Average Medicaid Office Visit Payments in Madison, OH: $50.97
Avg. Paid
$50.97
Range
$13.17 – $66.47
Total Claims
43,690
Providers
20
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 Madison, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Alan Baker
103 N Lake St |
$60.63 | 12 | 12 |
|
Kay Ruck
2999 Mcmackin Rd |
$39.07 | 16 | 15 |
|
Brittany Rae Loomis
2999 Mcmackin Rd |
$56.02 | 29 | 26 |
|
Robert J Barr
840 N Lake St |
$23.22 | 42 | 40 |
|
Timothy M French
6166 N Ridge |
$13.17 | 43 | 41 |
|
Kelden Del Vecchio
6270 N Ridge Rd Ste 700 |
$45.40 | 78 | 73 |
|
Dahlia Ruth Nahon
2999 Mcmackin Rd |
$41.14 | 637 | 583 |
|
Jessica Cook
6270 North Ridge Rd |
$66.47 | 944 | 854 |
|
Brennan Frank Sailors
2999 Mcmackin Rd |
$23.49 | 1,098 | 1,010 |
|
Joseph J Kessler
6270 N Ridge Road |
$48.80 | 1,122 | 1,011 |
|
Chenguttai Manohar
701 N Lake St Ste 101 |
$30.56 | 1,543 | 1,361 |
|
Julia Ann Heng
6270 N Ridge Road |
$46.73 | 1,554 | 1,446 |
|
Angela Suzanne Sekerak
2999 Mcmackin Rd |
$25.93 | 1,704 | 1,581 |
|
Durga V. Satyavolu
2999 Mcmackin Rd |
$45.83 | 1,832 | 1,720 |
|
Josephine Mikhail
701 N Lake St Ste 102 |
$55.98 | 2,476 | 2,255 |
|
Fathallah Hayek
6270 N Ridge Rd |
$53.86 | 3,079 | 2,963 |
|
Kristyn Emily Heagerty
2999 Mcmackin Rd |
$21.31 | 3,862 | 3,606 |
|
Bridget Colleen Combs
6270 N. Ridge Road |
$56.05 | 6,431 | 5,979 |
|
Jerry C Bell
6270 N Ridge Road |
$58.98 | 8,511 | 7,652 |
|
Matthew S Jennings
6270 North Ridge Road |
$63.63 | 8,677 | 7,974 |
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 Madison, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madison, OH is $50.97 per claim, based on 43,690 claims from 20 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 Madison, OH?
There are 20 Medicaid providers offering Office Visit related services in Madison, OH according to public payment data.
What is the price range for Office Visit in Madison, OH?
Medicaid reimbursement for Office Visit in Madison, OH ranges from $13.17 to $66.47 per claim, with an average of $50.97. 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 Madison, OH
Home Health Visit
Avg $47.92
895,805 claims
Physical Therapy
Avg $16.96
39,251 claims
Speech Therapy
Avg $24.50
16,711 claims
Vaccines & Immunizations
Avg $3.93
12,449 claims
Ambulance Transport
Avg $51.45
9,893 claims
Podiatry (Foot Care)
Avg $7.36
7,618 claims
Blood Work & Lab Tests
Avg $9.59
5,840 claims
Chiropractic Care
Avg $15.53
5,143 claims