Average Medicaid Office Visit Payments in Ontario, OH: $53.20
Avg. Paid
$53.20
Range
$0.63 – $119.43
Total Claims
213,794
Providers
66
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 Ontario, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Avita Ontario Hospital
715 Richland Mall |
$76.71 | 34,520 | 27,782 |
|
James Edward Richardson
2003 W 4Th St |
$57.52 | 11,864 | 6,947 |
|
Charles O Davis
2981 W 4Th St |
$43.47 | 11,646 | 10,719 |
|
Jeremy Riehm
715 Richland Mall Ste 407 |
$55.58 | 9,316 | 8,580 |
|
Lori Kay Mullins
2131 Park Ave W Ste 200 |
$19.16 | 7,905 | 4,716 |
|
Adam J Bihl
715 Richland Mall |
$46.86 | 7,372 | 6,711 |
|
Victor U. Moneme
2003 W 4Th St |
$84.38 | 6,987 | 6,379 |
|
Edward E Adkins
715 Richland Mall |
$50.27 | 6,856 | 6,472 |
|
Rachel L Hamilton
1750 W 4Th St |
$42.14 | 6,263 | 5,793 |
|
Gordon David Long
715 Richland Mall |
$47.15 | 6,068 | 5,689 |
|
Amber Campbell
715 Richland Mall |
$49.20 | 6,023 | 5,687 |
|
David Grant Stainbrook
715 Richland Mall |
$53.20 | 5,702 | 5,522 |
|
Vamsee K Amirneni
1750 W 4Th St |
$41.71 | 5,628 | 5,259 |
|
Harold Mordecai Brown
2003 W 4Th St |
$44.60 | 4,310 | 3,842 |
|
Gwendoline Fang
715 Richland Mall |
$67.94 | 4,288 | 3,126 |
|
Julie Elizabeth Burkhart
715 Richland Mall Ste A |
$54.48 | 4,279 | 4,001 |
|
Patricia Christine Conn
1750 W 4Th St |
$41.93 | 3,931 | 3,652 |
|
Paul Andrew Chang
2558 W 4Th St |
$49.76 | 3,782 | 3,346 |
|
Errol Baldwin Williams
715 Richland Mall |
$39.15 | 3,500 | 3,315 |
|
Harold A Ballitch
1991 Park Ave W |
$16.94 | 3,328 | 2,825 |
|
Kyle Randall
715 Richland Mall |
$52.47 | 2,947 | 2,771 |
|
Cheryl A Clay
715 Richland Mall |
$53.98 | 2,946 | 2,716 |
|
Natalie Roby
715 Richland Mall |
$53.95 | 2,817 | 2,648 |
|
Michael Barat
715 Richland Mall |
$36.95 | 2,811 | 2,443 |
|
Daniel E Wade
1770 W 4Th St |
$41.51 | 2,793 | 2,660 |
|
Tracy Alan Fleming
2131 Park Ave W Ste 200 |
$21.03 | 2,480 | 1,553 |
|
Patty Jean Fleming
715 Richland Mall |
$53.65 | 2,354 | 2,189 |
|
Melissa M Becker
715 Richland Mall |
$52.25 | 2,307 | 2,164 |
|
Julia Samantha Moore
1750 W 4Th St |
$46.06 | 2,269 | 2,024 |
|
Lindsey Wolf
715 Richland Mall |
$50.21 | 2,177 | 1,983 |
|
Omar Ahmad
600 Richland Mall |
$43.84 | 2,012 | 1,912 |
|
Holly Marie Graber
1750 W 4Th St |
$49.86 | 2,004 | 1,785 |
|
Linden Abigail Karas
715 Richland Mall |
$58.92 | 1,945 | 1,832 |
|
Dale M Hager
375 N Lexington Springmill Rd |
$58.51 | 1,931 | 1,632 |
|
Olena Irvin
375 N Lexington Springmill Rd |
$53.75 | 1,930 | 1,814 |
|
Beth A. Steinmetz
715 Richland Mall |
$40.95 | 1,737 | 1,663 |
|
Johanna S. Wilson
2267 Village Mall Dr |
$69.37 | 1,687 | 1,460 |
|
Michael Bitner
715 Richland Mall |
$43.69 | 1,653 | 1,543 |
|
Rachael Lauren Zimmerman
2267 Village Mall Dr |
$99.97 | 1,450 | 1,172 |
|
David S Zaghlool
715 Richland Mall |
$46.95 | 1,407 | 1,338 |
|
Jeannie Lynne Reid
1750 W 4Th St |
$45.68 | 1,321 | 1,258 |
|
Third Street Community Clinic, Inc.
2131 Park Ave W |
$0.63 | 1,311 | 871 |
|
Incare Health Solutions, Llc
375 N Lexington Springmill Rd |
$66.99 | 1,255 | 1,043 |
|
Lynne Werth
2981 W 4Th St |
$61.59 | 1,233 | 1,175 |
|
Joyce Marie Mitchell
1750 W 4Th St |
$39.75 | 1,156 | 943 |
|
Narcis Arthur Papadopol
715 Richland Mall |
$35.96 | 1,153 | 1,030 |
|
Cynthia A Dorsey
600 Richland Mall |
$39.33 | 1,000 | 930 |
|
Stacey Lynn Carabin
2267 Village Mall Dr. |
$119.43 | 842 | 658 |
|
Lauren Rachel Kauffman
715 Richland Mall |
$25.09 | 792 | 709 |
|
Deanna Sue Miller
715 Richland Mall |
$64.71 | 769 | 747 |
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 Ontario, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ontario, OH is $53.20 per claim, based on 213,794 claims from 66 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 Ontario, OH?
There are 66 Medicaid providers offering Office Visit related services in Ontario, OH according to public payment data.
What is the price range for Office Visit in Ontario, OH?
Medicaid reimbursement for Office Visit in Ontario, OH ranges from $0.63 to $119.43 per claim, with an average of $53.20. 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 Ontario, OH
Home Health Visit
Avg $42.27
151,054 claims
Blood Work & Lab Tests
Avg $5.28
99,492 claims
Durable Medical Equipment (DME)
Avg $33.59
38,096 claims
Emergency Room Visit
Avg $92.70
32,450 claims
Physical Therapy
Avg $41.60
24,439 claims
Urinalysis & Urine Tests
Avg $1.76
17,281 claims
Speech Therapy
Avg $34.31
16,864 claims
Tooth Extraction
Avg $74.81
14,038 claims