Average Medicaid Office Visit Payments in New Philadelphia, OH: $56.49
Avg. Paid
$56.49
Range
$5.16 – $104.14
Total Claims
87,935
Providers
32
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 Philadelphia, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jon Andrew Elias
1031 W High Ave |
$42.32 | 9,687 | 9,211 |
|
Alexandra Kathleen Miller
735 4Th St Nw |
$14.88 | 8,427 | 4,240 |
|
Tracey Elaine Ward
2148 Kevin Ct Ne |
$32.36 | 8,077 | 7,562 |
|
Brittany Corrigan
1045 W High Ave |
$71.95 | 7,730 | 7,237 |
|
Marsha Meleacia Cobrand
1031 W High Ave |
$64.54 | 7,092 | 6,709 |
|
Heidi Torch
1045 W High Ave |
$69.61 | 6,307 | 5,895 |
|
Alison Nicole Summers
1433 5Th St Nw |
$104.14 | 4,932 | 4,242 |
|
Denise Holmes
1045 W High Ave |
$75.26 | 4,601 | 4,236 |
|
Miranda Huffman
1045 W High Ave |
$81.35 | 4,463 | 4,236 |
|
Jennifer M Conidi
1045 W High Ave |
$62.11 | 3,972 | 3,636 |
|
Leesha Paulus
1045 W High Ave |
$60.89 | 3,829 | 3,542 |
|
Janlyn M Sauter
1045 W High Ave |
$79.21 | 3,245 | 3,080 |
|
Victoria T Carpio
1045 W High Ave |
$64.67 | 3,137 | 3,005 |
|
Sara Elisabeth King
1045 W High Ave |
$70.02 | 2,538 | 2,361 |
|
Jennifer M Gigax
1045 W High Ave |
$65.77 | 1,596 | 1,521 |
|
Mathew Armstrong
1031 W High Ave |
$42.89 | 1,428 | 1,241 |
|
Chirag Arvind Patel
1535 Terrace Rd Nw |
$25.44 | 1,312 | 1,200 |
|
Renae Lynn Snyder
1045 W High Ave |
$27.48 | 957 | 808 |
|
Morteza Mirhaidari
152 N Broadway St |
$28.85 | 900 | 741 |
|
Michele Lynn Dawson
306 W High Ave |
$5.16 | 642 | 609 |
|
Karianne Gerber
1045 W High Ave |
$24.24 | 642 | 560 |
|
Dustin Scott Harder
155 Garland Dr Sw |
$36.25 | 491 | 456 |
|
April Edwards
1045 W High Ave |
$43.01 | 408 | 357 |
|
James J Cattarin
130 1/2 South Broadway |
$45.74 | 341 | 325 |
|
Brian Joseph Klockner
155 Mcdonald Drive Sw |
$61.45 | 301 | 287 |
|
Steffen S Cameron
551 Wabash Ave Nw |
$34.81 | 186 | 174 |
|
Olyvia Danielle Ford
3087 Baltzley Ave Se |
$62.47 | 156 | 141 |
|
Walter Watson Randolph
1417 Kaderly St Nw |
$43.56 | 150 | 132 |
|
Anthony John Gatelaro
1251 Monroe St Nw |
$25.74 | 134 | 103 |
|
Nicholas Vincent Varrati
306 W High Ave |
$8.54 | 129 | 127 |
|
Umesh Betkerur
1045 W High Ave |
$73.81 | 74 | 71 |
|
Troy H. Nguyen
231 Bluebell Dr Sw |
$88.07 | 51 | 51 |
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 Philadelphia, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Philadelphia, OH is $56.49 per claim, based on 87,935 claims from 32 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 Philadelphia, OH?
There are 32 Medicaid providers offering Office Visit related services in New Philadelphia, OH according to public payment data.
What is the price range for Office Visit in New Philadelphia, OH?
Medicaid reimbursement for Office Visit in New Philadelphia, OH ranges from $5.16 to $104.14 per claim, with an average of $56.49. 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 Philadelphia, OH
Behavioral & Mental Health Therapy
Avg $73.48
58,971 claims
Vaccines & Immunizations
Avg $6.77
51,673 claims
Substance Abuse Treatment
Avg $109.22
43,772 claims
Durable Medical Equipment (DME)
Avg $36.56
39,997 claims
Dental Cleaning & Exam
Avg $25.77
36,484 claims
Psychiatric Evaluation
Avg $76.29
36,365 claims
Chiropractic Care
Avg $13.24
27,044 claims
Dental Filling
Avg $63.28
20,793 claims