Average Medicaid Office Visit Payments in Montgomery, OH: $55.64
Avg. Paid
$55.64
Range
$20.00 – $139.49
Total Claims
116,416
Providers
86
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 Montgomery, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lauren N Kuykendall
10500 Montgomery Rd Ste 6345 |
$116.17 | 13,406 | 10,862 |
|
Christine Moore
10495 Montgomery Rd Ste 25 |
$24.09 | 8,994 | 5,097 |
|
Casey Andrew Ogburn
10506 Montgomery Rd Ste 504 |
$36.67 | 8,897 | 5,925 |
|
Ian Foley
10506 Montgomery Rd Ste 504 |
$49.69 | 8,238 | 6,442 |
|
Tiffany N Hall
10506 Montgomery Rd Ste 504 |
$50.63 | 7,100 | 6,005 |
|
Irina A Fennimore
10506 Montgomery Rd Ste 504 |
$51.34 | 6,999 | 6,031 |
|
Kimberly A Bonar
10506 Montgomery Rd Ste 504 |
$54.08 | 5,197 | 4,233 |
|
Julia H Lee
10506 Montgomery Rd Ste 504 |
$52.38 | 4,171 | 3,424 |
|
Lori J Packard
10506 Montgomery Rd Ste 504 |
$49.20 | 3,862 | 3,265 |
|
Kellie Lynn Harris
9549 Montgomery Rd |
$65.71 | 3,657 | 3,296 |
|
Keira Beachler Urschel
10500 Montgomery Rd |
$48.06 | 3,591 | 2,907 |
|
Mamata V Narendran
10506 Montgomery Rd Ste 504 |
$51.35 | 3,290 | 2,435 |
|
Anika Tene Moore
10506 Montgomery Rd Ste 504 |
$44.71 | 2,846 | 2,291 |
|
Gwen Corboy
9549 Montgomery Rd |
$60.10 | 2,470 | 2,277 |
|
Dane Bolton
10663 Montgomery Rd |
$38.60 | 2,383 | 1,898 |
|
Katherine Keegan Johnson
11140 Montgomery Rd Ste 2500 |
$45.11 | 2,319 | 2,168 |
|
Daniyel Roper
10495 Montgomery Rd Ste 20 |
$85.35 | 2,291 | 1,907 |
|
Randall James Roy
10663 Montgomery Rd |
$39.61 | 2,236 | 1,871 |
|
Taylor Marie Ferguson
10506A Montgomery Rd |
$34.70 | 2,056 | 1,959 |
|
James R. Sutton
10506 Montgomery Rd Ste 200A |
$44.53 | 1,773 | 1,329 |
|
Syed Nasim Ahmed
10506 Montgomery Rd Ste 301A |
$47.10 | 1,304 | 1,202 |
|
Quan James Wang
12065 Montgomery Rd |
$60.34 | 1,038 | 928 |
|
Binoy Ouseph
10600 Montgomery Rd Ste 300 |
$55.48 | 1,011 | 880 |
|
Saulius K Girnius
10506A Montgomery Rd |
$77.81 | 1,001 | 742 |
|
Kelsey Ann Sparks
9275 Montgomery Rd |
$26.47 | 1,000 | 953 |
|
Jennifer Lobert
6200 Pfeiffer Rd |
$52.22 | 940 | 889 |
|
Benjamin Patrick Kleinhenz
10496 Montgomery Rd |
$45.61 | 937 | 894 |
|
Thomas S Schussler
10600 Montgomery Rd |
$65.73 | 912 | 880 |
|
Rebecca Esther Beesley
10506A Montgomery Rd |
$57.26 | 813 | 680 |
|
Mohammed Ali Mohammed Al-Amoodi
10506 Montgomery Rd Ste 300A |
$31.97 | 734 | 587 |
|
Roopa Dhawan Gandhi
11059 Grandstone Ln |
$62.17 | 682 | 651 |
|
Howard Hao Zhang
10600 Montgomery Rd Ste 300 |
$55.67 | 681 | 648 |
|
Cheyenne K. Brown
10496 Montgomery Rd Ste 110 |
$47.28 | 611 | 481 |
|
Vickie Bradley Fraser
6200 Pfeiffer Rd |
$62.81 | 516 | 473 |
|
Elizabeth Chen
9275 Montgomery Rd |
$48.81 | 507 | 487 |
|
Sesha Nandyal
10496 Montgomery Rd |
$46.04 | 493 | 386 |
|
Daniel Debo
10600 Montgomery Rd Ste 200 |
$50.20 | 470 | 461 |
|
Darlene Tierney
11140 Montgomery Rd Ste 1300 |
$30.67 | 465 | 418 |
|
Megan O'Conner Schneider
10496 Montgomery Rd Ste 110 |
$47.90 | 450 | 362 |
|
Lindsay Templin
10475 Montgomery Rd Ste 2-E |
$46.39 | 417 | 378 |
|
Harold V Loewenstine
10600 Montgomery Rd Ste 300 |
$34.02 | 416 | 392 |
|
Margaret Rose Mirro
10506 Montgomery Rd Ste 204 |
$44.34 | 400 | 327 |
|
Pratika Goparaju
10506 Montgomery Rd Ste 204 |
$53.31 | 392 | 317 |
|
Christine Yang Zhou
10500 Montgomery Rd |
$56.66 | 345 | 332 |
|
Jennifer Woodward
11140 Montgomery Rd Ste 2500 |
$47.96 | 261 | 237 |
|
Lindsay Nicole Thobe
10475 Montgomery Rd Ste 2E |
$46.80 | 254 | 239 |
|
Krista Noel Clark
10496 Montgomery Rd Ste 110 |
$48.60 | 250 | 211 |
|
Harris Baloch
10506 Montgomery Rd Ste 203 |
$41.92 | 244 | 225 |
|
Bridget J Deliberato
10550 Montgomery Rd Ste 22 |
$47.87 | 235 | 200 |
|
Naji Madi
10663 Montgomery Rd |
$20.48 | 222 | 193 |
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 Montgomery, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Montgomery, OH is $55.64 per claim, based on 116,416 claims from 86 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 Montgomery, OH?
There are 86 Medicaid providers offering Office Visit related services in Montgomery, OH according to public payment data.
What is the price range for Office Visit in Montgomery, OH?
Medicaid reimbursement for Office Visit in Montgomery, OH ranges from $20.00 to $139.49 per claim, with an average of $55.64. 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 Montgomery, OH
Nursing Facility Care
Avg $16.34
17,993 claims
Urinalysis & Urine Tests
Avg $3.92
17,475 claims
Emergency Room Visit
Avg $71.03
15,715 claims
Blood Work & Lab Tests
Avg $26.30
14,238 claims
Substance Abuse Treatment
Avg $17.25
9,263 claims
EKG / ECG (Electrocardiogram)
Avg $6.77
5,958 claims
Upper Endoscopy (EGD)
Avg $192.39
4,989 claims
Colonoscopy
Avg $236.76
4,585 claims