Average Medicaid Office Visit Payments in South Point, OH: $37.71
Avg. Paid
$37.71
Range
$1.72 – $115.48
Total Claims
78,478
Providers
16
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 South Point, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Derrick Mills
384 County Road 120 S |
$36.48 | 22,009 | 19,075 |
|
Whitney Arlette Ball
384 County Road 120 S |
$41.46 | 20,045 | 14,920 |
|
Cherri Lynn Sewell
214 Collins Ave Ste A |
$36.02 | 12,492 | 7,935 |
|
Bonnie Renee Patrick
55 Township Road 508 E |
$24.38 | 6,001 | 3,572 |
|
Rhonda L Crawford
384 County Road 120 S |
$28.36 | 3,118 | 2,588 |
|
Tracy Jean Ferguson
384 County Road 120 S |
$27.13 | 2,844 | 2,702 |
|
Angela Phares
178 Private Road 19423 |
$63.89 | 2,631 | 2,273 |
|
Crystal Lynn Long
81 Township Road 1373 |
$39.79 | 2,178 | 1,890 |
|
Erica Kaitlyn Schuster
214 Collins Ave Ste A |
$34.55 | 2,171 | 1,787 |
|
Donald Ours
384 County Road 120 S |
$38.64 | 1,957 | 1,643 |
|
Tori Combs
178 Private Road 19423 |
$115.48 | 1,117 | 918 |
|
Ironton & Lawrence County Area Community Action Organization
55 Township Road 508 E |
$1.72 | 1,061 | 764 |
|
Ryan D Wilson
335 Township Road 1026 |
$36.35 | 380 | 321 |
|
Brittneyann Moore
335 Township Road 1026 |
$32.74 | 254 | 209 |
|
Crystal Shamblin
178 Private Road 19423 |
$24.51 | 207 | 155 |
|
Anne Michelle Deeds
604 4Th St. E |
$50.88 | 13 | 13 |
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 South Point, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Point, OH is $37.71 per claim, based on 78,478 claims from 16 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 South Point, OH?
There are 16 Medicaid providers offering Office Visit related services in South Point, OH according to public payment data.
What is the price range for Office Visit in South Point, OH?
Medicaid reimbursement for Office Visit in South Point, OH ranges from $1.72 to $115.48 per claim, with an average of $37.71. 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 South Point, OH
Home Health Visit
Avg $53.06
171,872 claims
Behavioral & Mental Health Therapy
Avg $72.44
98,994 claims
Substance Abuse Treatment
Avg $75.92
98,651 claims
Durable Medical Equipment (DME)
Avg $30.94
86,251 claims
Psychiatric Evaluation
Avg $73.34
36,940 claims
Blood Work & Lab Tests
Avg $4.94
12,181 claims
Dental Cleaning & Exam
Avg $24.30
12,157 claims
Eye Exam
Avg $46.86
6,246 claims