Average Medicaid Office Visit Payments in Piqua, OH: $61.29
Avg. Paid
$61.29
Range
$19.52 – $129.84
Total Claims
72,157
Providers
40
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 Piqua, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anna Blevins
1830 W High St |
$105.31 | 15,309 | 10,669 |
|
Ethan William Hines
2333 E Suber Rd |
$41.90 | 6,339 | 5,777 |
|
Shelsea Lea Johnson
280 Looney Rd Ste 203 |
$65.42 | 5,777 | 4,282 |
|
Tammy J Taylor
280 Looney Rd |
$48.59 | 5,095 | 4,484 |
|
Larry Joseph Holland
101 Looney Rd |
$46.91 | 5,061 | 3,956 |
|
Paul W Weber
280 Looney Rd |
$50.75 | 4,003 | 3,610 |
|
Meredith Leigh Prenger
280 Looney Rd |
$50.06 | 3,853 | 3,529 |
|
Becky J Blackton
280 Looney Rd Ste 101 |
$41.52 | 3,072 | 2,755 |
|
Wendy L Wolfe
200 Kienle Dr |
$43.71 | 2,767 | 2,519 |
|
Lindsey Jane Jones
280 Looney Rd |
$41.42 | 2,628 | 2,340 |
|
Kelly Lynn Welsh
101 Looney Rd |
$34.83 | 2,578 | 2,148 |
|
Terence Young
101 Looney Rd |
$50.62 | 2,291 | 1,839 |
|
Amie Kathleen Jackson
1130 Garbry Rd |
$129.84 | 1,776 | 1,661 |
|
Ruth Jocelyn Claros
101 Looney Rd |
$50.64 | 1,767 | 1,426 |
|
Kristie Lynn Ogden
1 Kettering Way Ste 200 |
$29.86 | 1,569 | 1,507 |
|
Lee H Bricker
1 Kettering Way Ste 200 |
$37.39 | 902 | 816 |
|
Naga Prasuna Madireddy
280 Looney Road |
$25.70 | 862 | 699 |
|
Chelsea Warner
280 Looney Rd Ste 101 |
$51.29 | 819 | 707 |
|
Erica Nicole Wood
1255 E Ash St |
$50.68 | 806 | 756 |
|
Christopher Halasy
280 Looney Rd |
$40.75 | 586 | 448 |
|
James Burkhardt
200 Kienle Dr |
$51.82 | 443 | 419 |
|
Jessica Nichole Penny
280 Looney Rd Ste 203 |
$43.95 | 424 | 355 |
|
Cindy L Mays
280 Looney Rd |
$40.24 | 400 | 363 |
|
Francis N Ogbolu
9163 N County Road 25A |
$29.94 | 388 | 364 |
|
Dale Scott Guinther
1 Kettering Way Ste 200 |
$52.94 | 341 | 320 |
|
Derek Lawrence Metz
400 N Main St |
$32.28 | 288 | 270 |
|
Gretchen Marie Lorenz
9159N County Rd 25A |
$54.25 | 285 | 251 |
|
Jon Berkeley Silk
1752 W High St |
$83.62 | 268 | 222 |
|
Jennifer Lynn Doseck
101 Looney Rd |
$40.70 | 247 | 222 |
|
James Mcnerney
200 Kienle Dr |
$39.05 | 229 | 210 |
|
Tayler Allen Young
280 Looney Rd Ste 101 |
$43.75 | 226 | 202 |
|
Joann Heuker
200 Kienle Dr |
$37.39 | 222 | 214 |
|
Priya Patel
1752 W High St |
$57.54 | 119 | 103 |
|
Charles Stephen Koon
615 N Wayne St |
$46.98 | 104 | 104 |
|
Robin Renee Puckett
1130 Garbry Rd |
$19.52 | 88 | 75 |
|
Ijzan Bruns
1510 Covington Ave |
$50.23 | 71 | 69 |
|
Tammy Sue Gross
1130 Garbry Rd |
$21.04 | 44 | 42 |
|
Megan Bonk
200 Kienle Dr |
$26.34 | 40 | 37 |
|
Steven Joseph Werling
1301 E Ash St |
$32.09 | 40 | 37 |
|
Virgilio Arpon Ponferrada
9163 North County Road |
$42.92 | 30 | 26 |
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 Piqua, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Piqua, OH is $61.29 per claim, based on 72,157 claims from 40 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 Piqua, OH?
There are 40 Medicaid providers offering Office Visit related services in Piqua, OH according to public payment data.
What is the price range for Office Visit in Piqua, OH?
Medicaid reimbursement for Office Visit in Piqua, OH ranges from $19.52 to $129.84 per claim, with an average of $61.29. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Piqua, OH
Vaccines & Immunizations
Avg $16.50
27,628 claims
Substance Abuse Treatment
Avg $78.46
26,882 claims
Speech Therapy
Avg $31.18
25,491 claims
Durable Medical Equipment (DME)
Avg $29.75
24,742 claims
Physical Therapy
Avg $10.55
21,851 claims
Nursing Facility Care
Avg $9.67
17,411 claims
Ambulance Transport
Avg $47.03
12,840 claims
Psychiatric Evaluation
Avg $81.04
11,821 claims