Average Medicaid Office Visit Payments in Portsmouth, OH: $49.74
Avg. Paid
$49.74
Range
$0.00 – $163.20
Total Claims
1,198,712
Providers
251
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 Portsmouth, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southern Ohio Medical Center
1805 27Th Street |
$52.59 | 74,645 | 62,333 |
|
Portsmouth Hospital Corporation
1901 Argonne Rd |
$126.27 | 30,780 | 27,595 |
|
Thea Floyd
411 Court St |
$20.10 | 26,838 | 11,245 |
|
Hope Ann Morgan
1805 27Th St |
$110.86 | 23,135 | 19,649 |
|
Kevin Wolfe
2001 Scioto Trl |
$57.15 | 21,610 | 20,356 |
|
Megan Leanne Whisman
717 5Th St |
$19.74 | 21,070 | 7,432 |
|
Ryan Carpenter
1634 11Th St |
$21.43 | 20,107 | 10,203 |
|
Darren Chad Adams
1735 27Th St Ste 202 |
$57.33 | 19,092 | 15,165 |
|
Ryan Francis Sandlin
1729 27Th St |
$61.53 | 17,923 | 14,377 |
|
Gordon Victor Givan
1901 Argonne Rd |
$52.83 | 17,292 | 16,074 |
|
Andrew Michael Stegman
1611 27Th St Ste 302 |
$52.57 | 16,760 | 15,478 |
|
Ted Justin Stidham
1611 27Th St Ste 101 |
$60.38 | 15,771 | 14,336 |
|
Christine Williams
1711 27Th St |
$115.71 | 15,636 | 12,908 |
|
Marla J Bradley
1907 11Th St |
$115.71 | 14,248 | 9,587 |
|
Julia Ann Gilbert
2001 Scioto Trl Ste 300 |
$35.57 | 13,976 | 8,845 |
|
Patricia D Sparks
901 Washington Street |
$29.58 | 13,834 | 10,163 |
|
Diana Elaine Young
1735 27Th St Ste 202 |
$58.03 | 13,386 | 11,439 |
|
Tiffany L. Harris
1729 27Th St |
$47.76 | 12,890 | 8,727 |
|
Hannah Kayla Bailey
1248 Kinneys Ln |
$52.27 | 12,736 | 12,120 |
|
Mikell N Rase
1611 27Th St Ste 101 |
$62.78 | 12,569 | 11,525 |
|
Lisa G Poorman
901 Washington St |
$24.08 | 12,521 | 8,237 |
|
Christopher Keeton
2001 Scioto Trl Ste 300 |
$32.75 | 12,300 | 7,878 |
|
Larika Danyelle Nicole Moore
1248 Kinneys Ln |
$40.79 | 12,087 | 11,525 |
|
Nicholas Scott Toppins
1405 11Th St |
$75.11 | 11,791 | 9,773 |
|
Crystal Marie Travis
901 Washington St |
$40.53 | 11,551 | 8,041 |
|
Amber Dawn Stephens
2001 Scioto Trl Ste 300 |
$34.43 | 11,297 | 7,031 |
|
Amy J. Bartos
1611 27Th St Ste 101 |
$55.32 | 11,113 | 10,443 |
|
Stephanie Joan Lang
901 Washington St |
$34.35 | 11,002 | 6,826 |
|
Carolyn Dale Mckinnon
1248 Kinneys Lane |
$56.46 | 10,709 | 10,200 |
|
Paul David Rase
1711 27Th St Ste 206 |
$34.32 | 10,600 | 9,804 |
|
Diana Lynn Burns
411 Court St |
$46.13 | 10,207 | 7,860 |
|
Christopher W Schmidt
1735 27Th St |
$32.67 | 10,088 | 9,391 |
|
John R Radford
1611 27Th St Ste 101 |
$56.88 | 10,035 | 9,316 |
|
Joseph David Augustin
1248 Kinneys Ln |
$48.46 | 9,804 | 9,111 |
|
Amy E Spencer
1711 27Th St Ste 206 |
$36.66 | 9,522 | 8,810 |
|
Tsuyoshi Inoshita
916 11Th St |
$19.09 | 9,485 | 8,868 |
|
Arthur Jefferson Ramey
1735 27Th St Ste 108 |
$62.07 | 9,427 | 8,001 |
|
Sriharsha Velury
2001 Scioto Trl Ste 200 |
$34.13 | 9,114 | 8,425 |
|
Jason Lee Swords
1711 27Th St Ste 403 |
$42.73 | 8,815 | 8,408 |
|
Jitendra K Patel
723 8Th St |
$19.18 | 8,802 | 7,665 |
|
Kings Daughters Medical Specialties Inc
1901 Argonne Road |
$39.25 | 8,721 | 8,273 |
|
Belinda S Rose
1634 11Th St |
$33.12 | 8,595 | 4,420 |
|
Andrea Leigh Ryan
840 Gallia St |
$33.19 | 8,537 | 6,175 |
|
George W Shahade
1611 27Th St Ste 202 |
$50.66 | 8,515 | 7,967 |
|
Amber N Roffe
901 Washington St |
$23.16 | 8,457 | 4,928 |
|
Jessica Nicole Powell
1248 Kinneys Ln |
$53.43 | 8,339 | 7,879 |
|
Zachary A Harr
1711 27Th St Ste 102 |
$49.09 | 8,304 | 7,475 |
|
Javaid A Malik
1711 27Th St Ste 102 |
$59.93 | 7,525 | 6,954 |
|
Jay Mohamad Hamze
1711 27Th St Ste 206 |
$29.43 | 7,421 | 6,756 |
|
Evan D Yates
1711 27Th St Ste 102 |
$46.99 | 7,389 | 6,592 |
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 Portsmouth, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portsmouth, OH is $49.74 per claim, based on 1,198,712 claims from 251 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 Portsmouth, OH?
There are 251 Medicaid providers offering Office Visit related services in Portsmouth, OH according to public payment data.
What is the price range for Office Visit in Portsmouth, OH?
Medicaid reimbursement for Office Visit in Portsmouth, OH ranges from $0.00 to $163.20 per claim, with an average of $49.74. 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 Portsmouth, OH
Substance Abuse Treatment
Avg $118.94
1,451,815 claims
Blood Work & Lab Tests
Avg $8.57
986,373 claims
Behavioral & Mental Health Therapy
Avg $64.96
919,588 claims
Ambulance Transport
Avg $48.23
384,343 claims
Psychiatric Evaluation
Avg $70.72
367,038 claims
X-Ray
Avg $10.69
363,100 claims
Emergency Room Visit
Avg $95.84
313,734 claims
Home Health Visit
Avg $48.21
246,031 claims