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 |
|---|---|---|---|
|
Asem Salma
830 W High St Ste 307 |
$59.96 | 12 | 12 |
|
Mohammad Ali Reza
730 W Market St |
$60.47 | 12 | 12 |
|
Kwabena Mawulawde
951 Commerce Pkwy |
$30.34 | 12 | 12 |
|
Breana Schroeder
2793 Shawnee Rd |
$83.64 | 12 | 12 |
|
Jay W Martin
825 W Market St |
$51.48 | 12 | 12 |
|
David Lee Imler
750 W High St |
$34.16 | 12 | 12 |
|
Joel L Shanklin
825 W Market St Ste 260 |
$94.99 | 12 | 12 |
|
Orthopaedic Institute Of Ohio, Inc
801 Medical Dr |
$10.51 | 12 | 12 |
|
Courtney Heitmeyer
801 Medical Dr |
$24.09 | 13 | 13 |
|
Michael B Tempel
1003 Bellefontaine Ave Ste 125 |
$138.28 | 13 | 12 |
|
Todd E Sigler
801 Medical Dr Ste A |
$20.84 | 14 | 12 |
|
Bernard John Hynes
730 W Market St |
$17.96 | 14 | 13 |
|
Robert L Neidich
2793 Shawnee Rd |
$25.54 | 14 | 12 |
|
Brooke A Lange
830 W High St Ste 360 |
$42.75 | 15 | 13 |
|
Kimberly A Lee
2740 W Market St |
$33.16 | 15 | 12 |
|
Linda M Brown
750 W High St Ste 150 |
$22.94 | 15 | 15 |
|
Family Resource Center Of Northwest Ohio Inc
530 South Main St |
$114.63 | 16 | 15 |
|
Alison Mary Nash
770 W High St Ste 160 |
$12.89 | 16 | 14 |
|
Audrey H. Jones
920 W Market St Ste 320 |
$43.32 | 16 | 13 |
|
Yousef Aldairy
855 W Market St |
$39.19 | 17 | 17 |
|
Victoria Alane Wise
1138 W High St |
$21.45 | 18 | 15 |
|
Michelle L Monfort
1550 N Main St |
$0.00 | 19 | 13 |
|
Daniel Sullivan Murtagh
770 W High St Ste 350 |
$38.60 | 19 | 13 |
|
Benjamin Jared Allen
801 Medical Dr |
$26.28 | 20 | 12 |
|
Michael Otto
730 W Market St Ste 2K |
$11.87 | 20 | 19 |
|
Kelly Jo Luna
1505 N Cole St |
$20.29 | 21 | 20 |
|
Alexandria Jane Schmutz Klofta
770 W High St Ste 350 |
$26.89 | 23 | 14 |
|
Kerry Ann Stedke
1005 Bellefontaine Ave |
$40.15 | 26 | 26 |
|
Maranatha C Ihekoronye
441 E 8Th St |
$49.34 | 27 | 25 |
|
Lima-Urban Minority Alcoholism And Drug Abuse Outreach Program., Inc
311 E Market St Fl 3 |
$0.00 | 27 | 19 |
|
Heather A Rethman
730 W Market St |
$25.62 | 27 | 27 |
|
Tara Gilles
830 W High St |
$20.82 | 28 | 28 |
|
Mark H Leifer
2793 Shawnee Rd |
$21.30 | 28 | 26 |
|
Mark G Mcdonald
801 Medical Dr |
$34.34 | 28 | 28 |
|
Michelle Deschamplain
830 W High St Ste 207 |
$24.69 | 30 | 27 |
|
Todd W Otto
801 Medical Dr |
$28.54 | 30 | 25 |
|
Chelsea L Kahle
770 W High St Ste 350 |
$43.70 | 31 | 25 |
|
John T Pajka
855 W Market St |
$30.24 | 31 | 24 |
|
Brandon E Colvin
1003 Bellefontaine Ave Ste 125 |
$72.91 | 32 | 25 |
|
Amy Freeman
441 E 8Th St |
$0.00 | 33 | 28 |
|
Omar Saleh Abu-Romeh
1005 Bellefontaine Ave Ste 230 |
$22.93 | 33 | 30 |
|
Tricia Rose Hoersten
582 N Cable Rd |
$46.90 | 34 | 31 |
|
Staci Leigh Clutter
801 Medical Dr Ste A |
$29.32 | 38 | 37 |
|
Heather Renee Lagrande
803 W Market St Ste 200 |
$26.18 | 39 | 38 |
|
Stacie Schuerman
803 W Market St Ste 200 |
$9.65 | 41 | 39 |
|
James J Patterson
801 Medical Dr |
$23.86 | 41 | 37 |
|
Manu B Aggarwal
531 S Eastown Rd |
$28.08 | 42 | 37 |
|
Howard J Solomon
2793 Shawnee Rd |
$37.58 | 45 | 38 |
|
Elizabeth Rita Dachenhaus
801 Medical Dr Ste A |
$30.80 | 45 | 44 |
|
Mercy Health Physicians Lima, Llc
830 W High St Ste 206 |
$54.18 | 46 | 45 |
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