Average Medicaid Office Visit Payments in Pomeroy, OH: $44.06
Avg. Paid
$44.06
Range
$0.54 – $82.03
Total Claims
63,847
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 Pomeroy, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Meigs County General Health District
112 E Memorial Dr |
$13.05 | 17 | 14 |
|
Hopewell Health Centers Inc
41865 Pomeroy Pike |
$0.54 | 32 | 25 |
|
Erica Ryan Hersman
88 E Memorial Dr |
$41.42 | 397 | 376 |
|
Monica Jean Jackson
88 E Memorial Dr |
$37.09 | 1,170 | 953 |
|
Hopewell Health Centers Inc
41865 Pomeroy Pike |
$1.22 | 2,393 | 1,754 |
|
Margaret Mary Damia Hayman
41865 Pomeroy Pike |
$33.62 | 2,469 | 1,600 |
|
Marie Alyson Lear
88 E Memorial Dr |
$33.67 | 2,811 | 2,591 |
|
Bonnie J Williams
33101 Hiland Rd Ste B |
$82.03 | 3,782 | 2,993 |
|
Elizabeth Nicole Butcher
88 E Memorial Dr |
$43.52 | 3,995 | 3,655 |
|
Brenda K Dequasie
33101 Hiland Rd |
$75.16 | 5,011 | 3,845 |
|
Khai T Vu
88 E Memorial Dr |
$38.42 | 5,093 | 4,244 |
|
Pamela Wiseman
41865 Pomeroy Pike |
$54.59 | 5,173 | 4,349 |
|
Scott E. Smith
88 E Memorial Dr |
$37.37 | 7,347 | 6,707 |
|
Kristina Marie Finlaw
41865 Pomeroy Pike |
$20.95 | 9,106 | 5,690 |
|
Jeremy Ray Parsons
88 E Memorial Dr |
$51.06 | 15,051 | 14,353 |
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 Pomeroy, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pomeroy, OH is $44.06 per claim, based on 63,847 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 Pomeroy, OH?
There are 15 Medicaid providers offering Office Visit related services in Pomeroy, OH according to public payment data.
What is the price range for Office Visit in Pomeroy, OH?
Medicaid reimbursement for Office Visit in Pomeroy, OH ranges from $0.54 to $82.03 per claim, with an average of $44.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Pomeroy, OH
Dental Cleaning & Exam
Avg $11.01
35,078 claims
Psychiatric Evaluation
Avg $35.50
26,549 claims
Behavioral & Mental Health Therapy
Avg $101.59
24,415 claims
Ambulance Transport
Avg $66.59
13,269 claims
Blood Work & Lab Tests
Avg $10.01
13,190 claims
Speech Therapy
Avg $30.52
9,837 claims
Dental Filling
Avg $46.48
7,808 claims
Emergency Room Visit
Avg $48.12
3,598 claims