Average Medicaid Office Visit Payments in Springfield, OH: $42.86
Avg. Paid
$42.86
Range
$0.00 – $142.34
Total Claims
811,367
Providers
278
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 Springfield, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kamel Abraham
1117 E Home Rd |
$31.41 | 33,605 | 29,839 |
|
Mtanious Makhoul
247 S Burnett Rd |
$49.99 | 30,859 | 27,145 |
|
Mujeeb A Ranginwala
2029 E High St Ste 102 |
$49.37 | 20,102 | 18,891 |
|
Shawn Steven Osterholt
1108 Vester Ave |
$43.45 | 19,943 | 14,357 |
|
Curtis J Orr
1108 Vester Ave |
$32.54 | 17,595 | 11,367 |
|
Carol D Barlage
651 S Limestone St |
$22.80 | 16,749 | 9,418 |
|
Rocking Horse Childrens Health Center
651 S Limestone St |
$2.52 | 16,464 | 13,817 |
|
Andres Felipe Barrero Ortiz
651 S Limestone St |
$19.58 | 16,401 | 9,421 |
|
Pamela Daufel
1176 E Home Rd |
$24.75 | 14,610 | 8,430 |
|
Vijay K. Chitkara
218 Northparke Dr |
$46.36 | 14,589 | 13,364 |
|
Community Urgent Care Inc.
2555 Creekwood Ct |
$78.71 | 14,028 | 13,374 |
|
Moin Ahmed Ranginwala
2029 East High Street |
$37.58 | 12,822 | 11,783 |
|
M Husain Jawadi
30 W Mccreight Ave |
$41.35 | 12,508 | 10,824 |
|
Jennifer Louise Jones
1416 W 1St St |
$77.46 | 11,476 | 7,079 |
|
Heather J Koster
651 S Limestone St |
$21.04 | 11,350 | 6,058 |
|
Sherri L Powell
120 W Mulberry St |
$26.94 | 10,826 | 6,276 |
|
Amy B Doyle
651 S Limestone St |
$22.38 | 10,632 | 5,428 |
|
Linsy Renae Howard
651 S Limestone St |
$19.36 | 10,560 | 6,286 |
|
Caleb Okafor Molokwu
2555 Creekwood Ct |
$48.08 | 10,474 | 10,067 |
|
Lawrence Daykin
1640 N Limestone St |
$45.53 | 10,272 | 9,763 |
|
Charles A Noe
651 S Limestone St |
$48.46 | 10,194 | 5,819 |
|
Jeffrey D Asper
651 S Limestone St |
$19.41 | 8,943 | 4,528 |
|
Kelly A Bennington
2701 Moorefield Rd |
$84.47 | 8,710 | 5,865 |
|
Su-Ann Newport
474 N Yellow Springs St |
$142.34 | 8,636 | 8,173 |
|
Heather Mcdowell
1117 E Home Rd |
$32.22 | 8,446 | 7,080 |
|
Ronald J Terrell
1301 W 1St St |
$53.47 | 8,251 | 7,725 |
|
Lindsey F Wright
651 S Limestone St |
$22.73 | 8,213 | 4,013 |
|
Jennifer L Rust
1108 Vester Ave |
$37.57 | 7,330 | 5,830 |
|
Umamaheswara Rao Vellanki
3162 El Camino Dr |
$38.14 | 7,094 | 6,436 |
|
Mackenzie A Engle
651 S Limestone St |
$19.87 | 6,904 | 3,251 |
|
Muhammad Ashraf
100 W Mccreight Ave |
$45.13 | 6,712 | 6,208 |
|
Imtiaz Ahmed
211 Northparke Dr |
$40.81 | 6,709 | 6,154 |
|
Challa Ajit
2355 Derr Rd |
$45.61 | 6,629 | 6,256 |
|
Donald Pierre Lemelle
415 W Harding Rd |
$25.81 | 6,628 | 5,324 |
|
Zaw Min Bo
148 W North St |
$26.04 | 6,525 | 5,891 |
|
Tala Adnan Belbeissi
150 N Limestone St |
$14.15 | 6,293 | 3,294 |
|
Brenton A Perkins
651 S Limestone St |
$20.68 | 6,066 | 2,969 |
|
Melitta Simmons
2330 E High St Unit B |
$34.19 | 5,961 | 5,179 |
|
Musarat Chaudhry
2615 E High St |
$45.38 | 5,747 | 4,781 |
|
Denise P Rodney
2055 S Limestone St |
$39.43 | 5,551 | 4,993 |
|
Tara L Edwards
474 N Yellow Springs St |
$123.47 | 5,434 | 4,944 |
|
Shirelle D. Applin
1343 N Fountain Blvd |
$49.09 | 5,286 | 4,893 |
|
Filix Kencana
148 W North St |
$25.89 | 5,190 | 4,868 |
|
Ajaz Umerani
2121 E High St |
$40.38 | 5,170 | 3,881 |
|
Traci Linn Ernest
30 W Mccreight Ave Ste 106 |
$63.82 | 5,105 | 4,098 |
|
Andrew Jeffery Krofft
2701 Moorefield Rd |
$63.27 | 5,095 | 4,619 |
|
Daniel Wayne Nesselroade
1821 E High St |
$47.50 | 5,082 | 4,362 |
|
Kimberly R Titus
1416 W 1St St |
$91.94 | 5,060 | 3,295 |
|
Aisha B Gargom
160 S Tuttle Rd |
$44.62 | 4,942 | 4,636 |
|
Fawzia A. Toor
474 N Yellow Springs St |
$134.18 | 4,649 | 3,571 |
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 Springfield, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springfield, OH is $42.86 per claim, based on 811,367 claims from 278 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 Springfield, OH?
There are 278 Medicaid providers offering Office Visit related services in Springfield, OH according to public payment data.
What is the price range for Office Visit in Springfield, OH?
Medicaid reimbursement for Office Visit in Springfield, OH ranges from $0.00 to $142.34 per claim, with an average of $42.86. 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 Springfield, OH
Blood Work & Lab Tests
Avg $7.20
357,330 claims
Emergency Room Visit
Avg $88.57
320,863 claims
Home Health Visit
Avg $51.77
301,207 claims
Substance Abuse Treatment
Avg $104.78
247,438 claims
Psychiatric Evaluation
Avg $64.64
226,139 claims
Dental Cleaning & Exam
Avg $25.04
192,454 claims
Behavioral & Mental Health Therapy
Avg $67.90
172,732 claims
Vaccines & Immunizations
Avg $8.91
154,375 claims