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Based on public Medicaid payment data.

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

Other Procedures in Portsmouth, OH