Average Medicaid Office Visit Payments in Newark, OH: $57.00
Avg. Paid
$57.00
Range
$0.00 – $122.95
Total Claims
653,564
Providers
213
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 Newark, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Licking Memorial Hospital
1320 W Main St |
$118.86 | 52,236 | 45,078 |
|
Robert Timothy Richards
974 N 21St St |
$42.09 | 38,448 | 22,887 |
|
Kevin Finley
1320 W Main St |
$62.15 | 25,508 | 24,666 |
|
Gary Sutliff
1320 W Main St |
$65.09 | 22,087 | 21,341 |
|
Allan Ray Thomas
1320 W Main St |
$58.14 | 17,108 | 16,521 |
|
Richard Baltisberger
1865 Tamarack Rd |
$41.44 | 15,751 | 14,669 |
|
Shelley Gittens
1865 Tamarack Rd |
$51.27 | 13,330 | 11,946 |
|
Lauren Elayne Fields
418 Hunters Ct |
$16.50 | 12,568 | 6,853 |
|
Jaclynn Pauline Back
1445 W Main St |
$111.82 | 12,335 | 8,415 |
|
Laura Ann Higgins
1320 West Main St |
$59.25 | 10,770 | 10,442 |
|
Daria J Hopkins
120 Mcmillen Dr |
$15.46 | 10,453 | 5,286 |
|
Jimisha Patel
1864 Tamarack Road |
$68.51 | 10,044 | 7,806 |
|
Tabitha Gartner
1320 W Main St |
$59.65 | 10,002 | 9,671 |
|
Ebonee Emanuel
15 Messimer Dr |
$20.09 | 9,748 | 4,456 |
|
Hanaa Abdelmessih
1865 Tamarack Rd |
$46.68 | 9,648 | 9,138 |
|
Thomas J Hagele
1717 W Main St Ste 204 |
$42.21 | 9,223 | 8,790 |
|
Robert Storm Speelman
1320 W Main St |
$50.25 | 8,776 | 8,460 |
|
Megan Marie Lowry
1320 West Main Street |
$47.46 | 8,497 | 7,529 |
|
Sarah A Rice
1320 W Main St |
$38.57 | 8,005 | 6,124 |
|
Nicole Renea Starks
974 N 21St St |
$67.75 | 8,001 | 5,866 |
|
John Scott Delong
15 Messimer Dr |
$59.79 | 7,179 | 4,276 |
|
Andrew C. Seipel
2181 W High St |
$47.94 | 6,431 | 6,094 |
|
Erica L Brown
15 Messimer Dr |
$48.62 | 6,241 | 4,709 |
|
Elaine Marie Ramey
155 Mcmillen Dr |
$51.32 | 6,183 | 5,680 |
|
James W Desapri
1272 W Main St Ste 503 |
$39.71 | 6,175 | 5,580 |
|
Sachida Nand Manocha
78 Messimer Dr |
$19.78 | 6,127 | 5,182 |
|
Keri Michelle Cunningham
974 N 21St St |
$76.66 | 6,035 | 4,548 |
|
Jacqueline L Cleland
20 W Locust St |
$25.60 | 5,894 | 3,248 |
|
Charles Lewis Geiger
1970 Tamarack Rd |
$44.38 | 5,855 | 5,483 |
|
Katrina M Timson
399 E Main St |
$41.78 | 5,852 | 5,419 |
|
Matthew R Harris
1272 W Main St Ste 503 |
$74.63 | 5,835 | 3,751 |
|
Andrea Jones
595 Country Club Dr |
$101.73 | 5,639 | 5,181 |
|
Abhay J. Anand
1320 West Main Street |
$58.92 | 5,411 | 5,174 |
|
Kristine Plotts
1865 Tamarack Rd |
$63.82 | 5,271 | 3,903 |
|
Joan Crumrine
Licking Memorial Family Practice East |
$39.11 | 5,262 | 4,882 |
|
Asha Jerubet Kosgey
1445 W Main St |
$75.19 | 5,157 | 4,307 |
|
Paul Jonathon Wiseman
1478 W Main St |
$52.32 | 4,857 | 4,464 |
|
Christopher Matthew Forbush
1272 W Main St |
$45.94 | 4,848 | 4,441 |
|
Garth A Bennington
1717 W Main St |
$35.52 | 4,596 | 4,248 |
|
Christopher Bollinger
974 N 21St St |
$113.87 | 4,538 | 3,071 |
|
Mark Hacker
1320 West Main St |
$64.96 | 4,525 | 4,372 |
|
Meghan Janet Meerschaert
1320 W Main St |
$56.01 | 4,162 | 4,025 |
|
Even Fengyuan Wang
120 Mcmillen Dr |
$46.36 | 4,111 | 3,913 |
|
Loretta Long
15 Messimer Dr |
$49.38 | 4,107 | 3,044 |
|
Jeremy Campbell
1930 Tamarack Rd |
$40.49 | 4,064 | 3,585 |
|
Andrew Terlecky
1717 W Main St |
$40.54 | 3,933 | 3,597 |
|
Adrian Leibas
1671 W Main St |
$41.20 | 3,880 | 3,610 |
|
William Andrew Highberger
200 Messimer Drive |
$104.96 | 3,758 | 3,440 |
|
Janae M. Davis
20 W Locust St |
$52.15 | 3,640 | 2,940 |
|
Richard A. Black
1445 W Main St |
$106.53 | 3,529 | 3,281 |
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 Newark, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newark, OH is $57.00 per claim, based on 653,564 claims from 213 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 Newark, OH?
There are 213 Medicaid providers offering Office Visit related services in Newark, OH according to public payment data.
What is the price range for Office Visit in Newark, OH?
Medicaid reimbursement for Office Visit in Newark, OH ranges from $0.00 to $122.95 per claim, with an average of $57.00. 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 Newark, OH
Blood Work & Lab Tests
Avg $9.50
315,865 claims
Emergency Room Visit
Avg $88.13
199,270 claims
Psychiatric Evaluation
Avg $71.67
186,026 claims
Behavioral & Mental Health Therapy
Avg $69.94
169,810 claims
Vaccines & Immunizations
Avg $12.81
123,756 claims
Home Health Visit
Avg $42.12
102,256 claims
Urinalysis & Urine Tests
Avg $2.89
98,883 claims
Dental Cleaning & Exam
Avg $22.07
81,986 claims