Average Medicaid Office Visit Payments in Columbus, OH: $62.00
Avg. Paid
$62.00
Range
$0.00 – $369.40
Total Claims
8,388,006
Providers
3,806
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 Columbus, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nationwide Children'S Hospital
700 Childrens Dr |
$104.25 | 934,862 | 772,653 |
|
Milroy J Samuel
5910 Cleveland Ave |
$37.55 | 135,865 | 33,866 |
|
Ohio State University Hospitals
410 W 10Th Ave |
$104.78 | 118,700 | 99,460 |
|
Patrick Muffley
5957 Cleveland Ave |
$59.16 | 81,896 | 28,417 |
|
Arthur G James Cancer Hospital And Research Institute
460 W 10Th Ave |
$51.55 | 55,492 | 42,844 |
|
Mark A White
112 Jefferson Ave |
$40.85 | 53,751 | 45,462 |
|
Yaw Ayesu Offei
4384 Cleveland Avenue |
$46.67 | 53,637 | 37,698 |
|
Brian Keith Bowden
6435 E Broad St |
$79.12 | 47,035 | 33,697 |
|
Syed A Naqvi
7420 Sawmill Rd |
$53.89 | 44,266 | 39,683 |
|
Robert Andrei Florea
65 Highview Blvd |
$50.81 | 40,526 | 24,892 |
|
Charles James Kistler
421 Georgesville Road |
$45.99 | 38,107 | 35,136 |
|
Roberta Michelle Watts
421 Georgesville Rd |
$47.46 | 31,086 | 25,515 |
|
David Lee Cummings
1000 E Broad St |
$41.87 | 29,358 | 23,915 |
|
Tarsicio Gacheru
700 Bryden Rd Ste 122 |
$73.27 | 28,801 | 25,001 |
|
Leon Margolin
5245 E Main St |
$26.61 | 28,167 | 21,138 |
|
Osu Family Practice Services
2231 N High St |
$46.69 | 27,397 | 25,923 |
|
Nathaniel K Wilkin
300 W Spring St Unit 1204 |
$3.57 | 27,077 | 20,420 |
|
Madison Walters
5888 Cleveland Ave |
$55.29 | 25,738 | 15,252 |
|
Rajeswari A Lingamneni
5910 Cleveland Ave |
$54.17 | 24,771 | 19,994 |
|
Abida T Makhdomi
855 S. Wall St. |
$32.80 | 24,671 | 21,394 |
|
Chandre Gowda
881 East Main Street |
$39.79 | 24,203 | 22,232 |
|
Faozan A. Narvel
100 N Murray Hill Rd |
$49.38 | 24,035 | 20,881 |
|
Radhika Gollapudy
1301 North High St |
$84.23 | 21,859 | 18,595 |
|
Ralph Newman
1000 E Broad St |
$43.37 | 21,689 | 19,057 |
|
Duane R Copenheaver
2857 W Broad St |
$66.95 | 21,518 | 14,334 |
|
Mount Carmel Health System
6001 E Broad St |
$106.22 | 21,010 | 18,118 |
|
Lori R. Deschene
700 Childrens Dr |
$83.65 | 20,995 | 15,046 |
|
Labronz C Davis
2872 W Broad St |
$46.74 | 20,517 | 17,245 |
|
Jonathan Lee Haimes
5925 Cleveland Ave |
$61.35 | 20,508 | 9,021 |
|
David Huffman
1301 N High St |
$97.81 | 20,494 | 17,485 |
|
Dana L Hamilton
111 Inah Ave |
$47.19 | 20,343 | 18,492 |
|
Brandi Spitler
4766 W Broad St |
$49.85 | 20,085 | 17,715 |
|
Matthew M White
111 Inah Ave |
$46.66 | 19,986 | 18,002 |
|
Tatyana V Karakay
700 Childrens Dr |
$63.79 | 19,868 | 13,791 |
|
Robert Baun
6435 E Broad St |
$74.45 | 19,859 | 15,748 |
|
Anjana Samadder
99 N Brice Rd |
$53.83 | 19,159 | 17,261 |
|
Francisco A Garabis
2655 Berwyn Rd |
$44.03 | 19,076 | 17,172 |
|
Omar M Awale
2330 Morse Rd |
$46.42 | 19,038 | 17,812 |
|
Pavan Venkata Dontineni
6400 E Broad St Ste 400 |
$91.90 | 18,947 | 16,709 |
|
Mwawaza Mfikiri Sanyika
393 E Town St Ste 228 |
$46.87 | 18,778 | 7,078 |
|
Jagadisharaje Karthikere Urs
380 Butterfly Gardens Dr |
$63.65 | 18,748 | 13,455 |
|
Town Street Medical, Llc
Town Street Medical Llc Dba Columbus Immediate Care |
$41.15 | 18,548 | 8,404 |
|
Elmer F Diltz
4254 E Main St |
$36.02 | 18,488 | 15,897 |
|
Richard Phillip Golden
555 S 18Th St |
$65.30 | 18,302 | 16,653 |
|
Gautam Samadder
99 N Brice Rd |
$47.57 | 17,700 | 15,855 |
|
Kenneth Iwuafor
2700 E Dublin Granville Rd Ste 300Kk |
$92.29 | 17,670 | 12,586 |
|
Traci Ann Bouchard
700 Childrens Dr |
$88.10 | 17,394 | 12,945 |
|
Catherine Olsen Jordan
555 S 18Th St |
$61.49 | 17,326 | 16,184 |
|
Luciana Elisa Berg
6435 E Broad St |
$84.48 | 17,243 | 12,186 |
|
Emanuel Dolph
777 W State St Ste 201 |
$24.41 | 16,741 | 9,306 |
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 Columbus, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Columbus, OH is $62.00 per claim, based on 8,388,006 claims from 3806 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 Columbus, OH?
There are 3806 Medicaid providers offering Office Visit related services in Columbus, OH according to public payment data.
What is the price range for Office Visit in Columbus, OH?
Medicaid reimbursement for Office Visit in Columbus, OH ranges from $0.00 to $369.40 per claim, with an average of $62.00. 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 Columbus, OH
Home Health Visit
Avg $45.80
26,745,681 claims
Blood Work & Lab Tests
Avg $8.64
6,317,089 claims
Emergency Room Visit
Avg $98.63
3,813,295 claims
X-Ray
Avg $8.91
2,932,314 claims
Behavioral & Mental Health Therapy
Avg $86.62
2,709,784 claims
Substance Abuse Treatment
Avg $101.75
2,434,686 claims
Psychiatric Evaluation
Avg $92.89
2,227,259 claims
Vaccines & Immunizations
Avg $7.38
1,939,175 claims