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Based on public Medicaid payment data.

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

Other Procedures in Dayton, OH