Average Medicaid Office Visit Payments in Circleville, OH: $45.42
Avg. Paid
$45.42
Range
$0.00 – $719.00
Total Claims
176,112
Providers
83
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 Circleville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jenna Margaret Rimko-Shams
600 N Pickaway St |
$45.40 | 13 | 12 |
|
Kerry William Michael Bludnick
22952 Bolender Pontius Rd |
$150.19 | 15 | 15 |
|
Praveen Kumar P Giri
600 N Pickaway St |
$26.34 | 18 | 18 |
|
Heather C Morningstar
1775 Shoshoni Dr |
$318.75 | 23 | 16 |
|
Taylor Anne Musselman
600 N Pickaway St Ste 102 |
$27.11 | 26 | 25 |
|
Pickaway County Auditor
110 Island Rd |
$11.28 | 27 | 16 |
|
William Flinn Ball
1180 N Court St |
$70.62 | 30 | 28 |
|
Kenneth James Laux
420 Lancaster Pike |
$0.00 | 30 | 27 |
|
John Gregory Bohlen
610 Northridge Rd |
$21.78 | 53 | 38 |
|
Ashley Durant
1155 Atwater Ave |
$719.00 | 53 | 44 |
|
Caitlin Christine Marstrell
600 N Pickaway St |
$40.19 | 88 | 86 |
|
Raul A Zamora
600 N Pickaway St Ste 203 |
$32.14 | 92 | 91 |
|
James Glenn Castillo
130 Morris Rd |
$61.66 | 102 | 94 |
|
Benjamin Gregory Haselhuhn
130 Morris Rd |
$33.73 | 105 | 85 |
|
Shogufa Kamin
600 N Pickaway St Fl 2 |
$38.24 | 111 | 108 |
|
Kevin M Sellers
1180 N Court St |
$48.83 | 123 | 112 |
|
Jill L Barno
600 N Pickaway St |
$43.18 | 128 | 124 |
|
Thomas Valentine Burke
600 N Pickaway St |
$27.59 | 134 | 126 |
|
Susan Choe
600 N Pickaway St Ste 300Mo |
$40.87 | 148 | 137 |
|
Terry Lee Schultz
210 Sharon Rd |
$38.06 | 167 | 160 |
|
David Michael Peters
145 Morris Rd |
$19.70 | 179 | 128 |
|
Deepa Shah
600 N Pickaway St Ste 203 |
$61.09 | 184 | 178 |
|
April Leann Tipton
1180 N Court St |
$54.57 | 197 | 179 |
|
Seth Allen Yates
210 Sharon Rd Ste D |
$55.81 | 198 | 190 |
|
Samantha Kaltenbach
131 Lewis Ave |
$12.30 | 212 | 139 |
|
Luke James Schaffer
1434 Circleville Plaza Dr |
$44.60 | 215 | 214 |
|
Heather Rai Miller
210 Sharon Rd Ste D |
$39.67 | 236 | 212 |
|
Susan M Bailey
1180 N Court St |
$33.41 | 245 | 220 |
|
Misty Myers
140 Morris Rd |
$16.35 | 259 | 252 |
|
Patrick Douglas Schumacher
210 Sharon Rd |
$42.68 | 287 | 270 |
|
Mary Sahr
600 N Pickaway St Ste 102 |
$43.62 | 432 | 394 |
|
Renea Older
600 N Pickaway St Ste 402 |
$37.40 | 438 | 411 |
|
Daniel W Mudrick
600 N Pickaway St |
$36.56 | 493 | 482 |
|
Gregory K.W. Lam
600 N Pickaway St |
$30.53 | 511 | 485 |
|
Ravi Shashank Patel
140 Morris Rd |
$46.26 | 536 | 511 |
|
Allen Robert Reeves
600 N Pickaway St |
$38.91 | 565 | 529 |
|
Robert William Zaayer
600 N Pickaway St |
$65.50 | 626 | 603 |
|
Farooq Sattar
600 N Pickaway St |
$42.47 | 664 | 645 |
|
Annette F Perry
1180 N Court St Ste B |
$42.12 | 678 | 631 |
|
Daniel Ianni
130 Morris Rd |
$33.83 | 711 | 663 |
|
Kathryn Lynn Palermo
600 N Pickaway St |
$46.67 | 724 | 674 |
|
Melissa Foster
210 Sharon Rd Ste C |
$36.43 | 729 | 592 |
|
Rafia Shafqat
600 N Pickaway St Ste 200 |
$49.11 | 784 | 740 |
|
Veronica S Poffel-Morton
210 Sharon Rd Ste D |
$51.14 | 829 | 771 |
|
Angel F Spencer
600 N Pickaway St Ste 300Mo |
$28.17 | 887 | 645 |
|
Katherine J Love
600 N Pickaway St Ste 102 |
$31.59 | 909 | 867 |
|
Delphine Njinkeng Atemnkeng
120 W Main St |
$104.17 | 947 | 812 |
|
Abdus Salam Malik
1171 N Court St |
$17.85 | 1,045 | 926 |
|
Matthew Benjamin Johnston
210 Sharon Rd Ste D |
$47.45 | 1,166 | 1,101 |
|
Fara M Bellows
600 N Pickaway St Ste 402 |
$33.36 | 1,191 | 1,141 |
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 Circleville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Circleville, OH is $45.42 per claim, based on 176,112 claims from 83 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 Circleville, OH?
There are 83 Medicaid providers offering Office Visit related services in Circleville, OH according to public payment data.
What is the price range for Office Visit in Circleville, OH?
Medicaid reimbursement for Office Visit in Circleville, OH ranges from $0.00 to $719.00 per claim, with an average of $45.42. 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 Circleville, OH
Substance Abuse Treatment
Avg $95.97
233,777 claims
Blood Work & Lab Tests
Avg $7.58
149,393 claims
Home Health Visit
Avg $49.37
120,913 claims
Emergency Room Visit
Avg $93.22
91,003 claims
Ambulance Transport
Avg $33.09
70,568 claims
Dental Cleaning & Exam
Avg $25.64
53,646 claims
Eye Exam
Avg $20.06
50,090 claims
Psychiatric Evaluation
Avg $71.52
38,808 claims