Average Medicaid Office Visit Payments in Canal Fulton, OH: $47.92
Avg. Paid
$47.92
Range
$23.82 – $83.48
Total Claims
17,893
Providers
9
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 Canal Fulton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Beth Canfield
6721 Idlelawn Ave Nw |
$40.07 | 7,904 | 7,534 |
|
Daniel Robert Zink
7615 Arthur Ave Nw |
$46.70 | 4,330 | 4,187 |
|
Nicole L Wade
944 Cherry St E |
$83.48 | 3,134 | 2,963 |
|
Cami G. Goucher
944 Cherry St E |
$23.82 | 844 | 816 |
|
Rodney K. Ison
944 Cherry St E |
$33.16 | 801 | 676 |
|
Ajay Nair
944 Cherry St E |
$34.42 | 758 | 634 |
|
Elora M Spino
944 Cherry St E |
$38.24 | 57 | 52 |
|
Pamela A Rucki
944 Cherry St E |
$33.43 | 33 | 29 |
|
Tamara L Lincoln
944 Cherry St E |
$26.65 | 32 | 27 |
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 Canal Fulton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canal Fulton, OH is $47.92 per claim, based on 17,893 claims from 9 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 Canal Fulton, OH?
There are 9 Medicaid providers offering Office Visit related services in Canal Fulton, OH according to public payment data.
What is the price range for Office Visit in Canal Fulton, OH?
Medicaid reimbursement for Office Visit in Canal Fulton, OH ranges from $23.82 to $83.48 per claim, with an average of $47.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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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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Avg $54.47
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Other Procedures in Canal Fulton, OH
Nursing Facility Care
Avg $9.51
17,409 claims
Speech Therapy
Avg $29.01
8,880 claims
Physical Therapy
Avg $20.76
4,524 claims
Case Management Services
Avg $241.16
3,237 claims
Chiropractic Care
Avg $15.09
2,176 claims
Blood Work & Lab Tests
Avg $8.31
815 claims
Behavioral & Mental Health Therapy
Avg $78.08
801 claims
Psychiatric Evaluation
Avg $36.70
260 claims