Average Medicaid Office Visit Payments in Canal Winchester, OH: $56.01
Avg. Paid
$56.01
Range
$1.31 – $89.09
Total Claims
126,071
Providers
49
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 Winchester, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jerry M Stultz
7901 Diley Rd Ste 150 |
$83.01 | 20,416 | 14,696 |
|
Deborah L Blackwell
7901 Diley Rd Ste 150 |
$86.16 | 18,997 | 13,433 |
|
David Edward Whitt
7901 Diley Rd |
$48.34 | 11,396 | 10,204 |
|
Mikael P Schilb
6201 Gender Rd |
$22.64 | 8,564 | 5,408 |
|
Ginny A Isaq
3601 Gender Rd |
$20.94 | 8,151 | 3,511 |
|
Marina Eller
3620 Gender Rd |
$64.53 | 6,981 | 6,194 |
|
H Scott Tyson
7750 Diley Rd |
$48.89 | 6,345 | 5,889 |
|
Clista Dean
625 W Waterloo St |
$41.34 | 5,944 | 4,839 |
|
Ann Marie Croft
7750 Diley Rd Ste A |
$48.47 | 5,421 | 5,119 |
|
Nicholas Steve Stevens
7750 Diley Rd Ste A |
$49.83 | 4,528 | 4,283 |
|
Adrienne M Shesky
7750 Diley Rd Ste A |
$38.68 | 3,169 | 2,806 |
|
Brian J Fornadel
6201 Gender Rd |
$44.15 | 2,611 | 2,367 |
|
Stacy L Scudder
6201 Gender Rd |
$38.03 | 2,608 | 2,350 |
|
Anta Fall Sow
6631 Bricegrove Blvd |
$36.85 | 2,441 | 1,039 |
|
Superior Urgent Care, Llc.
3620 Gender Rd |
$69.66 | 2,099 | 1,895 |
|
Laura V Bowser
6201 Gender Rd |
$36.77 | 2,049 | 1,803 |
|
Sara L Welsh
6201 Gender Rd |
$42.13 | 1,792 | 1,626 |
|
Gideon Lee King
6201 Gender Rd |
$44.43 | 1,624 | 1,416 |
|
Jennifer M Davis
11925 Lithopolis Rd Nw |
$43.76 | 1,542 | 1,455 |
|
Lynsie Acacia Bane
7901 Diley Rd Ste 200 |
$51.02 | 1,513 | 1,430 |
|
Hafiz M Ayub
7901 Diley Rd |
$46.85 | 1,147 | 1,094 |
|
Julie R Javorek
6201 Gender Rd |
$40.10 | 1,014 | 950 |
|
Chelsea Willis
11925 Lithopolis Rd Nw |
$59.69 | 792 | 743 |
|
Neil N Makadia
6201 Gender Rd |
$45.29 | 714 | 647 |
|
Dagogo Opusunju
8929 White Oak Dr |
$40.88 | 700 | 677 |
|
Tyler Fick
7901 Diley Rd Ste 150 |
$89.09 | 500 | 398 |
|
Amanda Reno Stover
11925 Lithopolis Rd Nw |
$55.54 | 416 | 386 |
|
Kristyn Haight
710 W Waterloo St |
$25.61 | 370 | 367 |
|
Joseph Biederman
11925 Lithopolis Rd Nw |
$75.72 | 334 | 298 |
|
William L Mcdonald
7901 Diley Rd Ste 200 |
$59.78 | 273 | 260 |
|
Lara Blumberg
6201 Gender Rd |
$52.30 | 243 | 215 |
|
Robin L Franz
11925 Lithopolis Rd Nw |
$34.02 | 243 | 217 |
|
Edward J Lane
7901 Diley Rd |
$38.29 | 153 | 142 |
|
Melissa Dianna Hopple
11925 Lithopolis Rd Nw |
$31.52 | 149 | 129 |
|
Paul J Schorr
7901 Diley Rd Ste 260 |
$12.27 | 144 | 127 |
|
Kayla Mcadam
6095 Gender Rd |
$44.13 | 119 | 113 |
|
Amrita M. Karve
7901 Diley Ridge Rd |
$38.68 | 82 | 81 |
|
Nancy L. Graesser
7901 Diley Rd |
$26.43 | 77 | 66 |
|
Lauren Elizabeth Parsley
6095 Gender Rd |
$41.17 | 70 | 56 |
|
Andrew K Rhinehart
11925 Lithopolis Rd Nw |
$35.49 | 46 | 38 |
|
Martin John Andrews
7901 Diley Rd |
$33.70 | 46 | 38 |
|
Pediatric Assoicates, Inc.
7750 Diley Road Suite A |
$52.92 | 42 | 42 |
|
Jill A Schellhase
11925 Lithopolis Rd Nw |
$22.50 | 40 | 37 |
|
Duncan Eric Legg
11925 Lithopolis Rd Nw |
$33.36 | 39 | 36 |
|
Sakura Jessica Sip
6095 Gender Rd |
$40.19 | 32 | 30 |
|
Chelsea File
6441 Winchester Blvd |
$7.47 | 32 | 25 |
|
Michael J Meleca
7901 Diley Rd |
$48.12 | 28 | 27 |
|
Anita Estelle Burdick-Denham
7750 Diley Rd Ste A |
$1.31 | 23 | 13 |
|
Heart Of Ohio Family Health Centers
3601 Gender Rd |
$18.17 | 12 | 12 |
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 Winchester, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canal Winchester, OH is $56.01 per claim, based on 126,071 claims from 49 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 Winchester, OH?
There are 49 Medicaid providers offering Office Visit related services in Canal Winchester, OH according to public payment data.
What is the price range for Office Visit in Canal Winchester, OH?
Medicaid reimbursement for Office Visit in Canal Winchester, OH ranges from $1.31 to $89.09 per claim, with an average of $56.01. 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 Canal Winchester, OH
Physical Therapy
Avg $5.27
40,846 claims
Blood Work & Lab Tests
Avg $5.22
30,803 claims
Nursing Facility Care
Avg $16.39
30,127 claims
Vaccines & Immunizations
Avg $17.23
29,861 claims
Emergency Room Visit
Avg $127.60
22,137 claims
Urinalysis & Urine Tests
Avg $1.12
14,293 claims
Speech Therapy
Avg $28.41
12,285 claims
Behavioral & Mental Health Therapy
Avg $81.44
9,541 claims