Average Medicaid Office Visit Payments in Fostoria, OH: $38.36
Avg. Paid
$38.36
Range
$18.27 – $96.74
Total Claims
66,440
Providers
21
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 Fostoria, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Asish K Basu
501 Van Buren St |
$22.38 | 16 | 14 |
|
Govardhana Roa Korrapati
301 Perry St |
$18.27 | 234 | 199 |
|
Timothy Dean Kistler
614 W Lytle St |
$27.03 | 246 | 224 |
|
Kristine M Ruehl
506 Van Buren St |
$35.31 | 424 | 388 |
|
Alicia Yvonne Weininger
502 Van Buren St |
$23.90 | 1,126 | 939 |
|
Mary-Helene A Massullo
501 Van Buren St |
$47.62 | 1,465 | 913 |
|
Faith Mcneal
502 Van Buren St |
$19.46 | 1,629 | 1,315 |
|
Fostoria Hospital Association
501 Van Buren St |
$96.74 | 1,969 | 1,642 |
|
Ryan W Bridges
455 W 4Th St |
$39.52 | 2,257 | 1,872 |
|
Jessica Caitlin Gagen
455 W 4Th St Ste 100 |
$41.95 | 2,658 | 2,348 |
|
Stephanie Lynn Tiell
11568 W Township Road 84 |
$41.03 | 2,700 | 2,184 |
|
Samantha L Carson
455 W 4Th St Ste 100 |
$44.83 | 2,901 | 2,584 |
|
Komal Masood
502 Van Buren St |
$20.82 | 2,950 | 2,347 |
|
Assumpta Ngozi Nnaji
501 Van Buren St Ste 203 |
$46.04 | 3,460 | 3,001 |
|
Tim Arthur Beidelschies
217 N Countyline St |
$34.24 | 3,643 | 3,299 |
|
Michael D Badik
455 W 4Th St |
$35.73 | 4,914 | 4,540 |
|
Jill K Badik
455 W 4Th St |
$40.15 | 5,478 | 4,990 |
|
Melissa Schade
455 W 4Th St Ste 100 |
$43.03 | 5,686 | 5,094 |
|
Kristina Carol Knoll
455 W 4Th St |
$42.43 | 5,693 | 5,214 |
|
Joel Sobecki
455 W 4Th St |
$41.46 | 7,833 | 7,063 |
|
Carolyn R. Garcia
501 Van Buren St |
$22.92 | 9,158 | 4,886 |
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 Fostoria, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fostoria, OH is $38.36 per claim, based on 66,440 claims from 21 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 Fostoria, OH?
There are 21 Medicaid providers offering Office Visit related services in Fostoria, OH according to public payment data.
What is the price range for Office Visit in Fostoria, OH?
Medicaid reimbursement for Office Visit in Fostoria, OH ranges from $18.27 to $96.74 per claim, with an average of $38.36. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Fostoria, OH
Blood Work & Lab Tests
Avg $8.29
38,100 claims
Psychiatric Evaluation
Avg $67.22
28,314 claims
Emergency Room Visit
Avg $134.51
18,973 claims
Speech Therapy
Avg $31.21
17,524 claims
Physical Therapy
Avg $36.75
11,368 claims
Chiropractic Care
Avg $17.36
7,993 claims
Vaccines & Immunizations
Avg $10.58
7,987 claims
Urinalysis & Urine Tests
Avg $2.10
7,258 claims