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
Simon Lam 3333 Burnet Ave # Mlc5016	$99.57	12	12
Laquita M Jones 3333 Burnet Ave	$77.51	12	12
Rochelle Marie Witt 3333 Burnet Ave # Mlc7041	$90.38	12	12
Emmily Laurette Shanks 375 Dixmyth Ave # 10	$77.43	12	12
Victoria Michelle Strickland 7500 State Rd	$39.69	12	12
Elana Harris 3333 Burnet Ave	$65.99	12	12
Jonathan William Schilling 2123 Auburn Ave	$60.77	12	12
Sapna Fitch 5520 Cheviot Rd	$36.14	12	12
Amit Gajera 2925 Vernon Pl	$50.78	12	12
Patricio Alzamora Schmatz 4760 E Galbraith Rd Ste 205	$51.25	12	12
John Patrick Cullen 4760 E Galbraith Rd	$42.85	12	12
James Daniel Casey 1550 Goodman Ave	$200.00	12	12
Tara Rhine 3333 Burnet Ave	$39.56	12	12
Thuhuong Vu 234 Goodman St	$117.87	12	12
Christina Wallpe 446 Morgan St	$22.31	12	12
Andrew Ryan Vogel 379 Dixmyth Ave	$29.16	12	12
Audey Lewis Veach 3333 Burnet Ave	$74.40	12	12
Jason Bell 7527 State Rd Ste A	$24.50	12	12
Muhammad Saeed Akhtar Khan 8260 Pine Rd	$45.20	12	12
Jason John Schrager 234 Goodman St	$26.48	12	12
Emily Mitchell Simpson 7502 State Rd Ste 3310	$62.84	12	12
Elizabeth Agabegi 234 Goodman St	$19.95	12	12
Nancy Darlene Grillot 5970 Kenwood Rd	$35.69	12	12
Farhan Ahmad Arif 8251 Pine Rd Ste 212	$44.18	12	12
Joshua Seth Bernstein 3590 Lucille Dr Ste 2200	$92.77	12	12
Kara Lee Rhoads 6130 Harrison Ave	$35.37	12	12
Lee A Denson 3333 Burnet Ave	$53.04	12	12
Louis J Schott 1060 Nimitzview Dr	$50.71	12	12
Michael Anthony Helmrath 3333 Burnet Avenue	$122.50	12	12
Seema R Bhatt 3333 Burnet Ave., Ml 2008	$107.74	12	12
Stacie Leigh Demel 222 Piedmont Ave	$29.34	12	12
Brandon Wendling 4440 Red Bank Rd	$58.83	12	12
Janell Kelcey 719 Ohio Pike	$29.18	12	12
Robens S Rodney 2139 Auburn Ave	$53.96	12	12
Karen Michelle Benhase 2314 Auburn Ave	$47.57	12	12
David G Weiskittel 7829 Laurel Ave	$41.76	12	12
Nima Patel 375 Dixmyth Ave	$61.47	12	12
James Albert Day 8000 Five Mile Road	$30.52	12	12
Sanita Ley 3333 Burnet Ave.	$14.68	12	12
Richard H Vonderbrink 11029 Montgomery Rd	$45.11	12	12
Scott D Reeves 3333 Burnet Ave	$83.42	12	12
Jennifer L Osborne 234 Goodman St	$35.22	12	12
Alexander Grigg 2300 Wall St	$0.00	12	12
Todd R. Bricking 1701 Mercy Health Pl	$53.76	12	12
Kaitlyn Nicole Walker 4460 Red Bank Rd	$59.53	12	12
Hina Khawar Jamali 234 Goodman St	$38.24	12	12
Esi Marie Morgan 3333 Burnett Ave	$77.20	12	12
Salman Ahmad 3200 Vine St	$0.00	12	12
Joseph D Sanchez 2300 Wall St	$82.85	12	12
Daniel Joseph Herchline 3333 Burnet Ave	$28.58	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 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