Average Medicaid Office Visit Payments in Galloway, OH: $46.82
Avg. Paid
$46.82
Range
$40.37 – $54.22
Total Claims
18,140
Providers
6
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 Galloway, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Abigail Rose Canonico
990 Galloway Rd |
$40.37 | 34 | 26 |
|
Alexandra Ann Sutula
990 Galloway Rd |
$52.64 | 690 | 660 |
|
Kimberly Frazer
990 Galloway Rd |
$45.50 | 1,762 | 1,592 |
|
Saijal G Ligas
990 Galloway Rd |
$40.93 | 4,499 | 4,254 |
|
Jeremy Thomas Wilks
990 Galloway Rd |
$43.04 | 5,143 | 4,744 |
|
Jennifer Ann Mattson
5688 W Broad St |
$54.22 | 6,012 | 5,849 |
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 Galloway, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Galloway, OH is $46.82 per claim, based on 18,140 claims from 6 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 Galloway, OH?
There are 6 Medicaid providers offering Office Visit related services in Galloway, OH according to public payment data.
What is the price range for Office Visit in Galloway, OH?
Medicaid reimbursement for Office Visit in Galloway, OH ranges from $40.37 to $54.22 per claim, with an average of $46.82. 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
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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Other Procedures in Galloway, OH
Eye Exam
Avg $24.04
9,707 claims
Dental Cleaning & Exam
Avg $27.63
3,898 claims
Psychiatric Evaluation
Avg $49.56
2,647 claims
Blood Work & Lab Tests
Avg $2.11
2,328 claims
Physical Therapy
Avg $13.76
2,120 claims
Behavioral & Mental Health Therapy
Avg $150.00
1,045 claims
Vaccines & Immunizations
Avg $15.46
766 claims
Substance Abuse Treatment
Avg $53.34
513 claims