Based on public Medicaid payment data.

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
Douglas C Hingsbergen 25 Office Park Dr	$45.34	12	12
Jeffrey Brock Cherry 644 High St	$57.76	13	13
Butler Behavioral Health Services, Inc. 1490 University Blvd	$122.27	13	13
Judith Calara Delrio 918 Campbell Ave	$59.97	15	15
Richard R Roebuck 213 Dayton St	$18.69	16	15
Karen King 820 S Martin Luther King Jr Blvd	$38.49	16	12
Modern Psychiatry & Wellness, Llc 1910 Fairgrove Ave Ste E	$94.97	17	12
Glen A Whitehead 2762 Herman Rd	$53.82	18	17
Thomas Edward Nye 644 High St	$57.76	20	19
Theresa Lynn Falk 903 Nw Washington Blvd Ste A	$40.90	29	28
Byron Kirk Brown 1250 Nw Washington Blvd	$24.33	32	27
Lauren A Cash 5090 Brandy Ct	$69.08	33	33
Elizabeth Gail Spicer 903 Nw Washington Blvd Ste A	$38.33	34	27
Patrick J. Lytle 1010 Cereal Ave	$36.01	39	32
Modern Psychiatry And Wellness Llc 1910 Fairgrove Ave Ste E	$117.18	48	31
Paul Kyei 6192 Spring Lake Dr	$163.58	52	50
Maura Prince 903 Nw Washington Blvd Ste A	$31.59	71	68
Kenneth Ronald Keller 2449 Ross Millville Rd	$45.32	73	55
Vickie S Burch 840 Nw Washington Blvd Ste C	$54.18	75	75
Heather Cypher 3103 Dixie Hwy	$57.94	81	72
Alicia Phalon Brown 3090 Mcbride Ct Ste B	$28.78	83	79
James Thomas Brockman 9582 Princeton Glendale Rd	$0.52	92	83
Community Behavioral Health, Inc. 820 S Martin Luther King Jr Blvd	$16.05	105	88
Lawrence Robert Hufford 412 Main St	$39.59	110	108
Erika K Dollard 5964 Golf Club Ln	$38.16	110	108
Walter Louis Zancan 50 Riverfront Plz	$26.32	115	97
Teresa Groh 5964 Golf Club Ln	$35.00	125	122
William Louis Hills 630 Eaton Ave	$59.98	128	115
Sucharitha Nalagatla 2275 Millville Ave	$22.95	138	121
William Harold Dickhoner 1010 Cereal Ave	$17.06	139	98
Jon Howard Baker 2449 Ross Millville Rd	$36.87	145	130
Pius Manavalan 3090 Mcbride Ct, Suite B	$30.69	169	151
Douglas C Gula 840 Nw Washington Blvd	$34.26	175	160
Victorine Tengu Ekoko 4124 Alsace Ln	$91.93	178	178
Regina Ann Wilde 1490 University Blvd	$104.04	196	188
Aparna P Ambe 3035 Hamilton Mason Rd	$53.29	206	181
Andrew Sasak 630 Eaton Ave	$23.84	217	214
Maico Julian Baez 543 Park Ave	$23.65	225	150
Michael Jaje 1391 Main St	$48.45	226	204
Ryan Michael Grote 1380 Nw Washington Blvd	$64.92	248	240
Lisa Goins 201 N Brookwood Ave	$69.83	262	255
Daniel Gallagher 1 N Brookwood Ave	$39.03	283	257
Maritess Gay Fiel Asumen 1391 Main St	$51.49	290	256
David D Duong 840 Nw Washington Blvd Ste C	$29.68	291	283
Candice Davis 1474 Main St	$38.73	294	283
Mallory Caproni 903 Nw Washington Blvd Ste A	$55.17	305	294
Kathleen Jh Lang 2449 Ross Millville Rd	$41.67	346	321
Elizabeth Ashley Gleason Weiser 2449 Ross Millville Rd Ste B50	$40.60	377	344
Kelly Marie Nolte 1010 Cereal Ave	$41.77	406	369
James Dow Reboulet 903 Nw Washington Blvd Ste A	$24.61	412	231

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.

Average Medicaid Office Visit Payments in Hamilton, OH: $46.10

Providers Offering Office Visit in Hamilton, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Hamilton, OH

Substance Abuse Treatment

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Blood Work & Lab Tests

Vaccines & Immunizations

Emergency Room Visit

Speech Therapy

Dental Cleaning & Exam