Average Medicaid Office Visit Payments in Dayton, OH: $64.03
Avg. Paid
$64.03
Range
$0.00 – $384.54
Total Claims
3,013,507
Providers
1,213
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 Dayton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dayton Children'S Hospital
1 Childrens Plz |
$164.43 | 213,694 | 179,444 |
|
Martin John Schear
1100 Salem Ave |
$42.21 | 66,629 | 54,975 |
|
Bhimavarapu Krishnamohan Reddy
1 Elizabeth Pl |
$62.72 | 53,294 | 35,201 |
|
Robert Todd Bloom
1 Childrens Plz |
$51.29 | 47,788 | 44,901 |
|
Ramakrishna Gollamudi
1320 Woodmand Dr |
$72.84 | 35,071 | 30,694 |
|
Michael Scott Bloom
1020 Woodman Dr Ste 105 |
$63.47 | 34,720 | 32,799 |
|
Roberto A Caro
111 Turner Rd |
$39.80 | 28,090 | 25,780 |
|
Kwasi A. Nenonene
8769 N Main St |
$58.84 | 25,521 | 22,101 |
|
Brenda Renee Ellis
7271 N Main St |
$40.13 | 25,342 | 22,854 |
|
Ratnam A Oza
1100 S Main St |
$53.38 | 24,706 | 18,056 |
|
Barbara A Bennett
8701 Troy Pike Ste 50 |
$47.41 | 24,393 | 22,168 |
|
Misty Lynne Moore
5563 Far Hills Ave |
$69.64 | 23,695 | 14,193 |
|
Srinivas Erragolla
1 Elizabeth Pl Ste D |
$38.81 | 22,563 | 18,823 |
|
Ugochukwu Nwokoro
1735 Big Hill Rd |
$43.79 | 20,026 | 18,511 |
|
Tanisha Renee Richmond, Dpm
1323 W 3Rd St |
$35.09 | 19,400 | 17,046 |
|
Ramzieh Azmeh
5250 Far Hills Ave |
$48.60 | 17,903 | 15,724 |
|
Jacqueline Papalios
1010 Woodman Dr |
$38.37 | 17,651 | 16,125 |
|
Ankur Mahendra Patel
1 Childrens Plz |
$63.54 | 16,339 | 15,693 |
|
Michael Charles Albert
1 Childrens Plz |
$71.07 | 16,293 | 15,678 |
|
Jack C Lunderman
7901 Schatz Pointe Dr |
$29.57 | 15,296 | 12,568 |
|
Micah R Davis
165 Edwin C Moses Blvd |
$20.87 | 15,194 | 8,916 |
|
Matthew R Noordsij-Jones
2351 Stanley Ave |
$28.13 | 14,978 | 9,696 |
|
Mary Ruth Gorniak
1 Wyoming St |
$23.82 | 14,951 | 6,835 |
|
Mukund Govind Dole
1 Childrens Plz |
$97.23 | 14,902 | 13,607 |
|
Ladonna Jean Barnes
1323 W Third St. |
$26.80 | 14,633 | 8,919 |
|
Craig Francis Shank
1 Childrens Plz |
$80.88 | 14,475 | 13,508 |
|
Sara Frances Guerrero-Duby
1010 Valley St |
$71.60 | 14,252 | 13,618 |
|
Edna Santos Vianzon
1152 W 3Rd St Ste 102 |
$42.48 | 14,238 | 13,127 |
|
Grace Hassan
1010 Woodman Dr |
$39.42 | 14,167 | 13,010 |
|
Amol Soin
7076 Corporate Way |
$35.24 | 14,038 | 12,534 |
|
Yvonne Y. Clark
6300 N Main St |
$83.05 | 13,968 | 9,623 |
|
Angela Marie Butts
1010 Valley St |
$70.61 | 13,080 | 12,658 |
|
Toni Tipton
2261 Philadelphia Dr |
$25.14 | 13,071 | 5,918 |
|
Jonathan Michael Hochreiter
8120 Garnet Dr |
$92.79 | 13,051 | 8,951 |
|
Jasa Suzanne Talarico
1010 Valley St |
$73.01 | 12,929 | 12,337 |
|
Melissa Ann Martinek
1 Childrens Plz |
$82.63 | 12,549 | 11,690 |
|
Otto R. Dueno
1 Elizabeth Pl |
$43.71 | 12,147 | 9,802 |
|
Erica Bautista
1010 Valley St |
$70.69 | 12,003 | 11,257 |
|
Angela Kay Williams
5464 Burkhardt Rd |
$106.70 | 11,637 | 7,698 |
|
Claire Francis Beimesch
1 Childrens Plz |
$75.84 | 11,513 | 10,769 |
|
Jeffrey Marshall Bishop
1320 Woodmand Dr |
$78.27 | 11,182 | 10,365 |
|
Denise A Griffith
725 University Blvd |
$22.65 | 10,829 | 6,167 |
|
Elizabeth A Medaugh
1 Childrens Plz |
$78.43 | 10,798 | 10,423 |
|
Janice L Pauley
1550 Yankee Park Pl |
$20.25 | 10,731 | 9,935 |
|
Shawn Breeding
627 Edwin C. Moses Blvd |
$94.33 | 10,498 | 9,682 |
|
Jennifer Marie Hilgeman
1010 Valley St |
$69.41 | 10,380 | 9,777 |
|
Fnu Sandhia
1 Childrens Plz |
$65.23 | 10,256 | 5,412 |
|
Tracy Pankey
2611 Wayne Ave |
$78.20 | 10,225 | 8,908 |
|
Yelena Nicholson
1 Childrens Plz |
$77.28 | 10,223 | 9,949 |
|
Susan Kay Songer
3095 Kettering Blvd |
$83.24 | 10,138 | 9,106 |
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 Dayton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dayton, OH is $64.03 per claim, based on 3,013,507 claims from 1213 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 Dayton, OH?
There are 1213 Medicaid providers offering Office Visit related services in Dayton, OH according to public payment data.
What is the price range for Office Visit in Dayton, OH?
Medicaid reimbursement for Office Visit in Dayton, OH ranges from $0.00 to $384.54 per claim, with an average of $64.03. 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 Dayton, OH
Home Health Visit
Avg $59.90
3,092,172 claims
Substance Abuse Treatment
Avg $99.66
2,178,156 claims
Emergency Room Visit
Avg $97.08
1,743,160 claims
Blood Work & Lab Tests
Avg $6.58
1,534,294 claims
Behavioral & Mental Health Therapy
Avg $69.30
1,407,770 claims
Psychiatric Evaluation
Avg $74.24
998,423 claims
X-Ray
Avg $8.52
885,936 claims
Ambulance Transport
Avg $58.85
727,341 claims