Average Medicaid Office Visit Payments in Oakwood, OH: $59.66
Avg. Paid
$59.66
Range
$3.16 – $318.75
Total Claims
18,093
Providers
15
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 Oakwood, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tara Sue Vangundy
1110 Oakwood Ave |
$97.09 | 6,039 | 3,724 |
|
Timothy Harvey Hogan
109 North First St. |
$48.12 | 2,937 | 2,634 |
|
Angela Lynn Robinson
400 Sugar Camp Cir Ste 101 |
$49.30 | 1,813 | 1,627 |
|
Sana Jeffreys
400 Sugar Camp Cir Ste 200 |
$36.33 | 1,765 | 1,416 |
|
Jennifer M Schneidler
105 Sugar Camp Cir Ste 200 |
$28.64 | 1,318 | 908 |
|
Joseph Raymond H See
400 Sugar Camp Cir Ste 200 |
$40.87 | 1,312 | 1,068 |
|
Heidi Buckingham
400 Sugar Camp Cir Ste 205 |
$36.20 | 910 | 794 |
|
Benjamin L. Mccalip
33 Peach Orchard Rd |
$30.38 | 817 | 752 |
|
John J Haluschak
400 Sugar Camp Cir Ste 200 |
$41.26 | 477 | 397 |
|
Basel Yanes
400 Sugar Camp Cir Ste 200 |
$45.82 | 318 | 210 |
|
Piyush Vinaykumar Patel
400 Sugar Camp Cir Ste 200 |
$35.51 | 237 | 196 |
|
Burt E Schear Md & Associates Inc
400 Sugar Camp Cir Ste 100 |
$3.16 | 51 | 51 |
|
Meghan A Reddick
400 Sugar Camp Cir Ste 200 |
$21.25 | 49 | 44 |
|
Brenna Marie Gingrich
414 Oakwood Ave |
$39.05 | 38 | 36 |
|
Isabelle Mccurry
1110 Oakwood Ave |
$318.75 | 12 | 12 |
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 Oakwood, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oakwood, OH is $59.66 per claim, based on 18,093 claims from 15 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 Oakwood, OH?
There are 15 Medicaid providers offering Office Visit related services in Oakwood, OH according to public payment data.
What is the price range for Office Visit in Oakwood, OH?
Medicaid reimbursement for Office Visit in Oakwood, OH ranges from $3.16 to $318.75 per claim, with an average of $59.66. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Oakwood, OH
Nursing Facility Care
Avg $18.05
42,300 claims
Eye Exam
Avg $24.63
9,782 claims
Psychiatric Evaluation
Avg $73.14
5,268 claims
Blood Work & Lab Tests
Avg $17.01
4,841 claims
Chiropractic Care
Avg $15.75
4,393 claims
Pathology & Lab Services
Avg $64.08
1,877 claims
Ultrasound
Avg $48.18
1,187 claims
Physical Therapy
Avg $0.92
472 claims