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 |
|---|---|---|---|
|
Neha Patel
10500 Montgomery Rd |
$119.92 | 12 | 12 |
|
Clair Murray
10506 Montgomery Rd Ste 200A |
$26.05 | 13 | 13 |
|
Paige Ann Heimann De Buys
10506A Montgomery Rd |
$43.68 | 13 | 12 |
|
Nicole Kay Raffel
10500 Montgomery Rd Ste 6345 |
$34.49 | 14 | 14 |
|
Madeline E Lucas
10600 Montgomery Rd |
$58.28 | 14 | 13 |
|
Drake A Seccurro
10500 Montgomery Rd |
$20.00 | 14 | 14 |
|
John F. Beary
10506 Montgomery Rd # A |
$127.06 | 25 | 25 |
|
Peter Dinh Tran
10506A Montgomery Rd |
$66.18 | 26 | 24 |
|
Kelly Danielle Boggs
10506 Montgomery Rd Ste 301A |
$47.74 | 27 | 27 |
|
Lajja R Patel
10500 Montgomery Rd |
$139.49 | 29 | 27 |
|
Kathie Jo Turner
10547 Montgomery Rd Ste 700 |
$49.08 | 30 | 26 |
|
Marlene Aziza Azar
10615 Montgomery Rd Ste 202 |
$26.38 | 35 | 35 |
|
Jennifer Ann Fenwick
11140 Montgomery Rd Ste 2500 |
$50.58 | 37 | 36 |
|
Siddharth Shankar
10506B Montgomery Rd Ste 407 |
$118.22 | 40 | 40 |
|
Mark Joseph Broering
10506A Montgomery Rd |
$33.67 | 46 | 40 |
|
Robert Pelberg
11140 Montgomery Rd |
$40.08 | 47 | 44 |
|
Daniel G. Reilly
10496 Montgomery Rd Ste 150 |
$32.81 | 48 | 39 |
|
Jennifer Teresa Sprague
10506 Montgomery Rd Ste 200A |
$60.97 | 57 | 37 |
|
Emily Kate Noehring
10506 Montgomery Rd Ste 304B |
$92.90 | 66 | 55 |
|
Talha Nawaz
10506B Montgomery Rd Ste 501 |
$36.90 | 67 | 63 |
|
Omar H Jawaid
10506A Montgomery Rd |
$53.02 | 69 | 67 |
|
Lindsey Marie Snider
6200 Pfeiffer Rd Ste 360 |
$39.59 | 71 | 68 |
|
Muhammad Waqas Athar
10506A Montgomery Rd Ste 300 |
$23.50 | 71 | 55 |
|
Jacob A Nysather
9275 Montgomery Rd |
$30.21 | 74 | 67 |
|
Meghan Byrne
10506A Montgomery Rd Ste 301 |
$125.09 | 80 | 77 |
|
Abraham Olagoke Kuranga
10500 Montgomery Rd |
$52.42 | 99 | 98 |
|
Nathan L Huber
10506 Montgomery Rd Ste 304 |
$80.02 | 101 | 77 |
|
Megan Elizabeth Dehart
10495 Montgomery Rd Ste 20 |
$43.28 | 116 | 88 |
|
Chelsea Polleys
10506 Montgomery Rd Ste 301A |
$36.96 | 119 | 112 |
|
Colleen Clifford
9505 Montgomery Rd Ste 202 |
$32.75 | 128 | 127 |
|
Christina Renee Watson
10600 Montgomery Rd Ste 300 |
$89.16 | 138 | 138 |
|
Derek Gibbs
10500 Montgomery Rd |
$102.46 | 166 | 150 |
|
Paul R. Fassler
10496 Montgomery Rd |
$48.32 | 173 | 165 |
|
Andrea Louise Melton
11140 Montgomery Road |
$48.57 | 177 | 164 |
|
Margaret A. Moon
11140 Montgomery Rd Ste 2500 |
$55.11 | 194 | 178 |
|
Keegan Parrish Olmstead
10500 Montgomery Rd |
$86.52 | 203 | 172 |
|
Naji Madi
10663 Montgomery Rd |
$20.48 | 222 | 193 |
|
Bridget J Deliberato
10550 Montgomery Rd Ste 22 |
$47.87 | 235 | 200 |
|
Harris Baloch
10506 Montgomery Rd Ste 203 |
$41.92 | 244 | 225 |
|
Krista Noel Clark
10496 Montgomery Rd Ste 110 |
$48.60 | 250 | 211 |
|
Lindsay Nicole Thobe
10475 Montgomery Rd Ste 2E |
$46.80 | 254 | 239 |
|
Jennifer Woodward
11140 Montgomery Rd Ste 2500 |
$47.96 | 261 | 237 |
|
Christine Yang Zhou
10500 Montgomery Rd |
$56.66 | 345 | 332 |
|
Pratika Goparaju
10506 Montgomery Rd Ste 204 |
$53.31 | 392 | 317 |
|
Margaret Rose Mirro
10506 Montgomery Rd Ste 204 |
$44.34 | 400 | 327 |
|
Harold V Loewenstine
10600 Montgomery Rd Ste 300 |
$34.02 | 416 | 392 |
|
Lindsay Templin
10475 Montgomery Rd Ste 2-E |
$46.39 | 417 | 378 |
|
Megan O'Conner Schneider
10496 Montgomery Rd Ste 110 |
$47.90 | 450 | 362 |
|
Darlene Tierney
11140 Montgomery Rd Ste 1300 |
$30.67 | 465 | 418 |
|
Daniel Debo
10600 Montgomery Rd Ste 200 |
$50.20 | 470 | 461 |
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