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 |
|---|---|---|---|
|
Jason Cheatham
1805 27Th St |
$19.97 | 12 | 12 |
|
Phoenix Group Home Llc
902 Gallia St |
$161.34 | 13 | 13 |
|
Scott Benjamin Roberts
1713 Offnere St |
$0.00 | 13 | 13 |
|
Stephanie Brammer
1405 11Th St |
$10.83 | 14 | 14 |
|
Linda Lester
1711 27Th St Ste 206 |
$11.42 | 15 | 12 |
|
Maja Babic
1735 27Th St |
$29.18 | 16 | 15 |
|
June Ann Hamilton
1907 11Th St |
$21.07 | 18 | 17 |
|
Amanda J Williams
1711 27Th St Ste 206 |
$17.76 | 20 | 18 |
|
Ashley Ann Rowland
1729 Kinneys Ln Ste 202 |
$0.68 | 23 | 19 |
|
Surviving Our Losses And Continuing Everyday, Inc.
729 6Th St |
$0.00 | 27 | 24 |
|
Leon H Rosenberg
1735 27Th St |
$56.22 | 27 | 27 |
|
Amanda Paden
1805 27Th St |
$64.11 | 38 | 26 |
|
Monica Louise Thornburg
1907 11Th St |
$23.26 | 40 | 31 |
|
Julie Douthat
1915 Scioto Trl |
$60.77 | 46 | 46 |
|
Marion Richard Hochstetler
1711 27Th St Ste 206 |
$15.35 | 55 | 50 |
|
Joseph J Lach
1711 27Th Street, Braunlin Bldg |
$11.96 | 70 | 47 |
|
Natalie Ranee Spears
1805 27Th St |
$100.84 | 71 | 66 |
|
Kristie J Thacker
1711 27Th St |
$67.51 | 71 | 69 |
|
Shawnee Mental Health Center Inc
901 Washington St |
$43.04 | 77 | 69 |
|
Elie M Saab
1735 27Th St Ste 108 |
$35.41 | 85 | 82 |
|
Ronald Eugene Arrick
2001 Scioto Trl Ste 200 |
$23.29 | 89 | 80 |
|
Karissa Couch
1805 27Th St |
$54.79 | 96 | 89 |
|
Arjayra Lynne Treadway
1634 11Th St |
$48.77 | 100 | 93 |
|
Jessie Entwistle
1805 27Th St |
$45.77 | 109 | 101 |
|
Jessica Danielle Perkins
1611 27Th St Ste 301 |
$38.39 | 110 | 110 |
|
Kaci A Griffith
729 6Th St |
$21.73 | 115 | 75 |
|
Karen Huff
2127 25Th St |
$23.64 | 118 | 103 |
|
Scioto County Board Of Health
612 6Th St Suite D |
$5.46 | 118 | 79 |
|
David Arthur Helm
901 Washington St |
$57.36 | 133 | 127 |
|
Somc Medical Care Foundation, Inc.
1805 27Th St |
$32.87 | 155 | 150 |
|
Leasa L Mowery
1729 27Th St Bldg G |
$138.35 | 162 | 123 |
|
Tina Morgan
1711 27Th St |
$1.93 | 171 | 161 |
|
Shawnee Mental Health Center, Inc.
901 Washington St |
$14.81 | 184 | 165 |
|
Jeremiah Thomas Martin
1711 27Th St Ste 206 |
$24.07 | 227 | 209 |
|
William Melvin
1428 Gallia St |
$41.80 | 242 | 213 |
|
Jasmine Thompson
1121 Kinneys Ln |
$26.35 | 250 | 223 |
|
Benjamin Jacob Hadley
4300 Old Scioto Trl |
$118.94 | 257 | 148 |
|
Ron Jeffrey Miller
1611 27Th St Ste 201 |
$36.52 | 273 | 261 |
|
Kevin Dillon Macdonald
1805 27Th St |
$32.54 | 277 | 211 |
|
Jay Egolf
1400 Gay St |
$26.71 | 282 | 257 |
|
Duane J Marchyn
1711 27Th St Ste 102 |
$35.36 | 287 | 262 |
|
Taylor Babcock
721 7Th St |
$42.11 | 290 | 263 |
|
Amber Waddell
411 Court St |
$79.29 | 302 | 246 |
|
Michael Miller
1915 Scioto Trl |
$51.73 | 313 | 304 |
|
Kathyrn Newman
1616 Grant St |
$119.22 | 314 | 158 |
|
Alicia M Fink
2001 Scioto Trl Ste 300 |
$34.12 | 333 | 233 |
|
Bradley Craft
1735 27Th St Ste 108 |
$23.74 | 367 | 348 |
|
Raja Sinha
1711 27Th St Ste 301 |
$14.96 | 372 | 332 |
|
Jason Brice Crabtree
1611 27Th St Ste 201 |
$33.03 | 382 | 352 |
|
Lynsey Arey
1711 27Th St |
$1.56 | 405 | 365 |
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