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Based on public Medicaid payment data.

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
Mercy Medical Partners Northern Region Specialty Care Llc

1400 E 2Nd St

$37.14 15 15
Jennifer A Barlage

1400 E 2Nd St

$42.38 16 16
Sharronda Willis

511 Perry St

$99.33 30 26
Trevor Ward Poole

1250 Ralston Ave Ste 204

$24.43 40 40
Recovery Services Of Northwest Ohio, Inc

511 Perry St

$111.79 43 41
Bruce Lee Kinney

1400 E 2Nd St

$40.84 48 43
Jeffrey Robert Walters

1400 E 2Nd St

$26.72 50 42
Karla J. Mcdonel

1400 E 2Nd St

$34.20 55 49
Maumee Valley Guidance Center Inc.

211 Biede Ave

$97.37 57 57
Arunkumar Baskara

1250 Ralston Ave Ste 204

$49.92 58 57
Lindsay Marie Hoops

1400 E 2Nd St

$26.75 69 67
Cynthia L. Vandemark

1250 Ralston Ave Ste 205

$39.03 70 56
Philip H. O'Donnell

1490 Pinehurst Dr

$45.46 93 91
Megan Theresa Schmenk

1400 E 2Nd St Ste 100

$51.44 119 117
Sarah Roberts

1252 Ralston Ave

$31.62 251 213
Edith Wuo

1261 Byrnwyck Ct

$37.87 268 247
Kermit R Erwin

1250 Ralston Ave

$50.15 273 171
Health Partners Of Western Ohio

1018 Ralston Ave

$0.00 371 266
Chandler Reeves

1400 E 2Nd St

$27.48 387 364
Emily Niese

417 4Th St

$39.17 398 363
Troy King

1400 E 2Nd St

$36.48 408 391
Jessica Lynn Saunders

1200 Ralston Ave

$80.94 410 401
Jessica Durham

1400 E 2Nd St

$33.28 452 387
Amy J Williams

1252 Ralston Ave Ste 400

$30.96 605 526
Kholoud K. Amrou

1400 E 2Nd St

$40.70 614 566
Beth A Besaw

1250 Ralston Ave

$37.68 667 617
Salvatore Veltri

1400 E 2Nd St

$32.08 716 662
Michelle A. Bacon

1400 E 2Nd St

$37.62 717 694
Stavros R Karatsoridis

1400 E 2Nd St

$27.80 873 816
Janel Weaver

1250 Ralston Ave Ste 204

$17.19 1,074 740
Mercy Health - Defiance Hospital Llc

1404 E 2Nd St

$113.21 1,241 1,087
Stanislaw P Dajczak

1250 Ralston Ave

$51.04 1,257 1,136
Lindsay A Hartman

211 Biede Ave

$22.61 1,258 765
Shelly Kay Mills

25568 Elliott Rd

$35.04 1,332 1,223
Crystal Kline

1400 E 2Nd St

$25.27 1,436 1,290
Jonathon K Nicholson

1400 E 2Nd St Ste 100

$48.36 1,456 1,265
Paula Sprow

1250 Ralston Ave

$42.60 1,538 1,441
Johnathan Gene Spitnale

1400 E 2Nd St

$30.87 1,551 1,373
Diana Rodriguez-Salinas

1250 Ralston Ave Ste 104

$45.94 1,563 1,256
Sarah Steffel

1200 Ralston Ave

$120.99 1,672 1,607
Jessica Anita Hermiller

1400 E 2Nd St

$40.50 1,745 1,674
Rita A Rohrs

1400 E 2Nd St

$29.76 1,909 1,801
Annette Heil

1200 E 2Nd St

$71.29 1,937 1,838
Elizabeth Ann Davis

1250 Ralston Ave Ste 104

$43.69 2,011 1,666
Jonathan D. Rohdy

1400 E 2Nd St

$21.99 2,011 1,753
Alesha Ann Switzer

1250 Ralston Ave Ste 104

$37.47 2,085 1,879
Gary E Okuley

1400 E 2Nd St

$27.71 2,200 2,082
Ehab Ali

1400 E 2Nd St

$34.56 2,361 2,047
Danah Jacks

1400 E 2Nd St

$46.86 2,473 2,349
Laura Jo Schroeder

1400 E 2Nd St

$26.59 2,495 2,090

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

Other Procedures in Defiance, OH