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 |
|---|---|---|---|
|
Alan A Newman
1684 Venture Dr |
$18.93 | 12 | 12 |
|
Sarah Elizabeth Jackson
1330 Coshocton Ave |
$15.28 | 13 | 12 |
|
Piyush Gupta
1330 Coshocton Ave |
$60.67 | 15 | 15 |
|
Antonia Artise Erndt
1330 Coshocton Ave |
$94.68 | 15 | 15 |
|
Matthew P. Koehler
1330 Coshocton Ave |
$41.31 | 25 | 24 |
|
Carl R. Eyman
1641 Venture Dr |
$0.00 | 27 | 25 |
|
Misty Dawn Bailey
1330 Coshocton Ave Fl 4 |
$24.16 | 27 | 24 |
|
Kelsey Durbin
1355 Yauger Rd |
$30.37 | 36 | 32 |
|
Andrea K Mantell
1330 Coshocton Ave |
$43.20 | 64 | 61 |
|
Ami Elizabeth Frost
1330 Coshocton Ave |
$27.49 | 74 | 74 |
|
Sharon Renee Wise
8402 Blackjack Rd |
$13.30 | 79 | 58 |
|
Gilford S Vincent
1330 Coshocton Ave |
$15.29 | 110 | 97 |
|
Sheri Lee Tharp
207 W High St |
$37.93 | 150 | 132 |
|
Tamara L Holzer
1330 Coshocton Ave |
$38.56 | 152 | 141 |
|
Amy Haibel
8452 Blackjack Rd |
$48.17 | 179 | 157 |
|
Jessica M Burdett
1330 Coshocton Ave |
$21.62 | 205 | 181 |
|
Rachail Mckinley
1451 Yauger Rd |
$37.29 | 255 | 241 |
|
Autumn Marie Viars
8402 Blackjack Rd |
$135.44 | 266 | 226 |
|
Gangaram Rasa
1330 Coshocton Ave |
$14.20 | 277 | 247 |
|
Phillip J Holzer
1330 Coshocton Ave |
$38.00 | 341 | 316 |
|
Alix Junior Tercius
1330 Coshocton Ave |
$18.95 | 373 | 326 |
|
Susan Marie Ash
1330 Coshocton Rd |
$37.64 | 375 | 345 |
|
Amy Denise Murnen
1451 Yauger |
$24.08 | 403 | 349 |
|
Elizabeth Ellen Klenk
1661 Venture Dr |
$44.35 | 405 | 370 |
|
Jennifer F Ogle
206 S Mulberry St |
$34.86 | 428 | 373 |
|
Deborah Johnson Reeder
1330 Coshocton Ave |
$21.53 | 437 | 397 |
|
Layne Hartnell
112 Harcourt Rd Ste 2 |
$57.90 | 445 | 297 |
|
Phyllis A. Sim
207 West High Street |
$47.97 | 449 | 377 |
|
Aevan B Mclaughlin
1330 Coshocton Ave |
$50.95 | 455 | 423 |
|
Kristin E Baker
1330 Coshocton Ave |
$15.78 | 457 | 411 |
|
Alyssa Romanko
503 Wooster Rd |
$67.98 | 461 | 441 |
|
Larry C Reed
307 Vernedale Dr |
$22.89 | 477 | 413 |
|
Paige Cunningham
11660 Upper Gilchrist Rd |
$33.71 | 542 | 325 |
|
Shailesh C Patel
812 Coshocton Avenue |
$26.09 | 591 | 526 |
|
Marissa Lynne Walaszek
855 Coshocton Ave # H |
$53.90 | 611 | 570 |
|
Pamela A Tuttle
1330 Coshocton Ave |
$38.66 | 613 | 544 |
|
Knox County General Health District
11660 Upper Gilchrist Rd |
$2.45 | 665 | 517 |
|
Corey M. Pifer
1490 Coshocton Ave # 6099 |
$23.75 | 752 | 733 |
|
Ron T Martinson
1330 Coshocton Ave |
$10.02 | 810 | 482 |
|
Sierra Presley
1330 Coshocton Ave |
$33.29 | 815 | 729 |
|
Britney Mcpeek
8402 Blackjack Rd |
$101.39 | 908 | 786 |
|
Cynthia Ann Levering
1076 Coshocton Ave |
$49.18 | 916 | 817 |
|
Ashlee Sloan
1330 Coshocton Ave |
$41.88 | 969 | 905 |
|
Narendranath Lakshmipathy
1320 Coshocton Ave Ste C |
$39.16 | 992 | 904 |
|
Jill Hunter
1330 Coshocton Ave |
$32.00 | 1,052 | 682 |
|
Britney Mccollough
1330 Coshocton Ave |
$31.04 | 1,053 | 956 |
|
Brent Burton Ogle
206 S Mulberry St |
$43.41 | 1,082 | 994 |
|
Hufza Hanif
1330 Coshocton Ave |
$50.74 | 1,211 | 1,155 |
|
Laura Eichenlaub
1330 Coshocton Ave |
$16.36 | 1,318 | 985 |
|
Robert L. Drake
1330 Coshocton Ave |
$24.00 | 1,374 | 1,190 |
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
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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