Average Medicaid Office Visit Payments in Napoleon, OH: $55.51
Avg. Paid
$55.51
Range
$1.85 – $196.43
Total Claims
37,916
Providers
27
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 Napoleon, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alexander Michael Altman
1600 E Riverview Ave Ste 101 |
$27.75 | 30 | 28 |
|
Stephanie Stalter
1600 E Riverview Ave |
$38.57 | 51 | 24 |
|
Emily Mason
1600 E Riverview Ave Ste 101 |
$19.75 | 74 | 70 |
|
Stephen M Knipe
1600 E Riverview Ave |
$41.95 | 123 | 107 |
|
Alison Sue Schultz
1426 Scott St |
$29.41 | 127 | 114 |
|
Simon S Chiu
600 Freedom Dr |
$108.12 | 154 | 134 |
|
Henry County Auditors Office
1843 Oakwood Ave |
$8.62 | 177 | 166 |
|
Clarice Lynn Knipe
589 E Riverview Ave |
$26.02 | 233 | 201 |
|
Andrew Carrington Gombash
1600 E Riverview Ave |
$45.90 | 467 | 268 |
|
Kip A Bidwell
1600 E Riverview Ave |
$36.98 | 750 | 675 |
|
Gary A Grego
1426 North Street |
$29.01 | 754 | 659 |
|
Nathan Auch
1426 Scott St |
$22.73 | 760 | 637 |
|
Kim Chamberlain Danser
1600 E Riverview Ave |
$52.50 | 802 | 396 |
|
Kimberly Michelle Bazen
16203 County Road 424 |
$20.36 | 882 | 784 |
|
Dexter M Gensolin
1600 E Riverview Ave |
$196.43 | 960 | 862 |
|
Tiffany N Siegel
1600 E Riverview Ave |
$37.91 | 1,281 | 1,030 |
|
Kourtney Gossard
1600 E Riverview Ave |
$60.07 | 1,298 | 938 |
|
Audrey Crandall
1600 E Riverview Ave |
$35.89 | 1,379 | 1,152 |
|
Zane Wesley Zimmerman
1600 E Riverview Ave |
$45.01 | 1,650 | 1,500 |
|
Jessica Durham
1600 E Riverview Ave |
$42.36 | 1,876 | 1,283 |
|
Lisa Thornton
1600 E Riverview Ave Ste 101 |
$32.91 | 1,935 | 1,798 |
|
Karen Sue Westhoven
1600 E Riverview Ave |
$39.56 | 2,123 | 1,805 |
|
Anna M Mcmaster
1600 E Riverview Ave |
$16.63 | 2,174 | 2,039 |
|
Darin Scribner
1600 E Riverview Ave |
$39.03 | 2,275 | 2,045 |
|
Erast J Haftkowycz
1600 E Riverview Ave |
$58.56 | 2,723 | 1,410 |
|
Jessie Reynolds
1600 E Riverview Ave |
$1.85 | 5,179 | 4,557 |
|
Henry County Hospital Inc
1600 E Riverview Ave |
$124.87 | 7,679 | 5,726 |
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 Napoleon, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Napoleon, OH is $55.51 per claim, based on 37,916 claims from 27 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 Napoleon, OH?
There are 27 Medicaid providers offering Office Visit related services in Napoleon, OH according to public payment data.
What is the price range for Office Visit in Napoleon, OH?
Medicaid reimbursement for Office Visit in Napoleon, OH ranges from $1.85 to $196.43 per claim, with an average of $55.51. 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 Napoleon, OH
X-Ray
Avg $5.49
31,316 claims
Psychiatric Evaluation
Avg $76.81
22,787 claims
Blood Work & Lab Tests
Avg $4.70
21,487 claims
CT Scan (Computed Tomography)
Avg $35.76
19,617 claims
Speech Therapy
Avg $20.33
17,495 claims
Dental Cleaning & Exam
Avg $28.98
13,215 claims
Behavioral & Mental Health Therapy
Avg $60.28
11,325 claims
Substance Abuse Treatment
Avg $137.96
10,818 claims