Average Medicaid Office Visit Payments in Defiance, OH: $43.24
Avg. Paid
$43.24
Range
$0.00 – $121.11
Total Claims
174,639
Providers
79
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 Defiance, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Defiance Hospital Inc.
1200 Ralston Ave |
$121.11 | 10,750 | 7,970 |
|
Samer S Obri
1250 Ralston Ave |
$32.04 | 8,254 | 6,687 |
|
William Eisenman
1400 E 2Nd St |
$34.45 | 6,721 | 5,687 |
|
Monica Jane Smith
1400 East Second Street |
$34.11 | 6,137 | 5,256 |
|
Nicole D Morris
1400 E 2Nd St |
$29.46 | 6,092 | 5,708 |
|
Rosemary K Reiter
1250 Ralston Ave |
$43.75 | 5,465 | 4,660 |
|
Michelle Lynn Egler
1250 Ralston Ave Ste 104 |
$41.74 | 5,330 | 4,933 |
|
Amer Arshad
1250 Ralston Ave |
$29.63 | 5,303 | 4,479 |
|
Jennifer L Yeager
1400 E 2Nd St |
$26.16 | 4,928 | 4,529 |
|
Prasad N. Policherla
1400 E 2Nd St |
$40.95 | 4,758 | 4,563 |
|
Cathy Jean Rubel
1200 Ralston Ave |
$28.36 | 4,756 | 4,379 |
|
David E Winner
1250 Ralston Ave |
$38.71 | 4,549 | 3,994 |
|
Donna J Augustine
1400 E 2Nd St |
$37.87 | 4,486 | 3,057 |
|
Bethany Anne Graham
1250 Ralston Ave |
$48.90 | 4,055 | 3,699 |
|
Joshua Michael Lucas
1250 Ralston Ave |
$41.42 | 3,914 | 3,356 |
|
Tricia W Vandehey
1400 E 2Nd St |
$33.80 | 3,705 | 3,300 |
|
Laura Katheryn Kamcza
1400 E 2Nd St |
$36.99 | 3,623 | 3,412 |
|
Deborah Ann Morris
511 Perry St |
$67.34 | 3,571 | 3,246 |
|
Kendra L Cross
1400 E 2Nd St |
$24.48 | 3,559 | 2,294 |
|
Megan E Ashbacher
1400 E 2Nd St |
$34.80 | 3,502 | 2,931 |
|
Tiffany Marie Franks
1250 Ralston Ave Ste 104 |
$45.55 | 3,284 | 2,902 |
|
Steven Hammersmith
1400 E 2Nd St |
$38.71 | 3,138 | 2,708 |
|
Lindsey Spitnale-Slattman
1400 E 2Nd St |
$30.58 | 2,984 | 2,735 |
|
Mohamed Ayoubi
1400 E 2Nd St |
$36.37 | 2,952 | 2,467 |
|
Victoria Joy Taylor
1018 Ralston Ave |
$25.11 | 2,941 | 1,997 |
|
Holly E. Ferris
1400 E 2Nd St |
$28.22 | 2,865 | 2,528 |
|
Karin K Black
1400 E 2Nd St |
$33.74 | 2,822 | 2,661 |
|
David M Podboy
1250 Ralston Ave Ste 205 |
$44.79 | 2,791 | 2,138 |
|
Patricia Sheehan Kroncke
1400 E 2Nd St |
$50.44 | 2,626 | 1,532 |
|
Laura Jo Schroeder
1400 E 2Nd St |
$26.59 | 2,495 | 2,090 |
|
Danah Jacks
1400 E 2Nd St |
$46.86 | 2,473 | 2,349 |
|
Ehab Ali
1400 E 2Nd St |
$34.56 | 2,361 | 2,047 |
|
Gary E Okuley
1400 E 2Nd St |
$27.71 | 2,200 | 2,082 |
|
Alesha Ann Switzer
1250 Ralston Ave Ste 104 |
$37.47 | 2,085 | 1,879 |
|
Jonathan D. Rohdy
1400 E 2Nd St |
$21.99 | 2,011 | 1,753 |
|
Elizabeth Ann Davis
1250 Ralston Ave Ste 104 |
$43.69 | 2,011 | 1,666 |
|
Annette Heil
1200 E 2Nd St |
$71.29 | 1,937 | 1,838 |
|
Rita A Rohrs
1400 E 2Nd St |
$29.76 | 1,909 | 1,801 |
|
Jessica Anita Hermiller
1400 E 2Nd St |
$40.50 | 1,745 | 1,674 |
|
Sarah Steffel
1200 Ralston Ave |
$120.99 | 1,672 | 1,607 |
|
Diana Rodriguez-Salinas
1250 Ralston Ave Ste 104 |
$45.94 | 1,563 | 1,256 |
|
Johnathan Gene Spitnale
1400 E 2Nd St |
$30.87 | 1,551 | 1,373 |
|
Paula Sprow
1250 Ralston Ave |
$42.60 | 1,538 | 1,441 |
|
Jonathon K Nicholson
1400 E 2Nd St Ste 100 |
$48.36 | 1,456 | 1,265 |
|
Crystal Kline
1400 E 2Nd St |
$25.27 | 1,436 | 1,290 |
|
Shelly Kay Mills
25568 Elliott Rd |
$35.04 | 1,332 | 1,223 |
|
Lindsay A Hartman
211 Biede Ave |
$22.61 | 1,258 | 765 |
|
Stanislaw P Dajczak
1250 Ralston Ave |
$51.04 | 1,257 | 1,136 |
|
Mercy Health - Defiance Hospital Llc
1404 E 2Nd St |
$113.21 | 1,241 | 1,087 |
|
Janel Weaver
1250 Ralston Ave Ste 204 |
$17.19 | 1,074 | 740 |
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 Defiance, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Defiance, OH is $43.24 per claim, based on 174,639 claims from 79 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 Defiance, OH?
There are 79 Medicaid providers offering Office Visit related services in Defiance, OH according to public payment data.
What is the price range for Office Visit in Defiance, OH?
Medicaid reimbursement for Office Visit in Defiance, OH ranges from $0.00 to $121.11 per claim, with an average of $43.24. 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 Defiance, OH
Blood Work & Lab Tests
Avg $6.68
96,558 claims
Psychiatric Evaluation
Avg $67.34
86,280 claims
Behavioral & Mental Health Therapy
Avg $69.72
67,979 claims
Speech Therapy
Avg $26.19
61,766 claims
Chiropractic Care
Avg $17.29
32,076 claims
Physical Therapy
Avg $47.40
32,005 claims
Vaccines & Immunizations
Avg $15.53
27,525 claims
Emergency Room Visit
Avg $121.84
26,990 claims