Average Medicaid Office Visit Payments in Georgetown, OH: $38.31
Avg. Paid
$38.31
Range
$14.21 – $148.16
Total Claims
114,731
Providers
26
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 Georgetown, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephanie Flynn
631 East State Street |
$22.86 | 21,062 | 11,645 |
|
Anya C. Bauman
631 E State St |
$22.61 | 15,954 | 8,745 |
|
Josie Ann Gast
631 E State St |
$19.70 | 13,929 | 8,144 |
|
Melissa N Wright
631 E State St |
$21.04 | 13,701 | 7,565 |
|
Bradley Jay Stokes
631 E State St |
$137.38 | 10,408 | 9,046 |
|
Healthsource Of Ohio, Inc.
631 E State St |
$14.96 | 7,554 | 6,231 |
|
Christina Michelle Fernbach
631 E State St |
$24.11 | 7,462 | 4,161 |
|
Dena Richter
631 E State St |
$24.58 | 3,728 | 2,306 |
|
Kendra Dawn Mcdaniel
421 Home St |
$108.50 | 3,580 | 2,726 |
|
Ali Ghasemzadeh
5062 State Route 125 |
$51.45 | 3,170 | 2,797 |
|
Amanda Strub
631 E State St |
$29.08 | 2,976 | 1,942 |
|
Kasie Nikole Rector
4881 State Route 125 |
$37.56 | 1,930 | 1,802 |
|
Susan Elaine Reed
631 E State St |
$23.90 | 1,371 | 759 |
|
Stephanie J Cummings
2003 Veterans Blvd |
$29.29 | 996 | 655 |
|
Elliott Friedeman
75 Banting Dr |
$94.59 | 981 | 812 |
|
Gloria Adjei
425 Home St |
$89.02 | 948 | 868 |
|
Judith A. Varnau
864 S Main St |
$47.77 | 948 | 706 |
|
Andrew Ache
4881 State Route 125 |
$38.16 | 944 | 875 |
|
Joyce Thompson
640 E State St |
$17.57 | 837 | 686 |
|
Michael Scott Mchenry
4881 State Route 125 |
$67.50 | 822 | 707 |
|
Gretchen Lefferson
425 Home St |
$41.53 | 790 | 712 |
|
Ene G George
5162 St Rt |
$148.16 | 203 | 201 |
|
Alyssa Marjorie Beckett
75 Banting Dr |
$14.21 | 140 | 103 |
|
Emily Martinez
631 E State St |
$38.40 | 106 | 106 |
|
Christopher Haas
421 Home St |
$32.59 | 98 | 83 |
|
Jeffrey Donohoo
415 Home St |
$33.21 | 93 | 85 |
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 Georgetown, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Georgetown, OH is $38.31 per claim, based on 114,731 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 Georgetown, OH?
There are 26 Medicaid providers offering Office Visit related services in Georgetown, OH according to public payment data.
What is the price range for Office Visit in Georgetown, OH?
Medicaid reimbursement for Office Visit in Georgetown, OH ranges from $14.21 to $148.16 per claim, with an average of $38.31. 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 Georgetown, OH
Vaccines & Immunizations
Avg $6.98
46,103 claims
Substance Abuse Treatment
Avg $94.45
45,156 claims
Ambulance Transport
Avg $54.82
41,016 claims
Psychiatric Evaluation
Avg $69.60
28,698 claims
Behavioral & Mental Health Therapy
Avg $77.85
24,808 claims
Durable Medical Equipment (DME)
Avg $17.36
6,755 claims
Physical Therapy
Avg $8.11
5,414 claims
Speech Therapy
Avg $33.07
5,389 claims