Average Medicaid Office Visit Payments in Pataskala, OH: $35.66
Avg. Paid
$35.66
Range
$20.69 – $64.35
Total Claims
51,839
Providers
22
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 Pataskala, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dalia S Elkhairi
1 Healthy Pl |
$24.27 | 19,579 | 9,630 |
|
Brian Todd Klima
1 Healthy Pl Ste 203 |
$41.04 | 10,459 | 9,488 |
|
Melissa Ann Lenko
One Healthy Place |
$49.43 | 4,384 | 3,230 |
|
Eric J Hoff
1 Healthy Pl Ste 201 |
$53.91 | 4,103 | 3,182 |
|
Benedicta Asare Banahene
909 Lockmead Ct |
$20.69 | 2,332 | 1,309 |
|
Keri Lynn Hershberger
One Healthy Place |
$50.53 | 2,323 | 2,175 |
|
Tamara Mills
1 Healthy Pl Ste 101 |
$44.39 | 1,771 | 1,706 |
|
Norman A Schwartz
621 Broad St Sw |
$45.13 | 1,237 | 1,105 |
|
Edward K Osei
24 Front St # 207 |
$21.15 | 1,103 | 863 |
|
Colleen Smith
1 Healthy Pl |
$41.98 | 1,090 | 1,002 |
|
Cynthia Kellar
350 E Broad St |
$38.89 | 571 | 514 |
|
Laura Schaeffer
One Healthy Place |
$36.75 | 531 | 507 |
|
Lucinda Sherman
370 E Broad St |
$53.71 | 448 | 403 |
|
Sonja Nicole Marino
One Healthy Place |
$24.49 | 438 | 415 |
|
Chrystal Lynn Rhoades
353 Donerail Dr Sw |
$34.89 | 341 | 332 |
|
Brooke Sydney Swart
8910 Broad St Sw |
$48.86 | 278 | 270 |
|
Karen M. Chase
642 E Broad St |
$29.73 | 276 | 161 |
|
Zeinabu Mohamed Ali
350 E Broad St |
$47.73 | 210 | 158 |
|
Amanda Marie Majoros
350 E Broad St |
$39.95 | 196 | 176 |
|
Aaron R Thomas
180 E Broad St |
$46.74 | 77 | 73 |
|
Loraine D Nkuissu Damcheu
2108 W Gardenia Dr |
$64.35 | 73 | 72 |
|
Riley Saylor
350 E Broad St |
$40.46 | 19 | 18 |
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 Pataskala, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pataskala, OH is $35.66 per claim, based on 51,839 claims from 22 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 Pataskala, OH?
There are 22 Medicaid providers offering Office Visit related services in Pataskala, OH according to public payment data.
What is the price range for Office Visit in Pataskala, OH?
Medicaid reimbursement for Office Visit in Pataskala, OH ranges from $20.69 to $64.35 per claim, with an average of $35.66. 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
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 Pataskala, OH
Home Health Visit
Avg $50.27
112,957 claims
Speech Therapy
Avg $29.57
39,420 claims
Physical Therapy
Avg $16.59
22,781 claims
Vaccines & Immunizations
Avg $11.82
21,294 claims
Ambulance Transport
Avg $69.37
15,656 claims
Urinalysis & Urine Tests
Avg $1.86
15,186 claims
Eye Exam
Avg $14.76
11,759 claims
Non-Emergency Medical Transportation
Avg $7.20
11,180 claims