Average Medicaid Office Visit Payments in Marion, OH: $46.68
Avg. Paid
$46.68
Range
$0.00 – $149.93
Total Claims
630,352
Providers
195
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 Marion, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Incare Health Solutions Llc
175 Edgefield Blvd |
$62.49 | 96,680 | 92,768 |
|
Adil Omar Katabay
1065 Delaware Ave |
$29.95 | 25,923 | 23,526 |
|
Joseph Timothy Spare
125 Executive Dr Ste 201 |
$44.90 | 19,530 | 15,055 |
|
Sudesh S Reddy
402 S State St |
$42.11 | 19,164 | 15,990 |
|
Joseph J Farris
990 S Prospect St Ste 3 |
$61.56 | 14,709 | 8,880 |
|
Jaybalan R. Moodley
960 S Prospect St |
$55.10 | 13,599 | 10,538 |
|
Robin Ann Siefker
125 Executive Dr |
$35.71 | 12,537 | 9,790 |
|
Frank Morocco
1040 Delaware Ave |
$46.43 | 11,763 | 11,293 |
|
Parminder Bobby Singh
970 S Prospect St |
$31.11 | 11,747 | 10,327 |
|
David William Foulk
960 S Prospect St |
$47.96 | 10,998 | 8,221 |
|
George Scott Drew
1063 Harding Memorial Pkwy |
$41.17 | 10,743 | 9,436 |
|
Veena Gaddam
1040 Delaware Ave |
$45.00 | 10,668 | 9,833 |
|
Ashley Nicole Persinger
560 N Main St |
$105.76 | 10,508 | 6,808 |
|
Stan Bulanov
175 Edgefield Blvd |
$63.10 | 10,124 | 9,086 |
|
Raymond John Gardner
1069 Delaware Ave |
$41.08 | 10,061 | 9,059 |
|
Jamesetta Holloway Lewis
1040 Delaware Ave |
$49.06 | 9,609 | 8,895 |
|
Jackie Lee Quach
1040 Delaware Ave |
$46.98 | 8,618 | 8,138 |
|
Sarah Wynn
1025 Harding Memorial Pkwy |
$33.64 | 8,284 | 7,422 |
|
Timothy Francis Garner
241 Executive Dr |
$27.51 | 8,041 | 4,280 |
|
Matthew Jay Brown
1051 Harding Memorial Pkwy |
$28.37 | 7,893 | 6,000 |
|
Andrew J. Brown
1051 Harding Memorial Pkwy |
$33.11 | 7,706 | 6,098 |
|
Jon Carter Benson
1063 Harding Memorial Pkwy |
$41.39 | 7,613 | 6,888 |
|
Antonio E Collazo
990 S Prospect St |
$42.76 | 7,416 | 7,088 |
|
Amish S Oza
1728 Marion Waldo Rd |
$32.94 | 7,197 | 6,236 |
|
Bipin Manharlal Desai
1125 Ellen Kay Dr |
$29.30 | 7,069 | 6,385 |
|
Joshua Aaron Shuh
136 W Center St |
$38.77 | 6,951 | 3,754 |
|
Alice Lynn Risner
136 W Center St |
$21.62 | 6,538 | 3,610 |
|
Steven Lee
1040 Delaware Aveneue |
$46.66 | 6,339 | 6,034 |
|
Muhammad Ibrahim Ali Khan
1073 Harding Memorial Pkwy Ste A |
$34.27 | 6,098 | 5,716 |
|
Daniel J Cimino
130 University Dr Ste 1300 |
$44.09 | 5,989 | 5,635 |
|
Kristin Aguado
136 W Center St |
$49.03 | 5,349 | 2,934 |
|
Mary Davis
320 Executive Dr |
$60.04 | 5,130 | 4,562 |
|
Center Street Community Clinic Inc
136 W Center St |
$9.63 | 5,072 | 3,612 |
|
Samir S Iskander
1040 Delaware Avenue |
$31.18 | 4,824 | 4,669 |
|
Walter Jonathan Friedley
1040 Delaware Aveneue |
$45.64 | 4,803 | 4,579 |
|
William M Springer
1050 Delaware Ave |
$29.72 | 4,599 | 4,201 |
|
Sirisha Donepudi
1040 Delaware Ave |
$37.49 | 4,471 | 4,324 |
|
Timothy Light
241 Executive Dr |
$45.18 | 4,404 | 4,096 |
|
Christopher Smallwood
241 Executive Dr |
$42.39 | 4,401 | 4,133 |
|
Qihui Joanna Liu
1713 Marion Mount Gilead Rd Ste 108 |
$47.64 | 4,336 | 4,061 |
|
Douglas A. Woo
1040 Delaware Ave |
$37.76 | 4,295 | 4,129 |
|
Hiten G Shah
1040 Delaware Ave |
$25.46 | 4,276 | 4,160 |
|
Ashok Gandhi
1040 Delaware Ave |
$46.42 | 4,026 | 3,955 |
|
Suzanne S Schuler
136 W Center St |
$24.19 | 3,950 | 2,522 |
|
Vivek Rajan Awasty
980 S Prospect St |
$30.89 | 3,905 | 3,637 |
|
Bradley David Campbell
1040 Delaware Ave |
$49.56 | 3,884 | 2,927 |
|
Rachel Anne Rollins
130 University Dr Ste 1100 |
$39.63 | 3,807 | 3,521 |
|
Halina Pritula
990 S Prospect St Ste 2 |
$40.30 | 3,796 | 3,661 |
|
Michael Jarosick
130 University Dr Ste 1300 |
$49.74 | 3,603 | 3,453 |
|
Madhu Mehta
1050 Delaware Ave |
$44.69 | 3,529 | 3,417 |
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 Marion, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Marion, OH is $46.68 per claim, based on 630,352 claims from 195 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 Marion, OH?
There are 195 Medicaid providers offering Office Visit related services in Marion, OH according to public payment data.
What is the price range for Office Visit in Marion, OH?
Medicaid reimbursement for Office Visit in Marion, OH ranges from $0.00 to $149.93 per claim, with an average of $46.68. 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 Marion, OH
Substance Abuse Treatment
Avg $64.83
262,513 claims
Blood Work & Lab Tests
Avg $5.82
235,668 claims
Psychiatric Evaluation
Avg $53.80
138,287 claims
Emergency Room Visit
Avg $90.84
126,221 claims
Behavioral & Mental Health Therapy
Avg $74.97
102,558 claims
Physical Therapy
Avg $28.78
85,399 claims
Dental Cleaning & Exam
Avg $25.62
70,994 claims
EKG / ECG (Electrocardiogram)
Avg $6.86
65,789 claims