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 |
|---|---|---|---|
|
Springvale Health Centers, Inc.
201 Hospital Dr |
$106.93 | 12 | 12 |
|
Erin Leann Zangare
110 Dublin Dr |
$42.62 | 12 | 12 |
|
Samantha Quillen
110 Dublin Dr |
$38.34 | 14 | 13 |
|
Deepthi Singam
204 S Bellevue Ave |
$34.01 | 16 | 15 |
|
Amanda L Brock
110 Dublin Dr Ste A |
$34.05 | 26 | 25 |
|
Chinyere Orafu
420 S James St |
$45.79 | 29 | 26 |
|
Katharine Greenland
340 Oxford St Ste 120 |
$58.11 | 50 | 44 |
|
Union Physician Services, Llc
659 Boulevard St |
$45.04 | 66 | 60 |
|
Tina Marie Alsept
300 Medical Park Dr |
$20.07 | 81 | 79 |
|
Sumayya Ahmed
335 Oxford St |
$40.91 | 87 | 77 |
|
Orrville Hospital Foundation
340 Oxford St Ste 120 |
$0.00 | 109 | 93 |
|
Earline Llewellyn
659 Boulevard St |
$74.20 | 122 | 112 |
|
Deborah R. Cowden
Dover Family Physicians |
$46.36 | 123 | 118 |
|
Mahaveer Mukkamalla
204 S Bellevue Ave |
$31.57 | 130 | 119 |
|
Sharma Saith
300 Medical Park Dr |
$35.88 | 131 | 101 |
|
Javedul Haque
201 Hospital Dr |
$5.62 | 172 | 64 |
|
Nicholas R Bellanco
603 Monroe St |
$53.47 | 194 | 186 |
|
Robert E Jones
200 Medical Park Dr |
$46.45 | 196 | 181 |
|
Victoria Faye Weaver
603 Monroe St |
$23.31 | 211 | 151 |
|
David M Hartman
335 Oxford St |
$19.34 | 225 | 144 |
|
Sarah A Barber
659 Boulevard St |
$43.80 | 238 | 207 |
|
Laura Meiler
400 Medical Park Dr Ste 203 |
$40.92 | 259 | 236 |
|
Kristi M Leindecker
400 Medical Park Dr |
$33.85 | 273 | 247 |
|
John Stanley Burnham
1716 N Cross St |
$38.06 | 276 | 257 |
|
Gina Marie Vitale-Amos
204 S Bellevue Ave |
$35.92 | 278 | 253 |
|
Thomas Andrew Perkowski
658 Boulevard St |
$28.08 | 280 | 262 |
|
Matthew W Phillips
340 Oxford Street |
$27.44 | 283 | 238 |
|
Adam Michael Myers
515 Union Ave |
$23.26 | 285 | 234 |
|
Lindsey Nicole Moore
400 Medical Park Dr Ste 201 |
$41.17 | 327 | 316 |
|
Michael Ralph Gigax
300 Medical Park Dr |
$19.68 | 334 | 311 |
|
Blair T Holder
300 Medical Park Dr |
$22.15 | 377 | 348 |
|
Robert M Levitt
400 Medical Park Dr |
$37.56 | 381 | 366 |
|
Melissa Mutschelknaus
300 Medical Park Dr |
$25.85 | 388 | 319 |
|
Whitney Mcclintock
110 Dublin Dr |
$53.61 | 392 | 338 |
|
Darrin J Kuczynski
205 Hospital Dr |
$42.21 | 430 | 392 |
|
Rachel Raber
515 Union Ave Ste 157 |
$41.42 | 433 | 361 |
|
Carri A Meiler
110 Dublin Dr Ste A |
$33.80 | 454 | 389 |
|
Barrett Pain Associates, Inc
844 Boulevard St |
$3.17 | 494 | 417 |
|
Keely Harrison
603 Monroe St |
$25.70 | 518 | 314 |
|
James David Moore
603 Monroe St |
$31.25 | 556 | 434 |
|
Sandra A. Agnes
400 Medical Park Drive |
$43.21 | 593 | 549 |
|
Michele Dawn Fleak
515 Union Ave |
$24.51 | 628 | 578 |
|
John Douglas Idoine
340 Oxford St Ste 102 |
$39.34 | 632 | 591 |
|
Emma Meiggs Brixen
515 Union Ave Ste 157 |
$66.11 | 634 | 567 |
|
Lucille E Stine
897 East Iron Ave |
$15.70 | 714 | 431 |
|
Christopher Coulson
200 Medical Park Dr Suite |
$39.84 | 776 | 703 |
|
The Union Hospital Association
659 Boulevard |
$85.36 | 782 | 459 |
|
Rebecca S Clark
340 Oxford St |
$37.82 | 894 | 851 |
|
Thomas Leslie Teater
205 Hospital Dr |
$34.44 | 895 | 807 |
|
Misty Elder
204 S Bellevue Ave |
$22.87 | 897 | 563 |
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