Average Medicaid Office Visit Payments in Sidney, OH: $46.69
Avg. Paid
$46.69
Range
$8.52 – $107.92
Total Claims
125,259
Providers
68
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 Sidney, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Warren Blatchly
823 Michigan St Bldg B |
$30.31 | 12 | 12 |
|
John Joseph Wilding
915 Michigan St |
$34.26 | 13 | 12 |
|
Robert J Mcdevitt
915 West Michigan Street |
$24.57 | 15 | 12 |
|
William Edwin Schemmel
915 Michigan St |
$29.40 | 27 | 27 |
|
Kenneth Bosslet
1205 Fairington Dr |
$32.45 | 34 | 28 |
|
Christopher Thomas Johnson
915 Michigan St |
$28.40 | 55 | 38 |
|
Maria Boyden
915 Michigan St |
$50.57 | 65 | 62 |
|
Alisa Elliott
915 Michigan St |
$42.94 | 80 | 77 |
|
Jeffrey M Ward
1118 Fairington Dr |
$20.37 | 125 | 106 |
|
Wilson Care, Llc
915 W. Michigan Street |
$8.52 | 161 | 130 |
|
Andrew David Mcdonald
915 W Michigan St |
$31.81 | 185 | 169 |
|
Eric David Vanfossen
1205 Fairington Dr |
$28.70 | 228 | 196 |
|
Whitney Maryruth Knoop
1540 Michigan St |
$67.45 | 371 | 352 |
|
Alyssa Ann Vactor
1103 Fairington Dr |
$42.14 | 374 | 341 |
|
Drew William Guisinger
1103 Fairington Dr Ste 100 |
$46.33 | 441 | 414 |
|
Valerie L Schulte
915 Michigan St Ste 201 |
$46.99 | 451 | 391 |
|
Barbara Pleiman
1023 Fair Rd |
$37.14 | 462 | 416 |
|
Lori Lyn Brown
915 Michigan St |
$43.54 | 485 | 440 |
|
Kelly K Debrosse
915 Michigan St Ste 201 |
$29.84 | 497 | 358 |
|
Chandulal D Ghodasara
915 West Michigan St |
$39.08 | 521 | 492 |
|
Meghan Albers
915 Michigan St |
$45.12 | 536 | 445 |
|
Melissa Tobe-Sutton
915 Michigan St |
$15.54 | 541 | 433 |
|
Mark T Haldeman
1081 Fairington Dr |
$41.09 | 580 | 540 |
|
Eric John Prenger
915 West Michigan Street |
$40.78 | 587 | 536 |
|
Jamie Michelle Lemaster
1142 E Parkwood St |
$40.70 | 657 | 620 |
|
Angela Marie Rogers
915 Michigan St |
$41.73 | 775 | 696 |
|
Kyle Maus
915 Michigan St Ste 200 |
$28.93 | 783 | 600 |
|
Tammie I Kelton
915 Michigan St |
$31.40 | 816 | 777 |
|
Frederick R Simpson
1103 Fairington Dr Ste 100 |
$46.10 | 1,016 | 934 |
|
Laurie A Nielsen-Haak
915 Michigan St Ste 100 |
$32.99 | 1,075 | 882 |
|
Michael G Beyer
750 S 4Th Ave Lowr Level |
$40.98 | 1,201 | 1,065 |
|
Danielle Allen
915 Michigan St |
$43.70 | 1,293 | 1,126 |
|
Adrienne Marie O'Neill
1000 Michigan St |
$30.45 | 1,330 | 1,140 |
|
Cara Wolters
1010 Michigan St |
$49.39 | 1,338 | 1,249 |
|
Trikannad S Prashanthkumar
915 Michigan St Ste 100 |
$33.70 | 1,429 | 1,328 |
|
Rehan Ahmed
1103 Fairington Dr |
$40.75 | 1,488 | 1,390 |
|
Melissa Ann Kinstle
1079 Fairington Dr |
$46.82 | 1,564 | 1,448 |
|
Noufal Jajeh
930 Wapakoneta Ave |
$23.29 | 1,564 | 1,459 |
|
Rudy J Bohinc
661 N Vandemark Rd |
$31.54 | 1,577 | 1,492 |
|
Michael A Jones
1000 W Michigan Ave |
$34.31 | 1,661 | 1,442 |
|
Frederick Richard Haussman
915 W. Michigan St. |
$49.46 | 1,675 | 1,547 |
|
Abigail L Fischer
915 Michigan St Ste 200 |
$45.66 | 1,894 | 1,685 |
|
Lyndsey North
915 Michigan St |
$42.31 | 1,930 | 1,783 |
|
Barbara A Hill
915 W Michigan St |
$44.35 | 1,963 | 1,784 |
|
Cindy A Parziale
1081 Fairington Dr |
$41.25 | 1,994 | 1,829 |
|
Lisa A Monroe
823 Michigan St Bldg A |
$39.73 | 2,086 | 1,948 |
|
Michael J Vietti
915 Michigan St |
$48.72 | 2,164 | 1,974 |
|
Kristi L. Pedler
915 W Michigan St |
$51.51 | 2,197 | 1,760 |
|
Kristie Lynn Lambert
915 Michigan St |
$42.60 | 2,316 | 2,180 |
|
Theresa Kay Edwards
1205 Fairington Dr |
$36.71 | 2,523 | 2,249 |
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 Sidney, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sidney, OH is $46.69 per claim, based on 125,259 claims from 68 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 Sidney, OH?
There are 68 Medicaid providers offering Office Visit related services in Sidney, OH according to public payment data.
What is the price range for Office Visit in Sidney, OH?
Medicaid reimbursement for Office Visit in Sidney, OH ranges from $8.52 to $107.92 per claim, with an average of $46.69. 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 Sidney, OH
Blood Work & Lab Tests
Avg $8.47
69,877 claims
Physical Therapy
Avg $25.79
36,163 claims
Psychiatric Evaluation
Avg $81.84
29,070 claims
Vaccines & Immunizations
Avg $10.17
27,438 claims
Emergency Room Visit
Avg $105.78
24,075 claims
Behavioral & Mental Health Therapy
Avg $51.38
23,598 claims
Substance Abuse Treatment
Avg $162.63
20,466 claims
Nursing Facility Care
Avg $9.87
17,489 claims