Average Medicaid Office Visit Payments in Galion, OH: $54.97
Avg. Paid
$54.97
Range
$0.00 – $99.31
Total Claims
257,282
Providers
58
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 Galion, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Galion Community Hospital
269 Portlandway South |
$99.31 | 46,822 | 36,820 |
|
Michael David Stormont
800 Portland Way N |
$41.74 | 25,851 | 22,083 |
|
Jacob Kessler
800 Portland Way N |
$42.26 | 17,474 | 14,462 |
|
William J Lewis
269 Portland Way S |
$47.96 | 13,201 | 12,652 |
|
Erica Lynn Clinker
269 Portland Way S |
$40.69 | 10,850 | 9,945 |
|
Howard M. Eckstein
270 Portland Way South |
$50.49 | 9,314 | 8,642 |
|
Sarah Elizabeth Eshelman
955 Bucyrus Rd |
$47.55 | 9,168 | 8,501 |
|
Melany Raedy
270 Portland Way S |
$52.80 | 8,864 | 7,651 |
|
Tyler K Huggins
1200 State Route 598 |
$68.50 | 8,328 | 6,323 |
|
Todd M Darmody
270 Portland Way S |
$48.10 | 8,145 | 7,647 |
|
Nhan Trong Luu
269 Portland Way S |
$24.18 | 6,608 | 5,593 |
|
Marcia F Brown
270 Portland Way S |
$46.54 | 6,395 | 5,873 |
|
Tiffini Dawn Pinion
269 Portland Way S |
$43.23 | 5,712 | 5,472 |
|
Michael G. Swiatek
269 Portland Way S |
$35.89 | 5,577 | 4,960 |
|
Robert T Nowell
955 Bucyrus Rd |
$53.46 | 4,565 | 4,177 |
|
Samantha Elizabeth Bark
955 Hosford Rd |
$47.35 | 4,301 | 3,612 |
|
Ami L Hay
1200 State Route 598 |
$49.78 | 4,244 | 3,637 |
|
Guillermo V Amurao
269 Portland Way S |
$40.03 | 4,046 | 3,780 |
|
John C Bailey
1200 State Route 598 |
$55.48 | 4,017 | 3,295 |
|
Kimberly Sue Ciccero
396 Portland Way North |
$35.80 | 3,990 | 3,616 |
|
Sarah Beattie
270 Portland Way S |
$47.01 | 3,896 | 3,599 |
|
Mihai-Liviu C. Ursachi
269 Portland Way S |
$41.88 | 3,769 | 3,256 |
|
Joel D Siegal
269 Portland Way S |
$41.33 | 3,700 | 3,413 |
|
Renu Soni
269 Portland Way S |
$45.18 | 3,258 | 2,866 |
|
Christina Hickle Walker
337 Harding Way W |
$45.25 | 3,190 | 3,096 |
|
Tracy Lynn Fulton
269 Portland Way S |
$33.73 | 2,792 | 2,538 |
|
Michael P Davis
269 Portland Way S |
$41.26 | 2,569 | 2,435 |
|
Tabitha Dawn Hofer
270 Portland Way S |
$29.20 | 2,424 | 2,142 |
|
Robert R Wisner
269 Portland Way S |
$51.79 | 2,081 | 1,911 |
|
James R Kerbs
955 Hosford Rd |
$49.03 | 1,941 | 1,831 |
|
Lee Ann Early
745 Carter Dr |
$55.48 | 1,829 | 1,663 |
|
Laurie A Cullen
955 Hosford Rd |
$67.34 | 1,754 | 1,626 |
|
Robert L Dawson
955 Hosford Rd |
$51.32 | 1,721 | 1,629 |
|
Heather Ladawn Kremin
270 Portland Way S |
$69.52 | 1,617 | 1,485 |
|
Danelle Jean Boone
396 Portland Way North |
$32.33 | 1,588 | 1,309 |
|
James A Goudy
270 Portland Way S |
$42.45 | 1,356 | 1,234 |
|
Karen Renee Clifton
6057 Township Road 49 |
$38.20 | 1,336 | 1,050 |
|
Thomas Edward Smith
269 Portland Way S |
$59.33 | 1,252 | 1,182 |
|
Robert Santiago
396 Portland Way N |
$17.26 | 1,252 | 760 |
|
Ernie Ray Clifton
955 Bucyrus Rd |
$41.11 | 1,063 | 1,011 |
|
Hannah Elizabeth Mckee
269 Portland Way S |
$28.22 | 1,023 | 953 |
|
Jeffrey Bryan Vandeusen
269 Portland Way S |
$40.17 | 982 | 842 |
|
Kamal Chaban
269 Portland Way S |
$35.73 | 737 | 700 |
|
Joshua Daniel Grund
269 Portland Way S |
$46.49 | 550 | 478 |
|
North Central Ohio Family Care Center, Inc
269 Portland Way S |
$32.82 | 354 | 348 |
|
Ashley Annette Thames
269 Portland Way S |
$45.68 | 324 | 305 |
|
Denver Alan Russell
269 Portland Way S |
$43.50 | 210 | 190 |
|
Raygan Ciballi
269 Portland Way S |
$24.73 | 209 | 197 |
|
Christopher D Cannell
955 Hosford Rd |
$25.66 | 202 | 126 |
|
Nathan Daniel Shuman
269 Portland Way S |
$40.65 | 201 | 197 |
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 Galion, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Galion, OH is $54.97 per claim, based on 257,282 claims from 58 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 Galion, OH?
There are 58 Medicaid providers offering Office Visit related services in Galion, OH according to public payment data.
What is the price range for Office Visit in Galion, OH?
Medicaid reimbursement for Office Visit in Galion, OH ranges from $0.00 to $99.31 per claim, with an average of $54.97. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Galion, OH
Blood Work & Lab Tests
Avg $9.63
115,869 claims
Emergency Room Visit
Avg $82.94
76,535 claims
Physical Therapy
Avg $39.20
41,525 claims
Speech Therapy
Avg $39.64
27,355 claims
Urinalysis & Urine Tests
Avg $4.24
18,517 claims
X-Ray
Avg $10.65
11,135 claims
Home Health Visit
Avg $41.23
10,994 claims
EKG / ECG (Electrocardiogram)
Avg $5.31
10,355 claims