Average Medicaid Office Visit Payments in Mount Vernon, OH: $50.32
Avg. Paid
$50.32
Range
$0.00 – $135.44
Total Claims
381,559
Providers
118
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 Vernon, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Knox Community Hospital
1330 Coshocton Ave |
$82.48 | 52,469 | 42,604 |
|
Knox Community Hospital
1330 Coshocton Ave |
$30.09 | 20,732 | 18,589 |
|
Frederick Charles Carroll
1330 Coshocton Ave |
$31.16 | 15,049 | 12,948 |
|
Randy L Orsborn
1490 Coshocton Ave |
$48.22 | 11,293 | 10,854 |
|
David J Mccann
1330 Coshocton Ave |
$49.01 | 11,216 | 10,730 |
|
Michael Sullivan
1330 Coshocton Ave |
$62.63 | 10,556 | 8,133 |
|
Christopher Howard Hetrick
1451 Yauger |
$31.98 | 9,838 | 8,476 |
|
Peter Bainbridge
1490 Coshocton Ave |
$46.98 | 8,936 | 8,510 |
|
Michael Fracassa
1641 Venture Drive |
$23.00 | 7,808 | 6,460 |
|
Amy Rachelle A Teleron-Khorshad
10 Woodlake Trl Ste C |
$49.46 | 7,602 | 6,969 |
|
Chandravadan P. Patel
809 Coshocton Ave |
$39.92 | 7,322 | 6,596 |
|
Simona Lydia Moore
206 S Mulberry St Ste A |
$44.08 | 7,208 | 5,877 |
|
Kristen N Witham
1330 Coshocton Ave |
$67.36 | 7,082 | 5,666 |
|
Eric L. Kahn
8402 Blackjack Road Ext |
$77.73 | 7,046 | 6,110 |
|
Kimberly Lynette Glenn
855 Coshocton Ave Ste H |
$88.29 | 6,651 | 5,539 |
|
Tami Stephey
8402 Blackjack Rd |
$83.54 | 6,632 | 5,735 |
|
Jordan Russell Moore
206 S Mulberry St Ste A |
$29.53 | 6,232 | 3,811 |
|
Gregory J Cush
1330 Coshocton Ave |
$53.15 | 6,153 | 5,592 |
|
Kamal Reza Talukder
1330 Coshocton Ave |
$43.14 | 6,148 | 5,676 |
|
Kristiana L Brown
10 Woodlake Trl Ste C |
$48.53 | 6,071 | 5,558 |
|
Brandi Le Ann Pennington
1330 Coshocton Ave |
$23.23 | 5,804 | 3,271 |
|
Rebecca Stilson
1330 Coshocton Ave |
$63.62 | 5,421 | 3,769 |
|
Abigail L Elliott
1330 Coshocton Ave |
$27.98 | 4,957 | 4,229 |
|
Jarrett Bruce Helming
1330 Coshocton Ave |
$54.43 | 4,769 | 4,398 |
|
Margaret D Somple
1330 Coshocton Ave |
$42.29 | 4,507 | 3,896 |
|
Amy N Ferenbaugh
1330 Coshocton Ave |
$35.55 | 4,401 | 4,173 |
|
Kimber Cullers
1490 Coshocton Ave |
$45.81 | 4,386 | 4,107 |
|
Jaime T Goodman
1330 Coshocton Ave |
$36.61 | 3,984 | 3,685 |
|
Amanda M Poorman
1330 Coshocton Ave |
$52.54 | 3,884 | 3,041 |
|
Simona L Moore Cnp Llc
206 S Mulberry St |
$55.67 | 3,808 | 3,529 |
|
Susan Strack
855 Coshocton Ave Ste H-17 |
$41.85 | 3,801 | 2,971 |
|
Husain A Rasheed
1451 Yauger Rd |
$33.06 | 3,742 | 2,853 |
|
Kristen S Morey
10 Woodlake Trl Ste C |
$47.68 | 3,693 | 3,313 |
|
Svetlana G Titishina
1330 Coshocton Ave |
$41.71 | 3,674 | 3,274 |
|
Brent Charles Nimeth
1220 Yauger Rd |
$31.69 | 3,651 | 3,156 |
|
Kenneth Herbert Doolittle
1375 Yauger Rd |
$42.29 | 3,623 | 3,141 |
|
Kathryn N Palmer
10 Woodlake Trl Ste C |
$37.94 | 3,383 | 3,139 |
|
Susan Rene' Brooks
112 Harcourt Rd Ste 2 |
$113.85 | 3,146 | 1,735 |
|
Elizabeth Ann Powell
1330 Coshocton Ave |
$34.95 | 3,146 | 2,903 |
|
Stephanie Lynn Strausbaugh
1 N Main St |
$113.97 | 3,043 | 2,207 |
|
Elvana Muka
1330 Coshocton Ave |
$23.36 | 2,996 | 1,480 |
|
Suzanne Christine Helming
1451 Yauger Rd |
$37.29 | 2,977 | 2,670 |
|
Jennie M. Mcclain
207 W High St |
$19.33 | 2,967 | 1,490 |
|
Ryan C Riggs
8402 Blackjack Rd |
$87.99 | 2,868 | 2,449 |
|
Jonathan T Hardin
11 Woodlake Trl |
$37.12 | 2,488 | 2,268 |
|
Shawn L. Reed
1330 Coshocton Ave |
$31.45 | 2,268 | 2,033 |
|
Thomas Dean Mckinley
1451 Yauger Rd |
$23.91 | 2,144 | 1,821 |
|
Jed William Henry
1330 Coshocton Ave |
$33.72 | 2,084 | 1,784 |
|
Lindsey Gilkey
11660 Upper Gilchrist Rd |
$22.90 | 2,012 | 993 |
|
Ryan Bush
112 Harcourt Rd Ste 2 |
$115.93 | 1,984 | 1,189 |
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 Vernon, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Vernon, OH is $50.32 per claim, based on 381,559 claims from 118 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 Vernon, OH?
There are 118 Medicaid providers offering Office Visit related services in Mount Vernon, OH according to public payment data.
What is the price range for Office Visit in Mount Vernon, OH?
Medicaid reimbursement for Office Visit in Mount Vernon, OH ranges from $0.00 to $135.44 per claim, with an average of $50.32. 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 Mount Vernon, OH
Substance Abuse Treatment
Avg $60.20
197,438 claims
Blood Work & Lab Tests
Avg $7.91
133,770 claims
Psychiatric Evaluation
Avg $63.78
96,150 claims
Emergency Room Visit
Avg $86.82
64,145 claims
Behavioral & Mental Health Therapy
Avg $91.43
61,037 claims
Vaccines & Immunizations
Avg $9.12
55,778 claims
Physical Therapy
Avg $36.08
46,780 claims
Home Health Visit
Avg $41.59
36,971 claims