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 |
|---|---|---|---|
|
Lakmali Chandima Ranathunga
30 E Apple St |
$70.00 | 12 | 12 |
|
Brandon Horne
30 E Apple St Ste 2200 |
$24.19 | 12 | 12 |
|
Lydia Carpenter
3025 Governors Place Blvd |
$18.79 | 12 | 12 |
|
Gail Marie Crump
30 E Apple St |
$29.80 | 12 | 12 |
|
Lyndsey Sue Filbrun
8805 N Main St |
$35.32 | 12 | 12 |
|
Mauricio Daniel Carballo Montero
75 Sylvania Dr |
$26.42 | 12 | 12 |
|
Michael Gilles
30 E Apple St Ste Nw3300 |
$30.38 | 12 | 12 |
|
Alyssa Bonta
3533 Southern Blvd Ste 2200 |
$25.43 | 12 | 12 |
|
David Arthur Denka
3328 S Smithville Rd |
$36.07 | 12 | 12 |
|
Denise Dews
753 Superior Ave |
$58.43 | 12 | 12 |
|
Staci Elaine Shields
30 E Apple St |
$19.61 | 12 | 12 |
|
Wellness Card Llc
1320 Woodman Dr |
$36.34 | 12 | 12 |
|
Elizabeth Rae Swartzwelder-Cozad
2261 Philadelphia Drive |
$57.88 | 12 | 12 |
|
Michael A Herbenick
30 E Apple St |
$39.67 | 13 | 12 |
|
Paul Anthony Nitz
3205 Woodman Dr |
$43.52 | 13 | 12 |
|
Jaclyn Mackenzie Little
5981 Far Hills Ave |
$42.67 | 13 | 12 |
|
Katherine Ann Mattingly
122 Wyoming St |
$32.63 | 13 | 13 |
|
Timothy R Hauser
1520 S Main St Ste 2 |
$39.50 | 13 | 13 |
|
Phillip B Heyse
1 Elizabeth Pl |
$18.59 | 13 | 12 |
|
Chloe Callison
30 E Apple St |
$71.96 | 13 | 13 |
|
Jamie Seiley
122 Wyoming St |
$33.00 | 13 | 12 |
|
Julia Keck
5981 Far Hills Ave |
$35.56 | 13 | 12 |
|
Frank C Von Maluski
7707 Paragon Rd |
$44.28 | 13 | 13 |
|
Rocco Thomas Serrao
5300 Far Hills Avenue |
$34.14 | 13 | 12 |
|
Nancy Hampton-Jones
30 E Apple St |
$23.48 | 13 | 12 |
|
Kristopher Michael Oswalt
1 Wyoming St |
$35.63 | 13 | 12 |
|
Najmus Sahar
30 E Apple St Ste Nw3300 |
$54.96 | 13 | 12 |
|
Saranda Denise Manning
30 E Apple St Ste 5254A |
$31.52 | 14 | 14 |
|
Dayton Pain Center Llc
1 Elizabeth Pl Ste D |
$82.85 | 14 | 14 |
|
Mark J Walsh
75 Sylvania Dr |
$20.62 | 14 | 12 |
|
Angela Elizabeth Eberhart
One Children'S Plaza |
$40.49 | 14 | 14 |
|
Jacquelyn Wrenn
89 Sylvania Dr |
$26.75 | 14 | 14 |
|
Kelsey Simpson Tincher
1 Childrens Plz |
$51.11 | 14 | 12 |
|
Norma Mccorry
1800 N James H Mcgee Blvd |
$14.34 | 14 | 13 |
|
Christine L Dobran
3205 Wilmington Pike |
$2.36 | 14 | 13 |
|
Megan A Ezzo
1 Childrens Plz |
$50.50 | 14 | 13 |
|
Alvin Lee Stein
1250 N National Rd |
$38.69 | 14 | 14 |
|
David Jenkins
405 W Grand Ave |
$64.68 | 14 | 13 |
|
Michael Noller
4881 Sugar Maple Dr |
$16.81 | 14 | 14 |
|
Charles Mcintosh
405 W. Grand Avenue |
$0.00 | 14 | 14 |
|
James H Galbraith
33 W Rahn Rd |
$38.09 | 14 | 12 |
|
Aliya Usman Khan
3075 Governors Place Blvd |
$30.59 | 14 | 12 |
|
Charles D Hanshaw
8940 Kingsridge Dr |
$9.66 | 14 | 12 |
|
Kelli S Schumacher
9000 N Main St |
$25.44 | 14 | 12 |
|
Frances Yantis
1 Elizabeth Pl |
$0.00 | 15 | 13 |
|
Brandi M Gibbs
601 S Edwin C Moses Blvd |
$13.39 | 15 | 13 |
|
Jenna Pathadan
128 E Apple St |
$45.10 | 15 | 13 |
|
Dara Parvin
30 E Apple St Ste 5254A |
$47.13 | 15 | 13 |
|
Shenika Ashley Zarebski
30 E Apple St Ste 6258 |
$43.89 | 15 | 14 |
|
Merriann Craig
1725 E 3Rd St |
$19.34 | 15 | 14 |
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