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Based on public Medicaid payment data.

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

Other Procedures in Newark, OH