Average Medicaid Office Visit Payments in Hillsboro, OH: $33.39
Avg. Paid
$33.39
Range
$0.00 – $155.97
Total Claims
189,834
Providers
49
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 Hillsboro, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Highland Health Providers Corp
11130 North Shore Drive |
$0.00 | 14 | 13 |
|
Highland County General Health District
1487 N High St |
$10.11 | 52 | 40 |
|
Amy R Frasure
104 Erin Court |
$155.97 | 66 | 65 |
|
Craig A Mckinney
1275 N High St |
$34.22 | 80 | 62 |
|
Sandra Suiter
1404 N High St |
$115.07 | 108 | 89 |
|
Krystal Vern Simmons
160 Roberts Ln |
$33.08 | 226 | 200 |
|
Rachelle A. Cameron
1275 N High St |
$44.94 | 232 | 202 |
|
Mary F Young
108 Erin Ct |
$18.71 | 267 | 211 |
|
Janice Morris
1275 N High St |
$31.23 | 292 | 268 |
|
Andrea Asantewaa Asimeng
1487 N High St Ste 102 |
$20.63 | 392 | 307 |
|
Jeffrey A. Ropar
1019 West Main St. |
$24.96 | 556 | 491 |
|
Patty Sue Day
231 West Main Street |
$62.75 | 603 | 527 |
|
Michelle Lee Woodyard
160 Roberts Ln |
$40.64 | 645 | 577 |
|
Highland Health Providers Corp
1402 N. High Street |
$0.17 | 686 | 522 |
|
Sarah Olivia Castiglia
1108 Northview Dr Ste 1 |
$27.53 | 840 | 702 |
|
Mary Lynn Bundy
1108 Northview Dr Ste 1 |
$27.71 | 1,246 | 637 |
|
Amy Lynn Mikesell
1275 N High St |
$52.99 | 1,302 | 1,148 |
|
Julie Ann Roush
4894 Briggs Rd |
$25.57 | 1,924 | 1,432 |
|
Healthsource Of Ohio, Inc.
1108 Northview Dr |
$0.45 | 2,093 | 1,852 |
|
John A Adesioye
1275 N High St |
$34.22 | 2,145 | 1,627 |
|
Dipika Jayesh Shah
102 Te Mar Way |
$58.22 | 2,332 | 1,888 |
|
Jason K Durose
1275 N High St |
$68.07 | 2,334 | 2,248 |
|
Regina L Melink
1275 N High St |
$32.10 | 2,428 | 1,879 |
|
Nancy Nelle Cotten
1487 N High St |
$13.52 | 2,481 | 1,758 |
|
Highland Health Providers Corp
1487 N High St |
$0.05 | 2,711 | 1,763 |
|
Emily Ellen Jackson
160 Roberts Ln |
$44.30 | 2,891 | 2,717 |
|
Abigail Joanne Storrs
231 W Main St Unit A |
$44.06 | 3,051 | 2,907 |
|
Danielle Richards
1275 N High St |
$34.90 | 3,400 | 2,616 |
|
Highland Urgent Care
231 W Main St Unit A |
$42.13 | 3,483 | 3,270 |
|
Nichol Marie Mchale
1108 Northview Dr Ste 1 |
$20.98 | 4,245 | 2,229 |
|
Jobeth E. B. Lee
435 W Walnut St |
$19.03 | 4,804 | 3,132 |
|
Courtney Sue Guilfoyle
1275 N High St |
$36.80 | 4,980 | 4,688 |
|
Carole Onunwi Mensah
1108 Northview Dr Ste 1 |
$17.51 | 5,110 | 2,564 |
|
Michael Barnes
401 Us Highway 62 S Unit C |
$99.39 | 5,164 | 4,435 |
|
Alicia N Wilson
225 W Main St Unit B |
$44.67 | 5,225 | 4,873 |
|
Lucinda Kay Reynolds
1275 N High St |
$53.61 | 5,289 | 4,909 |
|
Highland District Hospital
1275 North High Street |
$81.42 | 5,623 | 4,771 |
|
Brian K Jolitz
938 W Main St |
$27.61 | 5,674 | 3,472 |
|
Craig Wallace Forbes
1487 N High St |
$19.45 | 6,402 | 3,433 |
|
Matthew Scott Studebaker
160 Roberts Ln |
$39.13 | 7,071 | 6,476 |
|
Tamara Lynn Yacobucci
1402 N High St |
$18.27 | 7,466 | 4,851 |
|
Jesse Holt Pohly
160 Roberts Ln |
$38.69 | 7,655 | 7,252 |
|
Ron Allen Zile
1402 N High St |
$19.17 | 9,107 | 6,738 |
|
Pamela Sue Knisley
1402 N High St |
$20.65 | 10,235 | 7,189 |
|
Todd D Slater
1487 N High St |
$22.28 | 10,355 | 6,095 |
|
Ramesh K Shivani
102 Te Mar Way |
$26.26 | 10,360 | 8,252 |
|
Krista Joehnk
231 W Main St |
$56.65 | 11,179 | 10,285 |
|
Poonam Singh
1402 N High St |
$20.13 | 12,204 | 8,022 |
|
Marsha Kay Mitchell
11130 North Shore Dr. |
$24.25 | 12,806 | 8,977 |
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 Hillsboro, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hillsboro, OH is $33.39 per claim, based on 189,834 claims from 49 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 Hillsboro, OH?
There are 49 Medicaid providers offering Office Visit related services in Hillsboro, OH according to public payment data.
What is the price range for Office Visit in Hillsboro, OH?
Medicaid reimbursement for Office Visit in Hillsboro, OH ranges from $0.00 to $155.97 per claim, with an average of $33.39. 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 Hillsboro, OH
Blood Work & Lab Tests
Avg $6.01
182,379 claims
Emergency Room Visit
Avg $92.09
119,507 claims
Behavioral & Mental Health Therapy
Avg $92.38
39,346 claims
Dental Cleaning & Exam
Avg $23.83
36,155 claims
Psychiatric Evaluation
Avg $77.09
35,275 claims
Vaccines & Immunizations
Avg $7.63
29,349 claims
Urinalysis & Urine Tests
Avg $1.90
27,024 claims
Eye Exam
Avg $34.60
25,947 claims