Average Medicaid Office Visit Payments in New Albany, OH: $48.87
Avg. Paid
$48.87
Range
$3.64 – $111.37
Total Claims
63,180
Providers
53
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 New Albany, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bradley Charles Herpolsheimer
5121 Forest Dr Ste D |
$38.59 | 12 | 12 |
|
Bassel F Shneker
6356 Skipping Stone Dr |
$29.78 | 14 | 13 |
|
Adolph V Lombardi
7277 Smiths Mill Rd Ste 200 |
$21.70 | 14 | 12 |
|
Michael James Morris
7277 Smiths Mill Rd Ste 200 |
$3.64 | 14 | 12 |
|
Ralph J Napolitano
5040 Forest Dr Ste 300 |
$3.80 | 18 | 12 |
|
Michelle Denise Hart
150 W Main St |
$68.80 | 25 | 24 |
|
Joel Christopher Wood
240 Market St Ste A |
$52.70 | 29 | 26 |
|
Rachael Del Cecato
5040 Forest Dr Ste 300 |
$39.09 | 31 | 26 |
|
Bryan Ghiloni
55 N High St |
$26.93 | 31 | 26 |
|
Inga Jolly
55 N High St |
$39.56 | 42 | 42 |
|
Janie Staravecka
68 N High St |
$33.37 | 46 | 43 |
|
Nipen Katel
55 N High St |
$69.70 | 55 | 53 |
|
Steven C Boysel
55 N. High St. |
$35.93 | 59 | 58 |
|
Dianna Womer
150 W Main St |
$39.59 | 84 | 77 |
|
Elisabeth Hyde Nogan
240 Market St |
$49.27 | 108 | 108 |
|
Justin Colin Anderson
7277 Smiths Mill Rd Ste 200 |
$73.87 | 134 | 130 |
|
Vijendra S Mohan
7277 Smiths Mill Road |
$53.31 | 160 | 155 |
|
Zackary Ostin Byrd
7277 Smiths Mill Rd Ste 200 |
$38.18 | 173 | 148 |
|
Bridgit Buchheit
5121 Forest Dr Ste D |
$45.37 | 201 | 187 |
|
Shawn R Ware
7277 Smiths Mill Rd Ste 200 |
$40.09 | 229 | 214 |
|
Scott Adam Smith
5040 Forest Dr Ste 201 |
$75.53 | 230 | 186 |
|
Bonsitu Guluma Hubena
6933 Grant Henry Dr Unit A |
$44.98 | 249 | 215 |
|
Allison May Crosby
39 2Nd St |
$110.39 | 265 | 213 |
|
Tiffani Rose
4580 Commons Park Dr |
$24.74 | 287 | 251 |
|
David Alan Thompson
5040 Forest Dr |
$24.90 | 318 | 301 |
|
Kenzi Michelle Schafer
102 W Main St Unit 175 |
$31.25 | 346 | 332 |
|
David Colella
7277 Smiths Mill Rd |
$60.26 | 434 | 393 |
|
David A. Kageorge
240 Market St Ste A |
$46.71 | 488 | 450 |
|
Casey Scurlock
55 N High St |
$58.14 | 602 | 553 |
|
Breann D. Hill Goldsmith
5040 Forest Dr Ste 240 |
$20.60 | 665 | 586 |
|
Mary Jo P Welker
240 Market St Ste A |
$31.26 | 730 | 683 |
|
Sarah A Johnson
5040 Forest Dr Ste 240 |
$21.02 | 797 | 691 |
|
James D Bloch
7277 Smiths Mill Rd |
$48.48 | 900 | 869 |
|
Olufunke Bakare
55 N High St |
$76.37 | 982 | 895 |
|
Chaoyang Li
1245 Riker Dr |
$36.36 | 1,056 | 882 |
|
Junaid Mukhdomi
5031 Forest Dr Ste C |
$48.38 | 1,146 | 1,005 |
|
John A Johnson
4319 Vaux Link |
$53.13 | 1,250 | 1,064 |
|
Randall S Siegel
7277 Smiths Mill Rd |
$43.94 | 1,345 | 1,305 |
|
Derrick E. Johnson
7277 Smiths Mill Rd |
$48.01 | 1,432 | 1,369 |
|
J. Tyler Rogers
153 W Main St |
$42.15 | 1,444 | 1,364 |
|
Douglas A Katula
7277 Smiths Mill Rd Ste 250 |
$52.07 | 1,559 | 1,511 |
|
Ryan C Goodwin
150 W Main St |
$42.57 | 1,588 | 1,499 |
|
James Maurice Wellbaum
5121 Forest Dr Ste D |
$42.04 | 1,901 | 1,709 |
|
Mark Allen Willard
7277 Smiths Mill Rd |
$50.01 | 2,259 | 2,186 |
|
Jimmy M Henry
5051 Forest Dr |
$43.34 | 2,351 | 2,072 |
|
Ifeoma M Uzoh-Anigbogu
68 N High St Bldg A |
$107.95 | 2,360 | 1,351 |
|
Marcus Harris
5031 Forest Dr Ste C |
$43.68 | 2,410 | 1,972 |
|
Robert C. Polite
68 N High St |
$111.37 | 2,986 | 2,721 |
|
Nowell York
55 N High St |
$38.87 | 3,746 | 3,553 |
|
Maureen L Judson
7277 Smiths Mill Rd Ste 250 |
$41.68 | 4,335 | 4,091 |
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 New Albany, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Albany, OH is $48.87 per claim, based on 63,180 claims from 53 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 New Albany, OH?
There are 53 Medicaid providers offering Office Visit related services in New Albany, OH according to public payment data.
What is the price range for Office Visit in New Albany, OH?
Medicaid reimbursement for Office Visit in New Albany, OH ranges from $3.64 to $111.37 per claim, with an average of $48.87. 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 New Albany, OH
Substance Abuse Treatment
Avg $16.58
590,281 claims
Physical Therapy
Avg $17.11
17,463 claims
Nursing Facility Care
Avg $10.67
15,672 claims
Blood Work & Lab Tests
Avg $27.96
12,349 claims
Dental Cleaning & Exam
Avg $15.49
5,544 claims
EKG / ECG (Electrocardiogram)
Avg $6.18
4,689 claims
X-Ray
Avg $15.07
3,793 claims
Psychiatric Evaluation
Avg $46.20
3,084 claims