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 |
|---|---|---|---|
|
Srinivas Kolli
1500 E Main St |
$26.71 | 12 | 12 |
|
Dean R Streff
1516 W Fair Ave |
$55.96 | 13 | 12 |
|
Helen J Rice
2405 N Columbus St |
$16.21 | 13 | 13 |
|
Nicole M Demastry Kolikohn
1897 Pleasantville Rd |
$328.85 | 13 | 13 |
|
Todd A. Hamilton
340 W Fair Ave |
$19.64 | 14 | 12 |
|
Robert Lawrence Zee
2405 N Columbus St |
$26.01 | 14 | 14 |
|
William H Vasilakis
204 S Broad St |
$49.17 | 14 | 12 |
|
Cassi Niccole Rainier
1781 Countryside Dr |
$35.46 | 16 | 16 |
|
Michael Joseph Murray
135 N Ewing St |
$16.16 | 17 | 15 |
|
Ralph R Romaker
1800 Granville Pike |
$23.18 | 21 | 17 |
|
Jennifer Annon
1635 River Valley Cir S |
$43.71 | 26 | 25 |
|
Jeffrey Lee Moore
135 N Ewing St |
$28.67 | 28 | 27 |
|
Kodi Mcclaskey
135 N Ewing St Ste 204 |
$7.48 | 30 | 30 |
|
Micayla Jo Lynn Zeltman
401 N Ewing St |
$32.64 | 31 | 28 |
|
Avneet Singh
618 Pleasantville Rd Ste 303 |
$36.95 | 37 | 36 |
|
Fairfield Medical Associates, Llc
1781 Countryside Dr. |
$56.22 | 42 | 41 |
|
Leslie Michael Sachon
401 N Ewing St |
$45.25 | 43 | 40 |
|
Fairfield Healthcare Professionals Inc
401 N Ewing St |
$48.65 | 44 | 43 |
|
Mackenzie Jacobson
1550 Sheridan Dr |
$15.32 | 49 | 41 |
|
Sara Sargent
1550 Sheridan Dr |
$12.78 | 58 | 46 |
|
Bethany Mae Cottrill
111 S Memorial Dr |
$37.92 | 60 | 52 |
|
Kristina Huff
111 S Memorial Dr |
$42.75 | 67 | 65 |
|
Andrew C Stiff
2405 N Columbus St Ste 200 |
$55.53 | 78 | 76 |
|
Andrew Gregory
220 E Walnut St |
$47.78 | 78 | 76 |
|
Collin Gabriel
1155 E Main St |
$66.80 | 78 | 74 |
|
Laura Elisabeth Mong
135 N Ewing St Ste 301 |
$68.26 | 90 | 89 |
|
Kevin R Bates
2405 N Columbus St |
$21.32 | 92 | 83 |
|
Steven Dan Kapetansky
1566 Monmouth Dr Ste 101 |
$50.60 | 99 | 97 |
|
David Michael Hasl
2405 N Columbus St |
$38.07 | 106 | 95 |
|
Joseph John Tasch
123 N Ewing St |
$32.22 | 107 | 100 |
|
James Pan
618 Pleasantville Rd |
$22.61 | 120 | 102 |
|
Robert Scott Sparks
365 E Main St |
$0.32 | 123 | 114 |
|
Scott Burdine Hahn
1800 Granville Pike |
$29.27 | 127 | 101 |
|
Gloria Ejekwu
111 S Memorial Dr |
$37.76 | 133 | 119 |
|
Elaine Marie Lewis
1147 E Main St |
$31.52 | 144 | 134 |
|
Dawn Michelle Boucher
109 N Broad St |
$68.29 | 154 | 118 |
|
David J Robertson
618 Pleasantville Rd Ste 301 |
$34.11 | 190 | 182 |
|
Scott Owen Johnson
2405 N Columbus St |
$41.83 | 191 | 178 |
|
Angeline Stergiou
131 N Ewing St |
$26.92 | 194 | 175 |
|
Laurence Kobina Entsuah
1548 Sheridan Dr |
$32.34 | 214 | 200 |
|
Allison Brighton Sayre
1532 Wesley Way |
$40.31 | 214 | 188 |
|
Tonia Marie Dunnigan
1231 E Main St |
$41.01 | 225 | 195 |
|
Joyce A Cox
1750 Granville Pike |
$131.71 | 241 | 187 |
|
Jason Lionel Andre
618 Pleasantville Rd Ste 302 |
$19.50 | 245 | 207 |
|
Robert Kreuter
1222 N Memorial Dr |
$39.83 | 251 | 224 |
|
Angela Marie Snider
401 N Ewing St |
$46.43 | 252 | 236 |
|
Allison Catherine Mcsherry
618 Pleasantville Rd Ste 101 |
$38.34 | 266 | 252 |
|
Matthew Kessler
220 E Walnut St |
$39.98 | 269 | 184 |
|
Christina Siemer-Harley
282 Sells Road |
$40.38 | 278 | 261 |
|
Heather Marie Herdman
111 S Memorial Dr |
$41.28 | 299 | 270 |
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.
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 Lancaster, OH
Blood Work & Lab Tests
Avg $9.90
271,954 claims
Home Health Visit
Avg $39.13
269,599 claims
Psychiatric Evaluation
Avg $67.44
228,531 claims
Substance Abuse Treatment
Avg $100.16
198,133 claims
Behavioral & Mental Health Therapy
Avg $76.56
156,025 claims
Emergency Room Visit
Avg $86.82
139,499 claims
Physical Therapy
Avg $23.10
103,203 claims
Dental Cleaning & Exam
Avg $25.07
81,301 claims