |
$35.88 | 2,329 | 2,099 |
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 Bellefontaine, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bellefontaine, OH is $38.54 per claim, based on 185,677 claims from 81 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 Bellefontaine, OH?
There are 81 Medicaid providers offering Office Visit related services in Bellefontaine, OH according to public payment data.
What is the price range for Office Visit in Bellefontaine, OH?
Medicaid reimbursement for Office Visit in Bellefontaine, OH ranges from $1.96 to $91.75 per claim, with an average of $38.54. 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 Bellefontaine, OH
Blood Work & Lab Tests
Avg $5.89
73,687 claims
Physical Therapy
Avg $44.40
43,208 claims
Home Health Visit
Avg $43.78
39,772 claims
Emergency Room Visit
Avg $93.08
36,884 claims
Speech Therapy
Avg $47.17
35,888 claims
Psychiatric Evaluation
Avg $56.93
34,588 claims
Vaccines & Immunizations
Avg $19.63
19,195 claims
EKG / ECG (Electrocardiogram)
Avg $4.27
15,354 claims