Average Medicaid Office Visit Payments in Fairfield, OH: $56.34
Avg. Paid
$56.34
Range
$1.38 – $318.75
Total Claims
285,404
Providers
165
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 Fairfield, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gregory Thomas Edwards
5108 Sandy Ln |
$94.87 | 21,099 | 16,937 |
|
Humam H Akbik
2818 Mack Rd |
$40.69 | 20,025 | 18,573 |
|
Esineya N Chigaga
3050 Mack Rd |
$55.77 | 13,629 | 13,178 |
|
Rahul Ramesh
3050 Mack Road |
$56.00 | 13,048 | 12,009 |
|
Dominque Lacatherine Shields
211 Donald Dr Ste B |
$22.56 | 11,472 | 6,088 |
|
Jennifer Hardie
3050 Mack Rd |
$59.50 | 8,834 | 8,550 |
|
Rick Lee Hum
6570 Sosna Dr |
$94.46 | 8,442 | 7,323 |
|
Cassaundra Kalman Craig
5390 Dixie Hwy |
$51.71 | 8,348 | 7,455 |
|
Martha Seehausen Kane
3050 Mack Rd |
$56.53 | 8,174 | 7,861 |
|
Ciara A Staunton
560 Wessel Dr |
$58.83 | 5,013 | 4,559 |
|
Brian Short
6200 Pleasant Ave |
$22.58 | 4,915 | 3,916 |
|
Prasad R Kudalkar
3050 Mack Rd Ste 300 |
$38.00 | 4,721 | 4,067 |
|
Edward J Crane
3050 Mack Rd |
$53.41 | 4,692 | 3,580 |
|
Mohamed I. Dahman
3050 Mack Rd |
$64.70 | 4,271 | 4,142 |
|
Amelia E Rivers
5108 Sandy Ln |
$86.04 | 4,176 | 2,937 |
|
Ziad Khatib
544 Patterson Blvd |
$51.27 | 4,132 | 3,603 |
|
Amanda Rahn Kalfas
6975 Dixie Hwy |
$113.79 | 3,923 | 3,555 |
|
Shwetal G. Desai
5157 Pleasant Ave |
$31.54 | 3,718 | 3,455 |
|
James Chaillet
2960 Mack Rd Ste 201 |
$100.20 | 3,614 | 2,292 |
|
Md. Wahidul Islam
544 Patterson Blvd |
$48.99 | 3,604 | 3,378 |
|
Dixie Urgent Care Inc
5390 Dixie Hwy |
$61.47 | 3,494 | 3,310 |
|
John F Morehous
3050 Mack Rd. |
$60.62 | 3,488 | 3,404 |
|
Paula F Weisenberger
3050 Mack Rd |
$34.33 | 3,392 | 2,685 |
|
Ayisha Ilias
2818 Mack Rd |
$24.77 | 3,252 | 2,686 |
|
Haley Schlottmann
3050 Mack Rd |
$60.93 | 3,135 | 3,010 |
|
Latonia Yvette Cushingberry
154 Twin Lakes Dr |
$118.64 | 3,099 | 2,575 |
|
Rockzine Ngwa
3000 Mack Rd |
$28.50 | 2,992 | 1,786 |
|
John Jeffrey Pauls
5390 Dixie Hwy |
$60.53 | 2,972 | 2,887 |
|
Heeran Abawi
3050 Mack Rd |
$53.58 | 2,953 | 2,690 |
|
Lejeana Maridecarol Miller
6570 Sosna Dr |
$48.33 | 2,904 | 2,302 |
|
Michele Lynn Chung
5108 Sandy Ln |
$115.57 | 2,706 | 1,934 |
|
Samuel Chicano Docena
1244 Nilles Rd |
$60.93 | 2,587 | 2,352 |
|
George Paul Bauer
311 Hallmark Ct |
$54.38 | 2,582 | 2,324 |
|
Robert George Samaan
3050 Mack Rd |
$37.66 | 2,516 | 2,151 |
|
Christopher Co
511 Nilles Rd |
$43.22 | 2,512 | 2,208 |
|
Katherine Hoban Keating
544 Patterson Blvd |
$45.71 | 2,507 | 2,270 |
|
Vijay Rajan
2960 Mack Rd |
$43.53 | 2,455 | 2,363 |
|
Ayesha Javed
2990 Mack Rd Ste 107 |
$67.29 | 2,406 | 2,266 |
|
Chantia Gaines
2336 Mack Rd Unit B |
$57.78 | 2,285 | 2,070 |
|
Rahib N Vasi
311 Nilles Rd |
$52.02 | 2,204 | 2,018 |
|
Anie Djiadeu
3 Camelot Cir Apt E |
$45.63 | 2,189 | 2,015 |
|
Shauna Leigh Wojciechowski
741A Wessel Dr |
$44.22 | 2,091 | 1,953 |
|
Jason W. Ulitzsch
544 Patterson Blvd |
$40.67 | 2,060 | 1,914 |
|
Tawana Sheri Mobley
6570 Sosna Dr |
$103.02 | 1,908 | 1,204 |
|
Kendra E Lykins
544 Patterson Blvd |
$52.52 | 1,856 | 1,699 |
|
Tamara A Strassell
3000 Mack Rd |
$42.18 | 1,836 | 1,714 |
|
Molly Marie Corum
3050 Mack Road |
$70.71 | 1,823 | 1,751 |
|
Megan Renee Houser
741A Wessel Dr |
$53.03 | 1,799 | 1,700 |
|
Mitul Rajendra Dadhania
5150 Sandy Ln |
$53.70 | 1,791 | 1,678 |
|
Samantha Ann Wood
5150 Sandy Ln |
$51.75 | 1,721 | 1,603 |
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 Fairfield, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairfield, OH is $56.34 per claim, based on 285,404 claims from 165 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 Fairfield, OH?
There are 165 Medicaid providers offering Office Visit related services in Fairfield, OH according to public payment data.
What is the price range for Office Visit in Fairfield, OH?
Medicaid reimbursement for Office Visit in Fairfield, OH ranges from $1.38 to $318.75 per claim, with an average of $56.34. 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 Fairfield, OH
Emergency Room Visit
Avg $86.03
221,349 claims
Blood Work & Lab Tests
Avg $6.73
208,648 claims
Home Health Visit
Avg $77.47
163,349 claims
Psychiatric Evaluation
Avg $73.24
94,926 claims
EKG / ECG (Electrocardiogram)
Avg $5.95
94,777 claims
Substance Abuse Treatment
Avg $123.35
90,908 claims
Physical Therapy
Avg $32.12
76,189 claims
Vaccines & Immunizations
Avg $8.81
65,806 claims