Average Medicaid Office Visit Payments in Kettering, OH: $48.87
Avg. Paid
$48.87
Range
$0.00 – $177.74
Total Claims
316,054
Providers
248
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 Kettering, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sylvia Vanna Parks
540 Lincoln Park Blvd Ste 390 |
$51.59 | 10,773 | 9,711 |
|
Kristi Coker
1074 Patterson Rd |
$80.05 | 10,351 | 6,553 |
|
Lidia Maria Berrone
3085 Woodman Dr Ste 205 |
$91.54 | 9,635 | 7,763 |
|
Wendy L Blumberg
1775 Delco Park Drive |
$53.58 | 8,868 | 8,085 |
|
Stephanie Kay Powers
1775 Delco Park Dr |
$59.33 | 8,448 | 7,534 |
|
Danyell Margioras
3700 Southern Blvd Ste 300 |
$34.73 | 8,323 | 7,552 |
|
Emily Dianne Treffinger
1074 Patterson Rd |
$27.71 | 7,313 | 4,294 |
|
Michael Steven Elson
3535 Southern Blvd |
$105.80 | 7,204 | 6,910 |
|
Julie Smith Fennig
1775 Delco Park Dr |
$48.96 | 7,116 | 6,276 |
|
Lauren Cupito
1775 Delco Park Dr |
$59.23 | 6,943 | 6,312 |
|
Timothy Scot Freeman
1775 Delco Park Dr |
$55.00 | 6,521 | 5,770 |
|
Megan Beth Walker
1775 Delco Park Dr |
$48.37 | 6,339 | 5,821 |
|
Malek Mohamad Safa
3700 Southern Blvd Ste 401 |
$37.67 | 5,490 | 4,515 |
|
Brandon J Bell
1900 Composite Dr |
$57.78 | 4,599 | 4,308 |
|
Randall I Aybar
500 Lincoln Park Blvd Ste 110 |
$30.95 | 4,204 | 3,876 |
|
Shahzad Rahim Farukhi
3535 Southern Blvd |
$9.01 | 4,058 | 2,187 |
|
Kristen Marie Schneider
1775 Delco Park Dr |
$55.72 | 4,007 | 3,667 |
|
Amanda Noelle Freeman
3535 Southern Blvd |
$63.25 | 3,982 | 3,521 |
|
Megan D Lauvray
3533 Southern Blvd |
$36.48 | 3,959 | 2,726 |
|
Brandon J Cutler
3700 Southern Blvd Ste 401 |
$42.77 | 3,933 | 3,126 |
|
Bruce Banias
3533 Southern Blvd Ste 3100 |
$49.29 | 3,877 | 2,523 |
|
Nazneen M Quadri
5692 Far Hills Ave |
$51.84 | 3,676 | 3,197 |
|
Bernard J Rose
3017 Wilmington Pike |
$57.63 | 3,539 | 3,108 |
|
Eric David Chico
2632 Woodman Center Ct |
$84.47 | 3,007 | 1,744 |
|
Thomas R Dixon
1525 E Stroop Rd |
$46.35 | 2,874 | 2,593 |
|
V. Joseph Karnitis
3533 Southern Blvd |
$24.95 | 2,870 | 1,469 |
|
John Lynch
540 Lincoln Park Blvd |
$37.64 | 2,823 | 2,618 |
|
Daniel Joseph Dunaway
3737 Southern Blvd |
$43.24 | 2,776 | 2,626 |
|
Angela Marie Prickett
3700 Southern Blvd Ste 300 |
$45.72 | 2,730 | 2,516 |
|
Shital Pema
4441 Far Hills Ave |
$28.37 | 2,702 | 2,258 |
|
Tyra Dejean Martinear
1050 Forrer Blvd Ste 250 |
$85.04 | 2,658 | 1,873 |
|
Manish R Sheth
3120 Governors Place Blvd |
$37.42 | 2,634 | 2,212 |
|
Kelly Lynn Robbins Miller
3700 Southern Blvd Ste 401 |
$35.13 | 2,567 | 2,153 |
|
Suzanne Marie Brooks
3700 Southern Blvd Ste 300 |
$50.07 | 2,563 | 2,509 |
|
Steven Robbe
1525 E Stroop Rd |
$39.98 | 2,556 | 2,214 |
|
Alejandro R Calvo
3700 Southern Blvd Ste 401 |
$49.58 | 2,546 | 2,240 |
|
Meaghan Frances Ebetino
1900 Composite Dr |
$39.62 | 2,428 | 1,674 |
|
Phyllis R Elinson
1775 Delco Park Drive |
$38.38 | 2,416 | 2,308 |
|
Arvin K Nanda
4441 Far Hills Ave |
$25.24 | 2,392 | 1,596 |
|
Reginald Sequeira
540 Lincoln Park Blvd |
$43.67 | 2,389 | 2,283 |
|
Priya Jain
3700 Southern Blvd Ste 401 |
$40.35 | 2,378 | 2,159 |
|
Tarek M Sabagh
3120 Governors Place Blvd |
$43.23 | 2,285 | 1,729 |
|
Manisha Marie Nanda
3700 Southern Blvd Ste 401 |
$40.76 | 2,252 | 2,008 |
|
Brad Snider
1525 E Stroop Rd |
$44.55 | 2,134 | 1,842 |
|
Bihu G Sandhir
500 Lincoln Park Blvd |
$0.40 | 2,090 | 1,267 |
|
James A. Bryant
1775 Delco Park Drive |
$51.82 | 2,066 | 1,638 |
|
Laura Elizabeth Kramer
1525 E Stroop Rd |
$36.52 | 2,007 | 1,674 |
|
Ajay Reddivari
1380 E Stroop Rd |
$46.72 | 1,862 | 1,769 |
|
David A Hadley
3737 Southern Blvd Ste 4200 |
$43.17 | 1,846 | 1,706 |
|
Brent Joseph Darner
3535 Southern Blvd |
$68.65 | 1,840 | 1,784 |
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 Kettering, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kettering, OH is $48.87 per claim, based on 316,054 claims from 248 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 Kettering, OH?
There are 248 Medicaid providers offering Office Visit related services in Kettering, OH according to public payment data.
What is the price range for Office Visit in Kettering, OH?
Medicaid reimbursement for Office Visit in Kettering, OH ranges from $0.00 to $177.74 per claim, with an average of $48.87. 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 Kettering, OH
Emergency Room Visit
Avg $92.55
963,000 claims
Blood Work & Lab Tests
Avg $3.42
657,607 claims
Home Health Visit
Avg $55.80
476,695 claims
X-Ray
Avg $5.77
211,699 claims
EKG / ECG (Electrocardiogram)
Avg $4.57
167,967 claims
Urinalysis & Urine Tests
Avg $0.59
157,306 claims
Vaccines & Immunizations
Avg $12.13
112,018 claims
CT Scan (Computed Tomography)
Avg $86.65
101,284 claims