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 |
|---|---|---|---|
|
Surender R Neravetla
1671 N Limestone St |
$57.64 | 12 | 12 |
|
Daljeet Singh
148 W North St |
$28.66 | 12 | 12 |
|
Anand Ramachandran
2330 E High St |
$53.98 | 13 | 13 |
|
Thomas Paul Rak
415 E Home Rd |
$40.88 | 13 | 13 |
|
Tierni Ann Moore
280 Red Coach Dr |
$116.97 | 14 | 14 |
|
Jerry Keith Shell
2254 Olympic St |
$38.37 | 15 | 13 |
|
Kelly Lynn Ogg
1421 Parker Ct |
$20.82 | 15 | 12 |
|
Emdad Ali
211 Northparke Dr |
$43.00 | 18 | 17 |
|
Siva Ramaiah Vemana
420 Aberfelda Drive |
$21.79 | 19 | 15 |
|
Mckinley Hall, Inc.
2624 Lexington Ave |
$0.00 | 19 | 17 |
|
Mercy Health Physicians Springfield Specialty Care Llc
100 Medical Center Dr |
$46.37 | 22 | 20 |
|
Noshir E Deboo
140 West Main Street |
$38.01 | 27 | 26 |
|
Shannon Campbell Trotter
30 W Mccreight Ave |
$50.50 | 27 | 26 |
|
Marios Petrous Panayides
30 Warder St |
$43.46 | 28 | 24 |
|
Rocking Horse Childrens Health Center
651 S Limestone St |
$0.00 | 29 | 25 |
|
Trecia Lynn Narcelles
200 W Ward St |
$35.87 | 31 | 31 |
|
Sagar S Satyavolu
100 W Mccreight Ave |
$46.28 | 34 | 33 |
|
Jeffrey William Maendel
100 W Mccreight Ave Ste 110 |
$46.92 | 40 | 38 |
|
Waseem Sajjad
100 W Mccreight Ave Ste 150 |
$32.73 | 44 | 41 |
|
Luke N. Onuorah
200 Medical Center Dr Ste A |
$47.34 | 48 | 43 |
|
Amit Arora
1671 N Limestone St |
$19.81 | 49 | 43 |
|
Greg A Hixon
1108 N Bechtle Ave |
$5.89 | 50 | 48 |
|
Nima J. Tirgan
2330 E High St |
$45.19 | 50 | 48 |
|
Cody Douglas Franklin
1164 E Home Rd Ste J |
$34.82 | 56 | 44 |
|
Barbara Vinci
2443 Troy Rd |
$57.99 | 57 | 47 |
|
Arica M Edwards
2443 Troy Rd |
$6.08 | 67 | 60 |
|
Robert M Kabbes
2315 Derr Rd |
$51.23 | 67 | 65 |
|
Crystal R Hammond
1108 Vester Ave |
$15.41 | 68 | 26 |
|
Sarah M Leupold
150 N Limestone St |
$41.14 | 68 | 67 |
|
Pradeep Reddy Gujja
100 W Mccreight Ave |
$32.49 | 71 | 64 |
|
Peter B Wittstein
2254 Olympic St |
$32.42 | 73 | 67 |
|
Richard B Darr
444 W Harding Rd |
$16.67 | 78 | 66 |
|
Christine Lee Persinger
211 Northparke Dr |
$38.47 | 103 | 99 |
|
Gaurav Pahouja
1164 E Home Rd Ste J |
$76.94 | 108 | 102 |
|
Emily Landis
100 Medical Center Dr |
$26.98 | 111 | 106 |
|
Hilary Rose Haley
2300 N Limestone St Ste 120 |
$40.04 | 114 | 107 |
|
Lindsey Michelle Miller
3250 Middle Urbana Rd |
$37.77 | 118 | 106 |
|
Damanjit K Yakhmi
1505 N. Limestone St. |
$29.75 | 123 | 120 |
|
Clark County
529 E Home Rd |
$13.29 | 132 | 104 |
|
Mental Health Services For Clark Co Inc
474 N Yellow Springs Street |
$1.75 | 134 | 123 |
|
Community Mercy Health Partners
100 Medical Center Drive |
$82.43 | 151 | 120 |
|
Rebecca Harris
30 W Mccreight Ave Ste 208 |
$43.39 | 156 | 142 |
|
Michael B Duvall
435 South Burnett Road |
$50.28 | 163 | 154 |
|
Jayde Magee
435 S. Burnett Rd |
$50.69 | 164 | 157 |
|
Jessica Lynne Kelsey
1821 E High St |
$38.10 | 172 | 153 |
|
Paul S Buchanan
211 Northparke Dr |
$17.94 | 179 | 176 |
|
Shehla M Butt
2555 Creekwood Ct |
$72.09 | 179 | 174 |
|
Devinder K Yakhmi
1505 N Limestone St. |
$39.74 | 194 | 189 |
|
Jaskaran Singh Sidhu
30 Warder St |
$43.37 | 196 | 185 |
|
Laura Thompson
280 Red Coach Dr |
$20.55 | 198 | 172 |
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