Average Medicaid Office Visit Payments in Springboro, OH: $59.74
Avg. Paid
$59.74
Range
$28.57 – $148.11
Total Claims
138,560
Providers
79
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 Springboro, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cara Elizabeth Perez
54 Remick Blvd |
$40.41 | 20,929 | 18,804 |
|
Lisa Susan Ziemnik
662 N Main St |
$119.49 | 9,414 | 7,871 |
|
Anil H. Jhangiani
325 N Main St |
$43.69 | 8,605 | 7,736 |
|
Vanessa Lynn Douglas
662 N Main St |
$72.57 | 8,553 | 6,960 |
|
Paula A Eichmann
662 N Main St |
$91.42 | 5,503 | 4,005 |
|
Kileen Jerricha Fernandez
662 N Main St |
$71.88 | 5,408 | 4,305 |
|
Jennifer Jenay Adams
825 N Main St Ste 120 |
$63.30 | 4,751 | 4,411 |
|
Karen Zellner
50 Greenwood Ln |
$119.94 | 4,485 | 3,899 |
|
Kelsi Nikole Gerdeman
662 N Main St |
$70.49 | 4,034 | 3,315 |
|
Jennifer Ann Martin
825 N Main St Ste 140 |
$49.78 | 3,636 | 3,398 |
|
Lisa Marie Calabro
662 N Main St |
$60.88 | 3,380 | 2,925 |
|
Mercy Chong
825 N Main St Ste 210 |
$57.21 | 3,159 | 2,644 |
|
Michelle Renae West
752 N Main St |
$59.37 | 3,030 | 2,765 |
|
Kurt B Avery
360 W Central Ave |
$39.75 | 2,615 | 2,324 |
|
Michael Alan Buch
825 N. Main St. |
$46.56 | 2,478 | 2,319 |
|
Joia Lynn Henson
825 N Main St Ste 210 |
$42.79 | 2,237 | 2,025 |
|
Bonnie L Albertini
662 N Main St |
$77.31 | 2,235 | 1,840 |
|
Karen Elizabeth Starrett
825 N Main St Ste 210 |
$43.07 | 2,114 | 2,049 |
|
Cynthia A. Renfrow
825 N Main St Ste 120 |
$37.19 | 2,092 | 1,971 |
|
Paul A Kirila
562 N Main St |
$28.57 | 2,082 | 1,612 |
|
James R Fisco
70 Remick Blvd |
$77.06 | 1,839 | 1,701 |
|
Thomas Judson Dunn
825 N. Main St. |
$48.97 | 1,823 | 1,648 |
|
Pamela Jane Kraft
825 N Main St Ste 120 |
$38.53 | 1,709 | 1,620 |
|
Narayan S Peddanna
77 W Eleanor Dr |
$48.53 | 1,580 | 1,490 |
|
Nicholas Scott Hirth
825 N Main St Ste 140 |
$53.37 | 1,565 | 1,503 |
|
Kathryn A.S. Wilson
32 S Richards Run |
$45.10 | 1,536 | 1,438 |
|
Kristen M Curington
662 N Main St |
$56.03 | 1,505 | 1,308 |
|
Nicole Christine Boucuvalas
825 N Main St Ste 130 |
$42.47 | 1,405 | 1,342 |
|
Dena Elise Mason Zied
10 Remick Blvd |
$53.79 | 1,387 | 1,279 |
|
Mansi Amin
360 W Central Ave |
$42.55 | 1,353 | 1,160 |
|
Kristina Culotta Campbell
360 W Central Ave |
$53.89 | 1,341 | 1,307 |
|
Heather Nicole Brahm
360 W Central Ave |
$40.38 | 1,315 | 1,162 |
|
Robert J. Smith
360 W Central Ave |
$40.00 | 1,118 | 987 |
|
Kassandra Danielle Bond
825 N Main St. |
$43.46 | 1,101 | 1,033 |
|
Ariana Nichelle Herbert
630 N Main St |
$45.36 | 992 | 872 |
|
Leo G Lasala
360 W Central Ave |
$36.00 | 962 | 855 |
|
Sara Berg
360 W Central Ave |
$30.07 | 940 | 810 |
|
Zareen A Khan
70 Remick Blvd |
$43.02 | 838 | 805 |
|
Malay K Dey
77 W Eleanor Dr |
$30.44 | 816 | 775 |
|
Krisell D Fedrizzi
325 N Main St Ste 206 |
$40.19 | 800 | 699 |
|
Tamara Kaye Brockman
662 N Main St |
$70.88 | 777 | 644 |
|
Carrie Adele Cain
70 Remick Blvd |
$47.49 | 756 | 619 |
|
Laney Beiser Thorn
825 N Main St Ste 140 |
$45.40 | 683 | 656 |
|
Sue A Karnitis
825 N Main Street |
$43.67 | 680 | 617 |
|
Jennifer Janelle Morris
662 N Main St |
$62.89 | 626 | 559 |
|
Tristan Elliot Handler
77 W Eleanor Dr |
$47.18 | 597 | 555 |
|
James Frank Slaughenhaupt
10 Remick Blvd |
$52.49 | 588 | 538 |
|
Kelly Holt
70 Remick Blvd |
$58.10 | 553 | 517 |
|
Christine Nichole Stahl
10 Remick Blvd |
$38.54 | 547 | 508 |
|
Michael J Ruff
360 W Central Ave |
$41.57 | 518 | 460 |
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 Springboro, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springboro, OH is $59.74 per claim, based on 138,560 claims from 79 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 Springboro, OH?
There are 79 Medicaid providers offering Office Visit related services in Springboro, OH according to public payment data.
What is the price range for Office Visit in Springboro, OH?
Medicaid reimbursement for Office Visit in Springboro, OH ranges from $28.57 to $148.11 per claim, with an average of $59.74. 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 Springboro, OH
Psychiatric Evaluation
Avg $65.30
28,238 claims
Podiatry (Foot Care)
Avg $8.65
22,272 claims
Vaccines & Immunizations
Avg $12.02
10,923 claims
Substance Abuse Treatment
Avg $145.86
10,671 claims
Nursing Facility Care
Avg $14.34
9,086 claims
Blood Work & Lab Tests
Avg $29.22
8,488 claims
Behavioral & Mental Health Therapy
Avg $55.20
7,160 claims
Eye Exam
Avg $37.95
6,913 claims