Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Eaton, OH: $42.27

Avg. Paid

$42.27

Range

$33.59 – $125.30

Total Claims

129,937

Providers

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 Eaton, OH

Provider	Avg. Paid	Claims	Patients
Amy L Walworth 450B Washington Jackson Rd	$41.80	14,286	12,677
John S Allen 450B Washington Jackson Rd	$42.94	13,753	11,781
Amy L Werts 450B Washington Jackson Rd	$41.34	13,116	11,778
Timothy Michael Mccarty 450B Washington Jackson Rd Ste 104	$34.68	9,164	8,202
Harold Allen Ferguson 450B Washington Jackson Rd	$37.32	8,836	7,646
Tracie L Shoe 450B Washington Jackson Rd Ste 105	$42.65	8,218	7,437
Shelley Marie Barney 450B Washington Jackson Rd Ste 108	$37.33	7,483	6,757
Scott R Vosler 450 B Washington Jackson Rd	$36.56	7,073	5,651
Ashley B Grubb 450B Washington Jackson Rd Ste 108	$38.51	6,288	5,741
Amy M Littrell 450B Washington Jackson Rd	$36.39	6,248	5,649
Mark Steven Vosler 450-B Washington Jackson Rd	$37.99	5,415	4,805
Ashley Lynn Thompson 450B Washington Jackson Rd Ste 105	$42.21	5,307	4,803
Lola Dennis 109 E Washington Jackson Rd Ste B	$62.53	4,962	4,557
Amy Marie Goff 550 Hallmark Dr	$57.18	3,572	3,198
Alexander J Roux 450B Washington Jackson Rd Ste 105	$36.17	3,181	2,764
Kimberly J. Reffitt 550 Hallmark Drive	$48.50	2,379	1,988
Carrie Anne Kerby 550 Hallmark Dr	$50.19	1,819	1,567
Angela B. Snowden 815 Brande Dr	$49.62	1,803	1,699
Vanessa L Copper 62 Whisper Way	$40.11	1,749	1,681
Kaitlin Raeleen Lange 405 B Washington Jackson Road	$39.42	1,454	1,301
Lisa Kaye Goecke 2381 Wysong Rd	$125.30	1,430	1,221
Kira T Haubach 1219 Us Route 35	$39.47	1,117	1,011
Jill B Vosler 450B Washington Jackson Rd	$33.59	587	517
Suzanne Leah Leach, Od 1845 State Route 127 N	$42.74	329	319
Angela K Cates 100A E Washington Jackson St	$48.22	312	277
Karl Hofmann 309 Eaton Lewisburg Rd	$37.54	56	52

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 Eaton, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eaton, OH is $42.27 per claim, based on 129,937 claims from 26 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 Eaton, OH?

There are 26 Medicaid providers offering Office Visit related services in Eaton, OH according to public payment data.

What is the price range for Office Visit in Eaton, OH?

Medicaid reimbursement for Office Visit in Eaton, OH ranges from $33.59 to $125.30 per claim, with an average of $42.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Eaton, OH: $42.27

Providers Offering Office Visit in Eaton, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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