Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Middletown, OH: $51.46

Avg. Paid

$51.46

Range

$0.48 – $113.78

Total Claims

490,917

Providers

160

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 Middletown, OH

Provider	Avg. Paid	Claims	Patients
Adrianne S Dirr 4102 Roosevelt Blvd	$52.95	12	12
Richard Donald Sunnenberg 3420 Towne Blvd	$40.74	12	12
Sameep P. Kadakia 4222 Grand Ave	$53.67	13	13
Jerry B Magone 275 N Breiel Blvd	$81.29	13	13
Savio M Kumar 200 Medical Center Dr Ste 360	$64.28	14	14
Craig Hansen 200 Medical Center Dr Ste 325	$60.37	14	12
Sandra Louise Bailey 331 N Breiel Blvd	$3.59	14	12
Julie Elizabeth Flick 103 Mcknight Dr Ste A	$23.84	15	13
Pax Treatment Centers Llc 4302 Roosevelt Blvd	$14.50	18	14
Matthew James Houchin 2050 Cincinnati Dayton Rd	$47.88	19	16
Heather Hartman Adkins 4040 Roosevelt Blvd	$40.84	25	25
Anthony J Bentley 4421 Roosevelt Blvd	$42.14	26	25
Gary Arthur Cobb 4040 Roosevelt Blvd	$27.92	27	25
Bo-Kyu Kim 4040 Roosevelt Blvd	$55.58	29	25
Julie Ann Elzey 6730 Roosevelt Ave Ste 303	$59.74	31	28
Brian Thomas Landrum 315 N Breiel Blvd	$59.15	33	33
Macey Mcbride 5850 Innovation Dr	$14.36	36	30
Laura Jean Schreckengost 6730 Roosevelt Ave Ste 201	$52.58	36	29
Matthew Ezra Stone 74 N Breiel Blvd	$27.76	46	38
Dustin Jones 1055 Summitt Dr	$45.47	46	40
James Stanley Kalbaugh 200 N Breiel Blvd	$12.63	48	41
Samantha R Bauman 235 N Breiel Blvd	$47.03	48	43
Madhumita Saha 103 Mcknight Dr	$37.16	50	39
Tom F Straus 4701 Central Ave	$23.21	60	57
Dharika Pareshkumar Shah 200 Medical Center Dr Ste 360	$43.10	61	59
Chelsea Nikkole Eaton 200 Medical Center Dr Ste 375	$10.51	64	56
Gail Ann Mason 160 N Breiel Blvd	$18.75	66	57
Natalie Louise Smith 200 Medical Center Dr Ste 375	$45.74	67	65
Access Counseling Services Llc 4464 S Dixie Hwy	$71.97	70	66
Kaitlyn Elizabeth Holiga 200 N Breiel Blvd	$25.91	76	73
Middletown Urgent Care Llc 519 S Breiel Blvd	$36.51	82	75
Daryl J Hams 4464 S Dixie Hwy	$13.71	83	59
Mark Eugene Frazer 1010 Summit Drive	$33.71	85	80
Sulabha R. Dange 74 N Breiel Blvd	$38.44	86	70
Ryan D. Steinmetz 501 Atrium Dr Fl 1	$27.23	90	79
Karin Benner 74 N Breiel Blvd	$50.97	93	86
Pey Shan Kuo 200 N Breiel Blvd	$32.76	105	92
Roja Chimakurthi 200 Medical Center Dr	$27.09	120	109
Paul Russell Jennewine 200 N Breiel Blvd	$34.23	132	116
Kurt Hamlin 200 N Breiel Blvd	$33.98	137	126
Megan Marie Tuohy 5850 Innovation Dr	$29.99	140	113
Daryl Christopher Hacker 255 N Breiel Blvd	$34.76	141	137
Subodh K Wadhwa 1049 Summitt Dr	$33.56	143	133
Carlos Kenneth Cheng 4464 S Dixie Hwy	$74.96	168	98
Eric Jason Plumley 38 N Breiel Blvd	$8.98	182	128
Heather Nicole Stewart 1036 S Verity Pkwy	$50.72	182	169
Dominik S. Greda 1055 Summitt Dr	$67.66	196	180
Virinder Sidhu 103 Mcknight Dr	$38.31	199	184
Douglas L Gaker 112 S Main St	$33.43	220	196
John Stephen Silvani 4302 Roosevelt Blvd	$6.47	221	155

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 Middletown, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middletown, OH is $51.46 per claim, based on 490,917 claims from 160 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 Middletown, OH?

There are 160 Medicaid providers offering Office Visit related services in Middletown, OH according to public payment data.

What is the price range for Office Visit in Middletown, OH?

Medicaid reimbursement for Office Visit in Middletown, OH ranges from $0.48 to $113.78 per claim, with an average of $51.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Middletown, OH: $51.46

Providers Offering Office Visit in Middletown, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Middletown, OH

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Physical Therapy

Vaccines & Immunizations

Speech Therapy

X-Ray