Average Medicaid Office Visit Payments in Dover, OH: $42.28
Avg. Paid
$42.28
Range
$0.00 – $115.00
Total Claims
182,852
Providers
98
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 Dover, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shannone Koch
204 S Bellevue Ave |
$21.24 | 13,058 | 6,919 |
|
Darla R Moore
204 S Bellevue Ave |
$19.96 | 11,625 | 5,738 |
|
Dale Lachance
201 Hospital Dr |
$104.90 | 9,784 | 9,118 |
|
Steven A Chismar
200 Medical Park Drive A2 |
$42.23 | 7,588 | 5,564 |
|
Christie Marie Mcmillen
115 S Wooster Ave |
$43.25 | 6,952 | 3,374 |
|
Charles Van Barrett
844 Boulevard St |
$42.85 | 5,952 | 5,023 |
|
Marcel N Nwizu
200 Medical Park Dr |
$49.18 | 5,871 | 4,116 |
|
Kaitlyn Gray
340 Oxford St Ste 220 |
$40.38 | 5,005 | 3,641 |
|
Kurt Charles Garren
515 Union Ave |
$44.22 | 4,798 | 4,442 |
|
Christina Lynn Hammond
897 E Iron Ave |
$25.23 | 4,128 | 1,523 |
|
Joseph Dean Oliver
110 Dublin Dr |
$37.79 | 3,890 | 3,457 |
|
Robert Earl Ley
420 Reeves Ave |
$23.45 | 3,851 | 2,071 |
|
Andrew Dwight Newburn
340 Oxford St Ste 310 |
$59.55 | 3,738 | 2,800 |
|
Peggy Hitchcock
1415 Winkler Hill Rd Nw |
$89.76 | 3,537 | 3,209 |
|
James D Goff
515 Union Ave. |
$43.20 | 3,506 | 3,146 |
|
Robin D Kollman
340 Oxford St Ste 220 |
$40.16 | 3,489 | 1,677 |
|
Susanne Mont
659 Boulevard St |
$55.62 | 3,487 | 3,130 |
|
Edgar Rodriguez Delacruz
715 E Shafer Ave |
$51.89 | 3,460 | 2,528 |
|
Ariel Brindley
201 Hospital Dr |
$113.30 | 3,414 | 3,138 |
|
Lori Schreiner
201 Hospital Dr |
$115.00 | 3,136 | 2,764 |
|
Casey Thomas Perkowski
715 E Shafer Ave |
$35.28 | 3,061 | 2,850 |
|
Alok Bhagat
400 Medical Park Dr Ste Ll1 |
$31.09 | 2,896 | 2,731 |
|
Wendy Kay Ledger
659 Boulevard St |
$41.91 | 2,868 | 2,586 |
|
Linda Mondragon
340 Oxford St Ste 120 |
$34.17 | 2,636 | 2,398 |
|
Lindsay Meade
603 Monroe St |
$53.82 | 2,633 | 2,366 |
|
Orrville Hospital Foundation
603 Monroe St |
$5.83 | 2,621 | 2,230 |
|
Staci Marie Marshall
844 Boulevard St |
$4.96 | 2,581 | 2,035 |
|
William Vincent Swoger
515 Union Ave |
$31.08 | 2,536 | 2,370 |
|
Jamie Lynn Butler
110 Dublin Dr Ste A |
$54.65 | 2,502 | 2,250 |
|
Daniel Cody Lollathin
515 Union Ave |
$32.92 | 2,379 | 1,968 |
|
Andrea Carpenter
659 Boulevard St |
$43.02 | 2,175 | 2,028 |
|
Austin Michael Cole
205 Hospital Dr |
$32.99 | 2,168 | 2,015 |
|
Kristen Ann Henry
515 Union Ave Ste 147 |
$32.33 | 2,071 | 1,752 |
|
Springvale Health Centers, Inc.
204 S Bellevue Ave |
$0.41 | 2,026 | 1,575 |
|
Jessica Nazzaro
400 Medical Park Dr Ste Ll1 |
$40.77 | 2,008 | 1,624 |
|
Steven Seese
659 Boulevard St |
$70.59 | 2,003 | 1,880 |
|
Shirley Smearman Charette
340 Oxford St Ste 222 |
$39.86 | 1,744 | 1,228 |
|
Julia Marie Bologna
340 Oxford St Ste 220 |
$43.43 | 1,696 | 1,543 |
|
Andrew Wade Miller
515 Union Ave |
$19.75 | 1,694 | 1,391 |
|
Amber Dunlap-Ott
897 E Iron Ave |
$18.22 | 1,651 | 860 |
|
Tuscarawas County Auditor
897 E Iron Ave |
$0.03 | 1,506 | 1,192 |
|
James Ray Higginbotham
659 Boulevard St |
$3.49 | 1,410 | 1,219 |
|
Laurel Ann Carroll
400 Medical Park Dr Ste 101 |
$31.39 | 1,261 | 1,204 |
|
Chloe M Chisnell
515 Union Ave Ste 147 |
$26.63 | 1,242 | 968 |
|
Tuscarawas County Auditor
897 E Iron Ave |
$0.00 | 1,238 | 1,167 |
|
Maaz Ahmed
335 Oxford St |
$30.12 | 1,218 | 1,146 |
|
Courtney Dawn Slentz
110 Dublin Dr |
$42.63 | 1,153 | 1,084 |
|
Stacee Faye Miller
515 Union Ave |
$24.64 | 899 | 776 |
|
Misty Elder
204 S Bellevue Ave |
$22.87 | 897 | 563 |
|
Thomas Leslie Teater
205 Hospital Dr |
$34.44 | 895 | 807 |
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 Dover, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dover, OH is $42.28 per claim, based on 182,852 claims from 98 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 Dover, OH?
There are 98 Medicaid providers offering Office Visit related services in Dover, OH according to public payment data.
What is the price range for Office Visit in Dover, OH?
Medicaid reimbursement for Office Visit in Dover, OH ranges from $0.00 to $115.00 per claim, with an average of $42.28. 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 Dover, OH
Blood Work & Lab Tests
Avg $6.21
153,340 claims
Emergency Room Visit
Avg $78.68
97,135 claims
Substance Abuse Treatment
Avg $45.88
80,781 claims
Psychiatric Evaluation
Avg $71.86
63,767 claims
Behavioral & Mental Health Therapy
Avg $98.43
61,584 claims
Ambulance Transport
Avg $46.30
38,414 claims
Urinalysis & Urine Tests
Avg $3.70
30,150 claims
EKG / ECG (Electrocardiogram)
Avg $6.41
22,434 claims