Average Medicaid Office Visit Payments in Proctorville, OH: $38.91
Avg. Paid
$38.91
Range
$1.07 – $72.64
Total Claims
58,128
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 Proctorville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisa Marie Tolliver
6276 County Road 107 |
$17.66 | 82 | 77 |
|
Elizabeth D Allen
98 State St |
$33.26 | 174 | 169 |
|
Bobbie Jane Taylor
302 State St |
$72.64 | 365 | 317 |
|
Glenn Scott Davis
98 State St |
$49.08 | 558 | 502 |
|
Patti Jo Marcum
7718 County Road 107 |
$39.09 | 564 | 517 |
|
Anna Marie Gibson
7718 County Road 107 |
$34.15 | 961 | 840 |
|
Ovp Health Care Inc
6276 County Road 107 |
$63.30 | 1,229 | 1,054 |
|
Ironton & Lawrence County Area Community Action Organization
10777 County Road 107 |
$1.07 | 1,467 | 1,076 |
|
Alicia Renee Johnson
98 State St |
$48.06 | 3,446 | 3,171 |
|
Jeremy Clifton Cuzzourt
98 State St |
$56.87 | 4,425 | 4,200 |
|
Donna Marie Bolden
10777 County Road 107 |
$30.74 | 5,999 | 4,110 |
|
Thomas Earl Moore
6276 County Road 107 |
$31.92 | 6,727 | 4,138 |
|
Tamela R. King
10777 County Road 107 |
$23.08 | 10,225 | 5,484 |
|
Glen P. Imlay
98 State St |
$33.03 | 10,454 | 8,433 |
|
Michael R Black
98 State St |
$58.39 | 11,452 | 10,488 |
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 Proctorville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Proctorville, OH is $38.91 per claim, based on 58,128 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 Proctorville, OH?
There are 15 Medicaid providers offering Office Visit related services in Proctorville, OH according to public payment data.
What is the price range for Office Visit in Proctorville, OH?
Medicaid reimbursement for Office Visit in Proctorville, OH ranges from $1.07 to $72.64 per claim, with an average of $38.91. 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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Other Procedures in Proctorville, OH
Home Health Visit
Avg $52.11
446,476 claims
Physical Therapy
Avg $15.23
6,702 claims
Nursing Facility Care
Avg $19.99
5,066 claims
Emergency Room Visit
Avg $67.42
4,414 claims
Psychiatric Evaluation
Avg $37.67
4,029 claims
Blood Work & Lab Tests
Avg $3.60
3,703 claims
Vaccines & Immunizations
Avg $14.46
3,471 claims
Speech Therapy
Avg $30.44
3,162 claims