Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Cincinnati, OH: $57.26

Avg. Paid

$57.26

Range

$0.00 – $479.75

Total Claims

6,244,164

Providers

3,656

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 Cincinnati, OH

Provider	Avg. Paid	Claims	Patients
Children'S Hospital Medical Center 3333 Burnet Ave	$102.00	463,859	398,768
University Of Cincinnati Medical Center, Llc 3188 Bellevue Avenue	$92.40	197,330	150,531
Cg Medical Associates Inc 7300 Beechmont Ave	$53.56	156,166	141,164
Children'S Hospital Medical Center 3333 Burnet Avenue	$25.07	75,357	71,113
The Good Samaritan Hospital Of Cincinnati, Ohio 375 Dixmyth Ave	$111.22	52,428	38,623
Zeeshan Khalick Tayeb 3328 Westbourne Dr	$38.72	31,554	27,645
Srilakshmi Pisati 3502 Boudinot Ave	$48.96	29,257	26,636
John Gregory Hughes 3130 Highland Ave Fl 2	$22.99	29,138	18,170
Bernard Lenchitz 425 Walnut St	$15.40	29,117	27,601
Dominick J Deblasio 3333 Burnet Ave., Ml 5026	$104.65	24,094	23,283
Medical Urgent Care, Llc 3158 Glenmore Ave	$68.93	23,517	22,247
Edward I Nelson 7691 5 Mile Rd Ste 10	$26.71	21,808	19,172
Mary B Pero 2750 Beekman St	$71.25	21,406	20,570
Amitkumar Mahendrakumar Patel 6527 Colerain Ave	$110.58	19,277	15,188
Ahmad Anjak 234 Goodman St	$77.11	17,645	14,434
Daniel Ray Whalen 1401 Steffen Ave	$22.18	17,368	9,488
Katherine Marie Hogan 3333 Burnet Ave	$66.74	17,274	16,840
Dilruba Rahman 3101 Burnet Ave	$22.32	17,204	8,035
Hazem Al Hnawi 3333 Burnet Ave # Ml5021	$59.14	16,585	15,195
Rebekah R Long 4627 Aicholtz Rd	$22.23	16,575	9,082
Becky Lynn Martin 375 Dixmyth Ave	$78.21	16,265	12,658
Ann Weber 5400 Edalbert Dr	$102.69	15,966	14,188
Travis Gries 1401 Steffen Ave	$26.43	15,674	8,869
Asim Shabbir 7225 Colerain Ave	$31.39	15,649	11,575
Monica Elizabeth Kasse 3151 Bellevue Ave	$28.86	15,274	7,724
Monal A Mehta 1525 Elm St	$21.31	15,090	9,951
Kristen Wright 446 Morgan St	$101.58	14,917	11,419
Michelle Sarette Mcbride 3330 Erie Ave Ste 8	$93.25	14,484	12,455
Rajbir S. Minhas 4760 Red Bank Rd Ste 104	$23.17	14,388	13,332
Lisa L Green 5275 Winneste Ave	$32.04	14,311	8,921
Valerie Mbacke 2170 Anderson Ferry Rd	$21.18	14,223	7,755
David Nathaniel Dhanraj 375 Dixmyth Ave	$44.77	14,091	10,413
Sandra Katherine Brook 3333 Burnet Ave	$69.97	14,043	13,739
Seth Frampton 1701 Mercy Health Pl	$96.25	13,993	13,294
Thomas Courtney Roberts 5 E Liberty St	$18.53	13,398	7,852
Kristen Anne Menkhaus-Saylor 234 Goodman St	$34.30	13,208	12,751
Charles M Myer 3333 Burnet Ave	$54.09	13,111	12,669
Emily Cooperstein 3430 Burnet Ave Fl 2	$44.46	13,028	12,614
John H Greinwald 3333 Burnet Ave	$59.60	12,992	12,590
Edouard Feghali 3440 Burnet Ave	$87.54	12,810	10,159
Brandi Mcconnell 4627 Aicholtz Rd	$19.75	12,770	6,770
Rashid M Khan 1380 Compton Rd	$55.87	12,630	11,424
Sheema Farooqui 1413 Linn St	$53.01	12,428	11,327
Allison Michelle Ng 3917 Spring Grove Ave	$24.44	12,419	7,218
Michael Justin 1577 Goodman Ave	$48.56	12,324	11,352
Mercy Acquah Brew 8146 Hamilton Ave	$23.45	12,302	6,884
Parag J Patel 446 Morgan St	$107.76	12,147	9,792
Megan Hennigan 3333 Burnet Ave	$70.87	12,014	11,510
Ciara Monique Merriweather 8465 Colerain Ave # 1072	$29.65	11,920	9,971
Jessica Lynn Walters 3430 Burnet Ave	$43.99	11,851	11,514

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 Cincinnati, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cincinnati, OH is $57.26 per claim, based on 6,244,164 claims from 3656 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 Cincinnati, OH?

There are 3656 Medicaid providers offering Office Visit related services in Cincinnati, OH according to public payment data.

What is the price range for Office Visit in Cincinnati, OH?

Medicaid reimbursement for Office Visit in Cincinnati, OH ranges from $0.00 to $479.75 per claim, with an average of $57.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Cincinnati, OH: $57.26

Providers Offering Office Visit in Cincinnati, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Cincinnati, OH

Blood Work & Lab Tests

Emergency Room Visit

Home Health Visit

Behavioral & Mental Health Therapy

Substance Abuse Treatment

Psychiatric Evaluation

Urinalysis & Urine Tests

X-Ray