Average Medicaid Office Visit Payments in Maineville, OH: $66.99
Avg. Paid
$66.99
Range
$21.26 – $485.48
Total Claims
21,059
Providers
19
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 Maineville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Code Blue Medical Services, Llc
87 E Us Highway 22 And 3 |
$68.93 | 5,013 | 4,702 |
|
William R Danko
87 E Us Highway 22 And 3 |
$62.90 | 3,962 | 3,592 |
|
Susan M Hatfield
1068 Sedgefield Ct |
$53.61 | 3,388 | 2,841 |
|
Shelley A Stanforth
67 Nunner Rd |
$43.47 | 2,230 | 1,900 |
|
Ted J Schoettinger
67 Nunner Rd |
$34.66 | 1,508 | 1,340 |
|
Katherine Lynn Korst
5705 S State Route 48 |
$42.40 | 768 | 715 |
|
Nicole Lavon-Renee Campbell
6632 S State Route 48 |
$64.42 | 745 | 733 |
|
Nichole Fishbeck
303 Indian Lake Dr |
$485.48 | 584 | 564 |
|
Mary Compton
7247 Zoar Rd |
$41.00 | 477 | 443 |
|
Tara Bolsinger
87 E Us Highway 22 And 3 |
$56.78 | 345 | 298 |
|
Lori Green Stotz
6054 S State Route 48 |
$54.81 | 327 | 292 |
|
Sarah Kristine Bennett
6020 S State Route 48 |
$38.94 | 308 | 291 |
|
Bsmh Urgent Care Ventures I Llc
6020 S State Route 48 |
$37.73 | 303 | 285 |
|
Betsy Batchelor
6020 S State Route 48 |
$38.16 | 288 | 267 |
|
Alexander Richardson
3116 W Us Highway 22 And 3 |
$21.26 | 288 | 234 |
|
Esther Lilian Adams
5705 S State Route 48 |
$45.40 | 265 | 244 |
|
Amber Whitlatch
7905 S State Route 48 |
$55.87 | 161 | 125 |
|
Michael R Parker
2091 W Us Highway 22 And 3 |
$21.36 | 84 | 77 |
|
Emily Helsley
5705 S State Route 48 |
$45.02 | 15 | 13 |
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 Maineville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maineville, OH is $66.99 per claim, based on 21,059 claims from 19 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 Maineville, OH?
There are 19 Medicaid providers offering Office Visit related services in Maineville, OH according to public payment data.
What is the price range for Office Visit in Maineville, OH?
Medicaid reimbursement for Office Visit in Maineville, OH ranges from $21.26 to $485.48 per claim, with an average of $66.99. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Maineville, OH
Non-Emergency Medical Transportation
Avg $63.49
35,006 claims
Dental Cleaning & Exam
Avg $22.57
16,977 claims
Nursing Facility Care
Avg $25.90
4,079 claims
Podiatry (Foot Care)
Avg $9.36
2,922 claims
Ambulance Transport
Avg $44.71
2,794 claims
Substance Abuse Treatment
Avg $17.57
2,085 claims
Chiropractic Care
Avg $17.84
1,862 claims
Dental Filling
Avg $68.18
1,363 claims