Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lancaster, OH: $50.30

Avg. Paid

$50.30

Range

$0.03 – $328.85

Total Claims

559,428

Providers

209

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 Lancaster, OH

Provider	Avg. Paid	Claims	Patients
Nader G Javan 401 N Ewing St	$58.63	35,177	27,301
James Frederick Guenther 1319 E Main St	$109.56	32,334	23,805
Steven D. Cox 1231 E Main St	$42.63	29,038	16,196
Karim I Barrie 220 E Walnut St	$63.34	16,149	8,174
Melanie Marie Stevens 220 E Walnut St	$76.18	13,472	8,608
Mark Irving 220 E Walnut St	$18.17	11,371	6,393
Nathaniel William Johns 1592 Granville Pike	$103.98	10,823	9,889
Jennifer Lynn Miller 1554 Wesley Way	$48.45	10,537	9,800
Kent A Guisinger 1550 Sheridan Dr	$39.54	10,404	8,120
Michele M. Hensley 1554 Wesley Way	$49.67	9,256	8,596
Sangita Ajay Padmalwar 170 Granville Pike	$102.27	9,217	6,535
Anil Sudhir Gokhale 3064 Columbus Lancaster Rd Nw	$42.27	8,708	8,238
Theresa A. Dyar 2405 N Columbus St Ste 200	$33.13	8,144	6,064
Melanie Marie Perkins-Fairbanks 111 S Broad St Ste 209	$88.03	7,405	6,792
Ean Bett 220 E Walnut St	$32.19	7,372	5,270
Troy E Hampton 1550 Sheridan Dr	$22.32	7,076	4,606
Steven V Priano 2656 N Columbus St Ste D	$41.52	6,683	5,961
Fairfield Community Health Center 220 E Walnut St	$7.03	6,659	5,257
Emily Ellen Burnette 1319 E Main St	$53.54	6,529	5,190
Courtney Renee Young 216 Trace Dr	$21.34	6,271	3,588
Michelle Gene Renko 609 E Chestnut St	$59.86	6,087	5,549
Curtis Michael Mcanallen 1201 River Valley Blvd	$34.70	6,085	5,695
Mellisa R. Hoffman 618 Pleasantville Rd Ste 101	$60.82	6,038	5,708
Benjamin E Pruitt 401 N Ewing St	$37.16	5,879	5,459
Loretta Jane Scism 784 E Main St	$44.38	5,857	5,534
Debra Jo Paynter 401 N Ewing St	$34.15	5,695	3,674
Laura E Morgan 1548 Sheridan Dr	$39.53	5,390	4,775
Carrie Jividen 2151 W Fair Ave	$26.31	5,375	2,183
Francis Paul Degenova 2656 N Columbus St Ste D	$36.00	5,166	4,879
Sandi Jinxian Li 401 N Ewing St	$0.03	5,045	4,608
Mobusher Mahmud 618 Pleasantville Rd Ste 101	$37.44	5,033	4,589
Mark M D'Onofrio 2656 N Columbus St Ste D	$27.34	4,975	4,304
Rachael Elizabeth Hall 1554 Wesley Way	$49.53	4,906	4,525
Jennifer Rowe-Keller 618 Pleasantville Rd	$24.42	4,886	3,071
Kevin D Frank 784 E Main St	$48.84	4,749	4,426
Ashura Crosby 1750 Granville Pike	$63.18	4,654	3,384
Roberto J Castellon 2405 N Columbus St	$28.55	4,631	4,308
Sean Nathaniel Jerig 1319 E Main St	$59.64	4,496	2,820
Brian E Leve 135 N Ewing St	$59.49	4,490	1,832
Laurel Jozwiak Santino 1532 Wesley Way	$49.59	4,482	2,912
Mark S Lepi 1548 Sheridan Dr	$35.58	4,378	3,880
Daniel Patrick Disalvo 131 N Ewing St	$41.50	4,351	3,932
Joseph M Ginty 1800 Granville Pike	$46.93	4,321	4,060
Michelle L Graham 1781 Countryside Dr	$38.92	4,194	3,712
Suzanne M Barnhart 1532 Wesley Way	$46.63	4,144	2,676
Shantanu Sinha 618 Pleasantville Rd	$40.45	4,142	3,950
Ginger Davis 618 Pleasantville Rd	$27.23	3,835	3,610
Brady Christopher Martin 401 N Ewing St	$75.78	3,835	3,656
Dora Isabel Gonzales-Tolly 784 E Main St	$53.47	3,835	3,555
Jed Alexander Bell 2036 Schorrway Dr Nw	$59.31	3,833	3,609

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 Lancaster, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lancaster, OH is $50.30 per claim, based on 559,428 claims from 209 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 Lancaster, OH?

There are 209 Medicaid providers offering Office Visit related services in Lancaster, OH according to public payment data.

What is the price range for Office Visit in Lancaster, OH?

Medicaid reimbursement for Office Visit in Lancaster, OH ranges from $0.03 to $328.85 per claim, with an average of $50.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lancaster, OH: $50.30

Providers Offering Office Visit in Lancaster, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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