Average Medicaid Office Visit Payments in Mount Gilead, OH: $42.47
Avg. Paid
$42.47
Range
$9.14 – $74.92
Total Claims
21,330
Providers
17
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 Mount Gilead, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohiuddin Ghazi
900 Meadow Dr |
$39.40 | 5,572 | 4,818 |
|
Martie John Gravitt
169 W High St |
$53.22 | 4,164 | 3,952 |
|
Sadie Beougher
6519 Us Highway 42 |
$42.77 | 1,884 | 1,642 |
|
Thomas E Freundlich
6519 Us Highway 42 |
$35.94 | 1,657 | 1,468 |
|
Jayna Hughes
900 Meadow Dr Ste A |
$44.15 | 1,407 | 1,260 |
|
Center Street Community Clinic, Inc
76 S Main St |
$9.14 | 1,113 | 728 |
|
Hannah Asano Chadwick
6519 Us Highway 42 |
$28.66 | 1,053 | 782 |
|
Angela Marie Dressler
651 W Marion Rd |
$45.89 | 978 | 826 |
|
Jill Steele
6519 Us Highway 42 |
$43.81 | 908 | 756 |
|
Ohiohealth Morrow County Hospital, Inc.
651 W Marion Rd |
$74.92 | 707 | 608 |
|
Kimberly Ann Moritz
6519 Us Highway 42 |
$41.99 | 492 | 426 |
|
James Richard Tulloss
651 W Marion Rd |
$52.65 | 461 | 374 |
|
Ashley Ann Wolf
6519 Us Highway 42 |
$39.26 | 382 | 348 |
|
Angie Lynn Whitt
651 W Marion Rd |
$38.37 | 165 | 153 |
|
Sondra May
144 W High St |
$60.74 | 148 | 134 |
|
Brandon W Mcclelland
644 West Marion Rd |
$38.29 | 123 | 121 |
|
John Grant Galbraith
6519 State Route 42 |
$39.70 | 116 | 104 |
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 Mount Gilead, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Gilead, OH is $42.47 per claim, based on 21,330 claims from 17 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 Mount Gilead, OH?
There are 17 Medicaid providers offering Office Visit related services in Mount Gilead, OH according to public payment data.
What is the price range for Office Visit in Mount Gilead, OH?
Medicaid reimbursement for Office Visit in Mount Gilead, OH ranges from $9.14 to $74.92 per claim, with an average of $42.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Avg $24.20
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Avg $30.31
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Avg $82.40
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Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Mount Gilead, OH
Blood Work & Lab Tests
Avg $9.74
25,094 claims
Behavioral & Mental Health Therapy
Avg $46.24
18,035 claims
Physical Therapy
Avg $26.22
16,736 claims
Emergency Room Visit
Avg $106.79
16,727 claims
Ambulance Transport
Avg $50.73
12,775 claims
Vaccines & Immunizations
Avg $17.45
12,219 claims
Eye Exam
Avg $26.31
9,269 claims
Psychiatric Evaluation
Avg $82.37
8,550 claims