Average Medicaid Office Visit Payments in Moraine, OH: $84.72
Avg. Paid
$84.72
Range
$0.00 – $254.08
Total Claims
93,100
Providers
46
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 Moraine, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott David Kearney
3095 Kettering Blvd |
$91.68 | 10,954 | 9,618 |
|
Kelsie Ludwig
3095 Kettering Blvd |
$85.61 | 8,805 | 7,987 |
|
Kristina Fisher
3095 Kettering Blvd |
$121.27 | 8,453 | 5,279 |
|
Sarah M Deuser
3095 Kettering Blvd |
$83.14 | 7,332 | 6,819 |
|
Nancy J Smith
3095 Kettering Blvd |
$104.91 | 6,258 | 5,729 |
|
Edward Charles Longo
3095 Kettering Blvd |
$88.28 | 5,760 | 5,161 |
|
Rick Thomas Bowers
3095 Kettering Blvd |
$113.14 | 5,571 | 4,875 |
|
Sylvie Inshuti Sibomana
4700 Springboro Pike Ste C |
$73.46 | 5,506 | 3,176 |
|
Blaise Gatto
3033 Kettering Blvd |
$66.48 | 3,722 | 3,579 |
|
Tamara Kay Thorn
5348 Lamme Rd |
$49.91 | 3,651 | 3,116 |
|
Trevor Day
3095 Kettering Blvd |
$98.95 | 3,250 | 3,006 |
|
Ladonna J Ross
3095 Kettering Blvd |
$86.73 | 2,711 | 2,337 |
|
Frederic Stuart Leeds
3033 Kettering Blvd Ste 100 |
$26.86 | 2,663 | 1,629 |
|
Yvonne Victoria Kuhn
3095 Kettering Blvd |
$76.85 | 2,287 | 2,034 |
|
Jane Ruthann Aridge
3095 Kettering Blvd |
$119.80 | 2,098 | 1,827 |
|
Teresa Sue Thorpe
2912 Springboro Rd West |
$59.45 | 1,991 | 1,690 |
|
Paul Hanley
5350 Lamme Rd |
$56.36 | 1,944 | 1,798 |
|
Terren Burgess Koles
2912 Springboro Rd |
$36.11 | 1,492 | 1,303 |
|
Liesl Jade Jacobs
5350 Lamme Rd |
$93.32 | 1,201 | 1,159 |
|
Evelyn R Mote
3033 Kettering Blvd Ste 100 |
$41.89 | 1,129 | 1,041 |
|
Gideon S. Adegbile
3033 Kettering Blvd |
$100.29 | 987 | 881 |
|
Michael P. Brockman
5348 Lamme Rd |
$48.64 | 756 | 704 |
|
David Wanjohi Kabithe
2016 Springboro W |
$21.12 | 638 | 488 |
|
Cleanslate Medical Group Of Ohio Llc
4700 Springboro Pike Ste C |
$64.76 | 521 | 368 |
|
Sue Ann Judah
3033 Kettering Blvd Ste 100 |
$51.74 | 486 | 404 |
|
Sara J Whitlock
2912 Springboro W Ste 201 |
$44.89 | 431 | 403 |
|
Ivan Elises
5348 Lamme Rd |
$54.65 | 404 | 377 |
|
Rachel Bird
5348 Lamme Rd |
$45.12 | 391 | 326 |
|
M Lynn Loving
5350 Lamme Rd |
$119.95 | 299 | 199 |
|
Rachael Lamb
5348 Lamme Rd |
$56.75 | 257 | 242 |
|
Stephen T House
3033 Kettering Blvd |
$21.93 | 205 | 115 |
|
Mark Edward Reynolds
3095 Kettering Blvd |
$97.52 | 125 | 104 |
|
Samaritan Family Care Inc
3170 Kettering Blvd |
$42.71 | 118 | 117 |
|
South Community Inc
3095 Kettering Blvd |
$18.40 | 110 | 88 |
|
Deborah Suman
3095 Kettering Blvd |
$2.95 | 106 | 13 |
|
Alvin Williamson
200 Daruma Pkwy |
$11.74 | 76 | 49 |
|
Lisa A Gates
3033 Kettering Blvd Ste 100 |
$254.08 | 73 | 73 |
|
Lori Ann Morgan
2921 W Alex Bell Rd |
$43.09 | 70 | 70 |
|
Premier Health Specialists Inc
3170 Kettering Blvd |
$1.00 | 68 | 67 |
|
Aida E Scanlon
3445 S Dixie Dr |
$18.88 | 62 | 60 |
|
Gene A Lease
3033 Kettering Blvd Ste 100 |
$35.41 | 54 | 52 |
|
Mvhe Inc
3170 Kettering Blvd |
$0.00 | 29 | 29 |
|
Jamie W Chu
5350 Lamme Rd |
$23.03 | 16 | 13 |
|
Jennifer D Malek
5350 Lamme Rd |
$27.93 | 14 | 13 |
|
Christopher J Hasseltine
5350 Lamme Rd |
$45.75 | 13 | 13 |
|
Wei Liu Harlow
200 Daruma Pkwy |
$22.31 | 13 | 13 |
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 Moraine, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Moraine, OH is $84.72 per claim, based on 93,100 claims from 46 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 Moraine, OH?
There are 46 Medicaid providers offering Office Visit related services in Moraine, OH according to public payment data.
What is the price range for Office Visit in Moraine, OH?
Medicaid reimbursement for Office Visit in Moraine, OH ranges from $0.00 to $254.08 per claim, with an average of $84.72. 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 Moraine, OH
Blood Work & Lab Tests
Avg $5.52
1,738,550 claims
Behavioral & Mental Health Therapy
Avg $65.13
440,324 claims
Psychiatric Evaluation
Avg $68.82
230,759 claims
Substance Abuse Treatment
Avg $45.39
176,640 claims
Durable Medical Equipment (DME)
Avg $45.07
172,935 claims
Urinalysis & Urine Tests
Avg $4.00
171,583 claims
Culture & Microbiology Tests
Avg $4.95
95,342 claims
Home Health Visit
Avg $27.53
79,603 claims