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 |
|---|---|---|---|
|
John Marvin Mitchell
30 Messimer Dr |
$50.59 | 12 | 12 |
|
William H Phillips
1371 West Main Street |
$26.53 | 12 | 12 |
|
Sara Imtiaz Ali
1717 West Main St Ste 203 |
$51.87 | 12 | 12 |
|
Megan Hampton
1320 W Main St |
$44.46 | 12 | 12 |
|
James Thomas Marino
919 N 21St St |
$0.00 | 13 | 13 |
|
Licking County
675 Price Rd Ne |
$15.23 | 15 | 12 |
|
Qadra D Aden
1155 N 21St St |
$37.37 | 16 | 14 |
|
Maureen Yvonne Yablonski
1717 W Main St Ste 202 |
$23.67 | 21 | 13 |
|
Zeyn T. Mirza
1717 West Main St Ste 203 |
$49.89 | 25 | 25 |
|
Marissa-Ashley Kiss
955 N 21St St |
$42.53 | 25 | 23 |
|
Howard Reeves
131 Mcmillen Drive |
$41.30 | 27 | 25 |
|
Samuel Akinyeye
1717 W Main St Apt 203 |
$58.96 | 28 | 26 |
|
Corisa Mccloud
1025 Lawnview Ave |
$0.00 | 40 | 36 |
|
Charles Marty
1865 Tamarack Rd |
$13.47 | 40 | 25 |
|
Maria Campolo May
1930 Tamarack Rd |
$18.47 | 41 | 39 |
|
Frank Boateng
1406 Dickerson St |
$40.42 | 43 | 38 |
|
Behavioral Healthcare Partners Of Central Ohio Inc
65 Messimer Dr |
$0.00 | 49 | 49 |
|
Abigail T. Hrusovsky
1717 West Main St Ste 203 |
$30.76 | 49 | 44 |
|
Catherine Chiodo
1272 W Main St |
$24.40 | 53 | 38 |
|
Benjamin A Pasley
120 Mcmillen Dr |
$64.48 | 54 | 52 |
|
David W Koontz
30 Messimer Drive |
$27.89 | 58 | 54 |
|
Cha Hyong Kim
1320 W Main St |
$38.72 | 67 | 60 |
|
Melody L. Boone
245 Deo Dr |
$38.33 | 75 | 71 |
|
Medhanie Kifle Kifle
1320 W Main St |
$49.00 | 78 | 78 |
|
Sadie Ann Deckard
1717 W Main St Ste 201 |
$32.28 | 85 | 67 |
|
Licking Memorial Health Professionals
1320 W Main St |
$41.14 | 88 | 84 |
|
Eesha Maiodna
1320 W Main St |
$32.43 | 88 | 85 |
|
Donald Andrew Bowsher
1320 W Main St |
$41.11 | 97 | 92 |
|
Nadia Gill
200 Messimer Dr |
$30.36 | 101 | 87 |
|
Patricia Louise Morrison
65 Messimer Dr |
$64.10 | 112 | 104 |
|
Debra Ann Heldman
1320 W Main St |
$30.23 | 116 | 101 |
|
Mark James Petrykowski
1494 W Main St |
$47.94 | 119 | 117 |
|
Gregg A. Mantonya
919 N 21St St |
$22.65 | 137 | 136 |
|
Kristina Zottola
65 Messimer Dr |
$110.88 | 138 | 123 |
|
Laraine Brook Kemery
1320 West Main Street |
$27.50 | 144 | 135 |
|
Karen Lynn Smith-Silone
1717 W Main St Ste 202 |
$43.67 | 153 | 143 |
|
Lisa Burgin
1577 Fallsburg Rd Ne |
$48.17 | 155 | 143 |
|
Donald J Lewis
1902 Tamarack Rd |
$56.19 | 157 | 145 |
|
John Lewis Gallaher
919 N 21St St |
$10.79 | 163 | 159 |
|
Courtney Irene Diaz
926 N 21St St |
$38.40 | 171 | 153 |
|
Richard Whitney
200 Messimer Dr |
$65.34 | 179 | 166 |
|
David Subler
1717 W Main St Ste 203 |
$31.72 | 198 | 181 |
|
Zackary Birchard
1717 West Main St Ste 203 |
$49.33 | 222 | 211 |
|
James Edward Silone
1717 W Main St Ste 100 |
$53.84 | 235 | 229 |
|
Pattye Whisman
150 Mcmillen Dr |
$27.38 | 235 | 201 |
|
Allison Bosse
1671 W Main St |
$37.26 | 250 | 216 |
|
Mary-Claire Rocha
1930 Tamarack Rd |
$38.29 | 255 | 229 |
|
Anthony D'Amico
1717 W Main St |
$29.53 | 269 | 243 |
|
Patricia S Merrick
1320 West Main St |
$18.89 | 281 | 249 |
|
Andrea Montana Lewis
15 Messimer Dr |
$48.53 | 312 | 267 |
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