Average Medicaid Office Visit Payments in Jackson, OH: $39.95
Avg. Paid
$39.95
Range
$0.00 – $121.76
Total Claims
195,252
Providers
52
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 Jackson, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aundrea Jill Tipton
280 Pattonsville Road |
$37.10 | 16,204 | 14,757 |
|
Mario Bautista
1000 Veterans Dr |
$56.30 | 15,570 | 14,255 |
|
Sheila Beth Whiteley
280 Pattonsville Rd |
$45.25 | 12,830 | 11,963 |
|
Jade Schlie Astorga
14590 State Route 93 |
$27.52 | 10,819 | 5,740 |
|
Heather Ann Dailey
14395 State Route 93 |
$28.17 | 9,760 | 6,035 |
|
Mathew J Cosenza
280 Pattonsville Rd |
$46.79 | 8,128 | 7,517 |
|
Kara Roof
1000 Veterans Dr |
$50.98 | 7,598 | 6,905 |
|
Elizabeth A. Hoover
12590 State Route 93 |
$29.15 | 7,443 | 5,052 |
|
Jennifer Lorraine Duncan
1000 Veterans Dr |
$50.29 | 7,429 | 6,724 |
|
Seth Forgey
500 Burlington Rd |
$31.24 | 7,305 | 4,668 |
|
Amanda Strickland
1000 Veterans Dr |
$45.17 | 6,482 | 5,974 |
|
Christine Pearl
280 Pattonsville Rd |
$43.42 | 6,048 | 5,602 |
|
Teresa Renee Tenpenny
14395 State Rt 93 |
$38.07 | 5,757 | 5,245 |
|
Aasia Butt
280 Pattonsville Rd |
$39.14 | 5,550 | 5,020 |
|
Jose Miguel Dejesus-Rolenson
1000 Veterans Dr |
$40.84 | 5,096 | 4,644 |
|
Diana S. Wright
280 Pattonsville Rd |
$44.23 | 4,873 | 4,287 |
|
Alicia Doreen Kammler
1000 Veterans Dr |
$37.74 | 4,602 | 4,031 |
|
Neesha Smith
280 Pattonsville Rd |
$27.02 | 4,399 | 3,973 |
|
Sarah Rachel Fox
14395 State Rt 93 |
$41.88 | 4,029 | 3,689 |
|
Arthur Waverly Huntley
280 Pattonsville Rd |
$42.31 | 3,862 | 3,485 |
|
Melinda Cannon
14590 State Route 93 |
$28.85 | 3,748 | 2,468 |
|
Lisa Lavonne Kearns
500 Burlington Rd Ste 240 |
$30.34 | 3,593 | 2,386 |
|
Lisa Ehman-Chapman
280 Pattonsville Rd |
$40.32 | 3,174 | 2,657 |
|
Dianna L Beck
280 Pattonsville Rd |
$31.90 | 2,992 | 2,789 |
|
Jessica Sue Collins
502 Mccarty Ln |
$32.63 | 2,310 | 1,308 |
|
Susan Marie Lykins
1000 Veterans Dr |
$56.86 | 2,286 | 2,075 |
|
Stephen J Owen
1000 Veterans Dr |
$49.15 | 2,077 | 1,872 |
|
Mark G. Christopher
500 Burlington Rd |
$27.42 | 2,069 | 1,978 |
|
Emily Anne Fuhrmann
14395 State Route 93 |
$32.60 | 1,953 | 1,575 |
|
Breanna Morgan
280 Pattonsville Rd |
$33.02 | 1,894 | 1,605 |
|
Kip Wayne Bryant
500 Burlington Rd Ste 240 |
$23.50 | 1,848 | 1,059 |
|
Community Action Committee Of Pike County
14590 State Route 93 |
$0.29 | 1,698 | 1,456 |
|
Hannah E Kitts
731 E Main St |
$59.62 | 1,670 | 1,497 |
|
Westley Cameron Mullins
280 Pattonsville Rd |
$50.71 | 1,572 | 1,333 |
|
Amy Louise Grube
280 Pattonsville Rd |
$32.97 | 1,495 | 1,361 |
|
Donna Jean Cummings
3 Acy Ave |
$121.76 | 1,194 | 1,093 |
|
Hannah Rose Bachtel
500 Burlington Rd |
$16.48 | 963 | 744 |
|
Patrick Brian Ball
14395 State Route 93 |
$48.01 | 722 | 656 |
|
Jeanetta Jean Shriver
294 E Main St |
$39.95 | 620 | 531 |
|
Ethan Stephens
280 Pattonsville Rd |
$44.09 | 612 | 540 |
|
Tonia K. Ash
280 Pattonsville Rd |
$27.47 | 489 | 472 |
|
Russell Albert Hartwick
500 Burlington Rd |
$29.06 | 460 | 418 |
|
Stephen Craig Kincaid
280 Pattonsville Rd Ofc |
$38.70 | 456 | 400 |
|
Ashley D Carder
81 East Broadway St |
$74.26 | 422 | 351 |
|
Amanda Nicole Davis
280 Pattonsville Rd |
$28.99 | 291 | 243 |
|
Hopewell Health Centers Inc
502 Mccarty Ln |
$1.95 | 264 | 192 |
|
Hopewell Health Centers Inc
500 Burlington Rd Ste 240 |
$0.00 | 213 | 148 |
|
Ashland Hospital Corporation
14395 State Rt 93 |
$0.40 | 197 | 106 |
|
Mariah Taylor Brown
1000 Veterans Dr |
$27.70 | 89 | 86 |
|
Eugenia Ann Peterson
14395 State Rt 93 |
$42.42 | 55 | 44 |
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 Jackson, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jackson, OH is $39.95 per claim, based on 195,252 claims from 52 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 Jackson, OH?
There are 52 Medicaid providers offering Office Visit related services in Jackson, OH according to public payment data.
What is the price range for Office Visit in Jackson, OH?
Medicaid reimbursement for Office Visit in Jackson, OH ranges from $0.00 to $121.76 per claim, with an average of $39.95. 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 Jackson, OH
Home Health Visit
Avg $61.52
314,109 claims
Blood Work & Lab Tests
Avg $5.51
95,748 claims
Substance Abuse Treatment
Avg $116.20
86,604 claims
Psychiatric Evaluation
Avg $54.68
76,646 claims
Behavioral & Mental Health Therapy
Avg $93.53
55,379 claims
Emergency Room Visit
Avg $94.81
48,997 claims
Physical Therapy
Avg $34.46
28,604 claims
Ambulance Transport
Avg $47.08
27,504 claims