Average Medicaid Office Visit Payments in Coldwater, OH: $57.79
Avg. Paid
$57.79
Range
$14.12 – $90.07
Total Claims
23,388
Providers
17
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 Coldwater, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carla Cameron
800 W Main St |
$50.59 | 13 | 12 |
|
Jennifer R Bills
800 W Main St |
$81.37 | 23 | 14 |
|
Alyssa Ann Tobe
800 W Main St |
$40.63 | 114 | 93 |
|
Lindsey Moeller
800 W Main St |
$44.33 | 195 | 169 |
|
Jama Scheidt
830 W Main St Ste 3 |
$36.63 | 318 | 255 |
|
Lisa Renee Staley
800 W Main St |
$56.75 | 429 | 380 |
|
Bridget Geier
830 W Main St Ste 3 |
$36.18 | 527 | 450 |
|
Maria C Muhlenkamp
800 W Main St |
$28.44 | 823 | 731 |
|
Timothy A Heinrichs
116 W Main St |
$14.12 | 977 | 724 |
|
Megan Ann Core
830 W Main St Ste 3 |
$36.99 | 1,305 | 1,143 |
|
John J Naveau
407 S Oak St |
$36.78 | 1,426 | 1,242 |
|
Jamie Lynn Nutt
830 W Main St |
$38.52 | 1,548 | 1,440 |
|
Thomas J Hurm
809 W Main St |
$49.84 | 1,614 | 1,518 |
|
Kevin M Dirksen
830 W Main St |
$45.76 | 1,733 | 1,421 |
|
Michelle Lynn Winner
830 W Main St Ste 3 |
$43.56 | 2,153 | 1,947 |
|
Lindsey A Lamm
407 S Oak St |
$50.23 | 2,211 | 1,743 |
|
Mercer County Joint Township Community Hospital
800 W. Main St. |
$90.07 | 7,979 | 6,443 |
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 Coldwater, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coldwater, OH is $57.79 per claim, based on 23,388 claims from 17 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 Coldwater, OH?
There are 17 Medicaid providers offering Office Visit related services in Coldwater, OH according to public payment data.
What is the price range for Office Visit in Coldwater, OH?
Medicaid reimbursement for Office Visit in Coldwater, OH ranges from $14.12 to $90.07 per claim, with an average of $57.79. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Coldwater, OH
Blood Work & Lab Tests
Avg $6.62
41,313 claims
Emergency Room Visit
Avg $80.16
14,458 claims
Physical Therapy
Avg $53.55
12,276 claims
Speech Therapy
Avg $47.46
6,791 claims
Urinalysis & Urine Tests
Avg $3.81
6,126 claims
Culture & Microbiology Tests
Avg $9.23
3,639 claims
Psychiatric Evaluation
Avg $43.49
3,521 claims
X-Ray
Avg $17.72
2,434 claims