Average Medicaid Office Visit Payments in New Lexington, OH: $35.48
Avg. Paid
$35.48
Range
$0.39 – $318.75
Total Claims
125,348
Providers
22
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 Lexington, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen C Ulrich
1625 Airport Rd |
$23.05 | 23,142 | 14,668 |
|
Pamela Sue Suver
2541 Panther Drive |
$27.32 | 21,952 | 13,078 |
|
Jeffrey Jordan Haggenjos
775 Carroll St |
$33.75 | 15,706 | 13,908 |
|
Sharon Christine Lyon-Paul
1375 Commerce Dr |
$108.46 | 9,779 | 9,079 |
|
John A. Miller
1625 Airport Rd |
$19.54 | 6,950 | 4,915 |
|
Donna L. Mayer
1625 Airport Rd |
$30.71 | 6,725 | 4,583 |
|
Stephanie Mcclelland
2541 Panther Dr Ne |
$34.73 | 5,563 | 3,709 |
|
Patricia Scholl
2541 Panther Dr Ne |
$31.17 | 5,532 | 3,469 |
|
Katie Elizabeth Billingsley
401 Lincoln Park Dr |
$43.95 | 4,665 | 4,421 |
|
Christy Dawn Hill
1625 Airport Rd |
$35.58 | 4,539 | 3,884 |
|
Audrey Baker
401 Lincoln Park Dr |
$46.78 | 4,220 | 3,908 |
|
Brittney Nicole Valentine
399 Lincoln Park Dr Ste A |
$35.37 | 3,939 | 3,301 |
|
Lyons Primary Urgent Care Llc
322 W Water St |
$44.65 | 3,598 | 3,264 |
|
Perry County Family Practice, Inc.
1625 Airport Rd |
$0.39 | 3,193 | 2,498 |
|
Hopewell Health Centers Inc
2541 Panther Dr |
$0.61 | 2,803 | 2,336 |
|
Carlie Jo Woodard
1625 Airport Rd |
$46.20 | 1,953 | 1,807 |
|
Robert J Dittoe
391 Lincoln Park Dr |
$62.92 | 412 | 406 |
|
John Manard
391 Lincoln Park Dr |
$56.23 | 357 | 350 |
|
Perry County Ohio
212 S Main St Lowr Level |
$10.20 | 246 | 198 |
|
Clifton Jarrett Prince
401 Lincoln Park Drive |
$79.96 | 32 | 32 |
|
Anthony E Reichley
1625 Airport Rd |
$318.75 | 22 | 22 |
|
Hopewell Health Centers Inc
2541 Panther Dr. |
$27.71 | 20 | 20 |
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 Lexington, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Lexington, OH is $35.48 per claim, based on 125,348 claims from 22 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 Lexington, OH?
There are 22 Medicaid providers offering Office Visit related services in New Lexington, OH according to public payment data.
What is the price range for Office Visit in New Lexington, OH?
Medicaid reimbursement for Office Visit in New Lexington, OH ranges from $0.39 to $318.75 per claim, with an average of $35.48. 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 Lexington, OH
Dental Cleaning & Exam
Avg $23.26
68,686 claims
Behavioral & Mental Health Therapy
Avg $88.80
45,156 claims
Psychiatric Evaluation
Avg $73.30
32,404 claims
Blood Work & Lab Tests
Avg $8.44
30,824 claims
Substance Abuse Treatment
Avg $122.70
28,422 claims
Physical Therapy
Avg $14.15
26,934 claims
Emergency Room Visit
Avg $66.25
14,759 claims
Speech Therapy
Avg $27.87
13,371 claims