Average Medicaid Office Visit Payments in Hamilton, OH: $46.10
Avg. Paid
$46.10
Range
$0.52 – $163.58
Total Claims
600,395
Providers
191
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 Hamilton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John E Beresh
840 Nw Washington Blvd |
$38.55 | 39,498 | 36,822 |
|
Stanley E. Scheidler
543 Park Ave |
$50.12 | 36,970 | 30,861 |
|
Emil Kirovski
4182 Tonya Trl |
$54.33 | 34,384 | 31,111 |
|
Michael Joseph Armentrout
210 South Second Street |
$24.41 | 24,442 | 12,648 |
|
Beth Marie Reddix
903 Nw Washington Blvd Ste A |
$18.31 | 19,424 | 9,959 |
|
Julie Michelle Treadway
210 S 2Nd St |
$22.42 | 15,496 | 8,371 |
|
Gary L Ray
1010 Cereal Ave Ste 212 |
$26.95 | 13,743 | 11,675 |
|
Mary Ruth Leyendecker
1910 Fairgrove Ave |
$103.17 | 13,491 | 9,747 |
|
Thomas Vincent Sargero
870 Nw Washington Blvd Ste B |
$43.17 | 12,002 | 9,441 |
|
Julie A Cianchetti-Bridgeford
903 Nw Washington Blvd Ste A |
$19.42 | 11,746 | 5,741 |
|
Ginger L Justice
210 S 2Nd St |
$94.51 | 11,319 | 5,837 |
|
Lilliam I. Ortiz
903 Nw Washington Blvd Ste A |
$21.98 | 10,491 | 5,581 |
|
Kellee Haslon
903 Nw Washington Blvd Ste A |
$25.04 | 8,939 | 5,146 |
|
Anubhav Mital
1010 Cereal Ave Ste 307 |
$40.18 | 8,791 | 7,808 |
|
Marian Owusu-Akyaw
903 Nw Washington Blvd Ste A |
$24.07 | 8,453 | 4,439 |
|
Heather Catherine Schuster
210 S 2Nd St |
$22.20 | 8,077 | 4,266 |
|
Erin Ackerman
820 S Martin Luther King Jr Blvd |
$98.01 | 8,055 | 7,029 |
|
Deborah Ann Stevison
25 N F St |
$90.44 | 7,651 | 5,821 |
|
Brianne Koessel
903 Nw Washington Blvd Ste A |
$21.25 | 7,323 | 3,715 |
|
Phillip C Carr
520 Eaton Ave Ste 200 |
$49.52 | 7,124 | 5,500 |
|
Michelle M Wilcox
210 S 2Nd St |
$37.48 | 6,633 | 5,144 |
|
Butler County Community Health Consortium Inc
210 S 2Nd St |
$3.87 | 6,539 | 4,988 |
|
Howard P Sutcliffe
840 Nw Washington Blvd |
$29.34 | 6,369 | 4,076 |
|
Butler County Community Health Consortium Inc
903 Nw Washington Blvd Ste A |
$4.17 | 6,305 | 4,633 |
|
Angela Gutowski
1502 University Blvd |
$86.93 | 6,068 | 5,533 |
|
Chetna Mital
1010 Cereal Ave Ste 307 |
$41.04 | 5,980 | 5,335 |
|
Rohini D Sachdeva
1010 Cereal Ave |
$48.55 | 5,831 | 5,186 |
|
Shawntae Marie Romanello
210 S 2Nd St |
$81.57 | 5,692 | 4,638 |
|
Mason Urgent Care Llc
1 N Brookwood Ave |
$48.49 | 5,527 | 5,287 |
|
Evan Z Lang
860 Nw Washington Blvd |
$39.07 | 5,437 | 4,529 |
|
Melinda Ann Nieman
2052 Princeton Road |
$98.86 | 5,435 | 4,937 |
|
Alicia M Collins
210 S 2Nd St |
$31.13 | 5,335 | 4,846 |
|
Milton Troche
903 Nw Washington Blvd Ste A |
$24.53 | 5,125 | 2,536 |
|
Heidi M. Schindler
840 Nw Washington Blvd Ste C |
$41.48 | 5,110 | 4,724 |
|
Kenneth Tepe
820 S Martin Luther King Jr Blvd |
$86.67 | 5,072 | 4,036 |
|
Polly S Vaughan
630 Eaton Ave # 2W |
$57.28 | 5,007 | 4,030 |
|
Keshia Nichole Jordan
3515 Siaron Way |
$95.77 | 4,956 | 3,343 |
|
Jennifer Lynn Bolan
903 Nw Washington Blvd Ste A |
$22.13 | 4,900 | 2,488 |
|
Baker Machhadieh
150 High St |
$53.14 | 4,872 | 4,720 |
|
Thomas J Mcmahon
820 S Martin Luther King Jr Blvd |
$96.56 | 4,719 | 4,071 |
|
Quinton E Moss
1910 Fairgrove Ave Ste E |
$72.90 | 4,530 | 3,555 |
|
Margaret Phillips
1430 University Blvd |
$113.28 | 4,515 | 3,706 |
|
Manish Sachdeva
1010 Cereal Ave |
$50.20 | 4,362 | 3,817 |
|
Antonia Jackson
1 N Brookwood Ave |
$63.82 | 4,280 | 3,887 |
|
John Elliott Pressler
1710 Tatum Ln |
$90.47 | 4,163 | 3,828 |
|
Robyn Fortner Chatman
3103 Dixie Hwy |
$78.07 | 4,139 | 2,911 |
|
Jennifer Dawn Newman
1492 S Erie Hwy |
$52.67 | 4,126 | 3,219 |
|
Naila Shahid
150 High St. |
$55.16 | 3,431 | 3,201 |
|
Scott R Day
840 Nw Washington Blvd |
$33.83 | 3,361 | 3,072 |
|
Andrew E-Kong Chang
520 Eaton Ave Ste 200 |
$40.92 | 3,349 | 2,324 |
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 Hamilton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hamilton, OH is $46.10 per claim, based on 600,395 claims from 191 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 Hamilton, OH?
There are 191 Medicaid providers offering Office Visit related services in Hamilton, OH according to public payment data.
What is the price range for Office Visit in Hamilton, OH?
Medicaid reimbursement for Office Visit in Hamilton, OH ranges from $0.52 to $163.58 per claim, with an average of $46.10. 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 Hamilton, OH
Substance Abuse Treatment
Avg $88.41
508,579 claims
Psychiatric Evaluation
Avg $75.06
252,958 claims
Behavioral & Mental Health Therapy
Avg $81.28
232,890 claims
Blood Work & Lab Tests
Avg $5.94
228,109 claims
Vaccines & Immunizations
Avg $7.76
132,248 claims
Emergency Room Visit
Avg $93.92
120,353 claims
Speech Therapy
Avg $26.37
119,235 claims
Dental Cleaning & Exam
Avg $19.79
88,813 claims