Average Medicaid Office Visit Payments in Mount Orab, OH: $28.06
Avg. Paid
$28.06
Range
$0.00 – $54.76
Total Claims
68,107
Providers
24
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 Orab, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew B. Scott
150 Health Partner Circle |
$25.78 | 12,776 | 7,277 |
|
Richard E. Broder-Oldach
150 Health Partner Circle |
$28.85 | 9,725 | 5,581 |
|
Lacee Stephens
150 Health Partners Cir |
$26.49 | 6,711 | 3,611 |
|
April Egbert
111 Vandament Way |
$31.31 | 6,675 | 6,243 |
|
Jordan Dayne Allard
111 Vandament Way |
$31.54 | 6,109 | 5,758 |
|
Healthsource Of Ohio, Inc.
150 Health Partners Cir |
$0.31 | 4,752 | 3,924 |
|
Samantha Jo Vining
150 Health Partners Cir |
$30.35 | 2,892 | 1,787 |
|
Rachel M King
150 Health Partners Cir |
$30.37 | 2,815 | 1,564 |
|
Mitchell Smith Mcmanis
210 Sterling Run Blvd |
$23.89 | 2,641 | 2,148 |
|
Sara E Jones
709 N High St |
$30.39 | 1,945 | 1,238 |
|
Catherine D Carnahan
621 W Main St |
$54.76 | 1,867 | 1,722 |
|
Mary Elizabeth Carman
111 Vandament Way |
$34.84 | 1,785 | 1,664 |
|
Tonia Michelle Conn
621 W Main St |
$39.68 | 1,718 | 1,595 |
|
Jessica Beebe
150 Health Partners Cir |
$30.22 | 1,344 | 1,015 |
|
Charles Timothy Mckinley
621 W Main St |
$40.45 | 980 | 922 |
|
Angie Thomure
111 Vandament Way |
$30.77 | 939 | 863 |
|
Jacqueline Bolmer
210 Sterling Run Blvd |
$41.60 | 932 | 679 |
|
Stephen Pendell
131 N Point Dr |
$19.09 | 415 | 385 |
|
Alanna Kirk
112 Glover Dr |
$31.77 | 375 | 300 |
|
Ibthaj Ur Rehman Khilji
217 Hughes Blvd |
$37.92 | 363 | 260 |
|
Patricia Jolley
210 Sterling Run Blvd |
$36.42 | 93 | 87 |
|
Jamie Sue Jackson
210 Sterling Run Blvd |
$39.37 | 88 | 83 |
|
Tara Ross
292 Brooks Malott Rd |
$0.00 | 84 | 68 |
|
Rhonda Lynn Gibson
217 Hughes Blvd |
$45.27 | 83 | 77 |
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 Orab, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Orab, OH is $28.06 per claim, based on 68,107 claims from 24 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 Orab, OH?
There are 24 Medicaid providers offering Office Visit related services in Mount Orab, OH according to public payment data.
What is the price range for Office Visit in Mount Orab, OH?
Medicaid reimbursement for Office Visit in Mount Orab, OH ranges from $0.00 to $54.76 per claim, with an average of $28.06. 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
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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Mount Orab, OH
Substance Abuse Treatment
Avg $57.64
61,579 claims
Behavioral & Mental Health Therapy
Avg $46.37
55,522 claims
Dental Cleaning & Exam
Avg $10.80
34,945 claims
Psychiatric Evaluation
Avg $65.37
28,932 claims
Speech Therapy
Avg $23.39
15,152 claims
Vaccines & Immunizations
Avg $8.60
8,885 claims
Blood Work & Lab Tests
Avg $16.11
8,582 claims
Chiropractic Care
Avg $16.76
8,356 claims