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 |
|---|---|---|---|
|
Todd Aaron Joachim
1036 Mount Vernon Ave |
$50.78 | 12 | 12 |
|
David Fitkin
1040 Delaware Ave |
$24.08 | 12 | 12 |
|
Ashley Nicole Sowers
990 S Prospect St Ste 2 |
$44.26 | 12 | 12 |
|
Steven Michael Kirkham
1462 Marion Waldo Rd |
$25.77 | 12 | 12 |
|
Megan Arthur
1025 Harding Memorial Pkwy |
$50.82 | 12 | 12 |
|
Kevin R Kannan
1040 Delaware Avenue |
$29.89 | 13 | 12 |
|
Marion County Auditor
181 S Main St |
$3.87 | 15 | 13 |
|
Tori Fox Morrow
1000 Mckinley Park Dr |
$26.11 | 16 | 16 |
|
Amanda Nichole Bliemeister
1050 Delaware Ave |
$47.41 | 16 | 15 |
|
Sarah Lynn Isenhart
1000 Mckinley Park Dr |
$94.75 | 16 | 15 |
|
Dermatology Associates Of Mid-Ohio
1063 Harding Memorial Pkwy |
$0.00 | 19 | 14 |
|
Connie Porter
181 E Center St |
$32.54 | 29 | 28 |
|
Alisha Joy Birkemeier
136 W Center St |
$64.44 | 34 | 30 |
|
Najeeb Ahmed
278 Barks Rd W |
$15.07 | 35 | 27 |
|
Marion Area Physicians Llc
1040 Delaware Ave |
$55.08 | 43 | 43 |
|
Kelly Lyn Bruch
150 Mcmahan Blvd |
$22.89 | 44 | 28 |
|
Marion Area Counseling Center, Inc.
320 Executive Dr |
$0.00 | 46 | 35 |
|
Brenda Lee Gatchel
960 S Prospect St |
$62.48 | 58 | 50 |
|
Tarlok S Purewal
1130 Independence Ave |
$42.13 | 59 | 53 |
|
Debra S Lester
1050 Delaware Ave |
$55.09 | 60 | 57 |
|
Taylor Buck
6114 Marion Waldo Rd |
$105.46 | 60 | 52 |
|
Analkumar Krishnavadan Parikh
278 Barks Rd W |
$54.32 | 60 | 55 |
|
Rachel L Fisher
175 Edgefield Blvd |
$47.15 | 72 | 65 |
|
Roxanne Michelle Oliver
1728 Marion Waldo Rd |
$100.37 | 78 | 75 |
|
Naseer A Chaudry
1035 Harding Memorial Pkwy |
$29.03 | 111 | 110 |
|
Filmore Alteros Riego
1462 Marion Waldo Rd |
$52.28 | 126 | 124 |
|
Kelsey Looney
1065 Delaware Ave Ste A |
$23.83 | 128 | 113 |
|
Deanna Jende Stevens
1462 Marion Waldo Rd |
$49.36 | 138 | 130 |
|
Elizabeth Ann Hinkel
1040 Delaware Ave |
$26.65 | 141 | 131 |
|
Kyle Joseph Feldmann
278 Barks Rd W |
$26.43 | 148 | 138 |
|
John Russell Kroger
1462 Marion Waldo Rd |
$41.98 | 157 | 152 |
|
Emma Kaye Trusty
960 S Prospect St |
$43.86 | 159 | 142 |
|
Janel S Scarbrough
1000 Mckinley Park Dr |
$43.57 | 165 | 155 |
|
Gary D Burton
1040 Delaware Avenue |
$27.20 | 170 | 165 |
|
Mauk Medical Llc
1036 Mount Vernon Ave |
$59.24 | 189 | 187 |
|
Mackenzie Acus Starns
1138 Independence Ave |
$29.24 | 193 | 182 |
|
Timothy Tracey Stephens
1000 Mckinley Park Dr |
$26.75 | 208 | 194 |
|
Sonya Michelle Morse
1051 Harding Memorial Pkwy Ste B |
$27.71 | 230 | 179 |
|
Amanda I Gandert
1069 Delaware Ave |
$37.93 | 231 | 202 |
|
William Bradley Wainright
1040 Delaware Ave |
$24.21 | 232 | 209 |
|
Jamie Thacker
278 Barks Rd W |
$38.53 | 237 | 220 |
|
James Bazzoli
1040 Delaware Ave |
$35.11 | 237 | 213 |
|
Yanis Boumber
1000 Mckinley Park Dr |
$32.41 | 241 | 172 |
|
Pamela Beth Ann Oxley
990 S Prospect St Ste 3 |
$99.92 | 250 | 191 |
|
Marion Area Counseling Center, Inc.
320 Executive Dr |
$0.00 | 253 | 229 |
|
Amanda Nicole Williams
1000 Mckinley Park Dr |
$14.55 | 260 | 167 |
|
Robert Emil Heinl
278 Barks Rd W |
$33.97 | 263 | 246 |
|
Tammy Jo Sroufe
1050 Delaware Ave |
$32.78 | 318 | 308 |
|
Paul Alexander Bonner
1040 Delaware Ave |
$52.39 | 346 | 334 |
|
Alexander Lawrence Young
165 W Center St |
$13.64 | 349 | 310 |
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