Average Medicaid Office Visit Payments in Lima, OH: $37.97
Avg. Paid
$37.97
Range
$0.00 – $628.43
Total Claims
1,104,248
Providers
435
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 Lima, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Warren Calvin Morris
441 E 8Th St |
$19.41 | 98,545 | 47,912 |
|
Lima Memorial Joint Operating Company
1001 Bellefontaine Ave |
$59.32 | 79,996 | 63,074 |
|
Iyabo A Iboaya
1005 Bellefontaine Ave |
$53.20 | 39,319 | 30,597 |
|
Kimberly Lee Brocklehurst
2195 Allentown Rd |
$21.30 | 26,147 | 13,489 |
|
Courtney E. Baller
329 N West St |
$21.72 | 18,256 | 9,411 |
|
Lisa R Jordan
1550 N Main St |
$20.46 | 17,923 | 9,650 |
|
Lee Ann Penix
1550 N Main St |
$21.79 | 16,813 | 9,051 |
|
Gregory B Parranto
1550 N Main St |
$20.31 | 15,698 | 8,632 |
|
Abigail Gasu
3101 W Elm St Ste 300 |
$53.98 | 14,829 | 11,232 |
|
Barbra D Forest
441 E 8Th St |
$20.45 | 13,869 | 6,726 |
|
Ashley Nichole Conrad
1550 N Main St |
$21.32 | 13,034 | 6,343 |
|
Sarah Elizabeth Kavalauskas
2335 Baton Rouge |
$20.37 | 12,750 | 6,826 |
|
Aleksey A Prok
1003 Bellefontaine Ave Ste 100 |
$29.34 | 12,556 | 12,141 |
|
Sheena Ann Gates
1505 N Cole St |
$88.19 | 12,299 | 7,004 |
|
Connie Marie Oen
1550 N Main St |
$20.80 | 11,244 | 5,804 |
|
Kara Marie Kahle
441 E 8Th St |
$26.16 | 10,176 | 5,342 |
|
Krystal Dawn Dietrich
830 W High St Ste 207 |
$52.21 | 9,812 | 8,004 |
|
Holly A Archer
2195 Allentown Rd |
$26.85 | 9,596 | 8,948 |
|
Meredith Janell Haynes
1550 N Main St |
$41.58 | 9,479 | 8,099 |
|
Tawnya Rae Neal
2195 Allentown Rd |
$26.11 | 9,440 | 8,784 |
|
Melissa R Maag
1550 N Main St |
$23.36 | 9,204 | 4,930 |
|
Subrata Roy
529 S Elizabeth St |
$73.11 | 8,854 | 7,947 |
|
Sarah E. Kreider
830 W High St Ste 101 |
$48.69 | 8,773 | 6,104 |
|
Venkat R Battula
1003 Bellefontaine Ave Ste 200 |
$28.88 | 8,688 | 7,702 |
|
Bryan Gray
750 W High St Ste 300 |
$53.45 | 8,341 | 7,557 |
|
Amee N Croy
441 E 8Th St |
$19.57 | 8,184 | 4,140 |
|
Michelle Coates
1005 Bellefontaine Ave Ste 175 |
$43.88 | 8,032 | 6,473 |
|
Adam Robert Osterhage
967 Bellefontaine Ave |
$24.53 | 7,698 | 7,099 |
|
Dale Wesley Case
2195 Allentown Rd |
$34.69 | 7,471 | 6,885 |
|
Elizabeth Read Rumschlag
830 W High St Ste 101 |
$48.20 | 7,320 | 4,924 |
|
Jason Roberts
1001 Bellefontaine Ave |
$22.12 | 6,982 | 3,706 |
|
Eric W. Amstutz
825 W Market St |
$42.89 | 6,971 | 6,379 |
|
Nicole Lynn Stechschulte
1550 N Main St |
$22.62 | 6,913 | 3,364 |
|
Health Partners Of Western Ohio
1550 N Main St |
$2.49 | 6,865 | 4,973 |
|
Gerald T Riess
1005 Bellefontaine Ave Ste 350 |
$43.58 | 6,700 | 6,225 |
|
Tilly Effie Duncan-Sampson
525 N Eastown Rd |
$48.87 | 6,605 | 5,857 |
|
Daniel Kohls
967 Bellefontaine Ave |
$21.92 | 6,520 | 5,919 |
|
Judy A. Brenek
1005 Bellefontaine Ave |
$36.22 | 6,419 | 5,361 |
|
Amber Lynne Seggerson
441 E 8Th St |
$22.49 | 6,240 | 3,756 |
|
Health Partners Of Western Ohio
441 E 8Th St |
$1.54 | 6,122 | 4,654 |
|
Jan Marie Schroeder
3224 Jarvis Rd |
$43.51 | 5,990 | 5,397 |
|
Bekele W Ayele
730 W Market St |
$39.51 | 5,848 | 5,519 |
|
Ashton J. Crook
3224 Jarvis Drive |
$44.73 | 5,810 | 5,241 |
|
John Robert Stuber
1550 N Main St |
$33.41 | 5,801 | 4,842 |
|
Brian M Heitmeyer
967 Bellefontaine Ave |
$21.03 | 5,746 | 5,216 |
|
Eric C Miller
1220 E Elm St |
$33.14 | 5,741 | 5,133 |
|
Jennifer Fern Niesen
1005 Bellefontaine Ave |
$44.96 | 5,702 | 4,604 |
|
Curtis L Caughey
967 Bellefontaine Ave |
$37.60 | 5,647 | 5,477 |
|
Deena M Hassuna
825 W Market St Ste 260 |
$45.02 | 5,505 | 5,199 |
|
Christopher J. Kalb
939 W Market St |
$79.01 | 5,459 | 4,781 |
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 Lima, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lima, OH is $37.97 per claim, based on 1,104,248 claims from 435 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 Lima, OH?
There are 435 Medicaid providers offering Office Visit related services in Lima, OH according to public payment data.
What is the price range for Office Visit in Lima, OH?
Medicaid reimbursement for Office Visit in Lima, OH ranges from $0.00 to $628.43 per claim, with an average of $37.97. 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 Lima, OH
Blood Work & Lab Tests
Avg $4.95
627,203 claims
Home Health Visit
Avg $43.26
488,523 claims
Emergency Room Visit
Avg $86.27
360,245 claims
Psychiatric Evaluation
Avg $44.82
315,369 claims
Dental Cleaning & Exam
Avg $17.77
283,150 claims
Substance Abuse Treatment
Avg $85.46
248,726 claims
EKG / ECG (Electrocardiogram)
Avg $6.53
204,022 claims
Behavioral & Mental Health Therapy
Avg $55.07
191,073 claims