Average Medicaid Office Visit Payments in Tiffin, OH: $40.64
Avg. Paid
$40.64
Range
$1.36 – $64.67
Total Claims
188,827
Providers
59
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 Tiffin, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prasad C Kakarala
455 W Market St |
$46.98 | 43,459 | 34,852 |
|
Jatinder S Rana
668 Miami St |
$38.32 | 28,231 | 23,546 |
|
Aimee Marie Cotten
1344 W Seneca Ave |
$19.36 | 15,628 | 7,375 |
|
Omar Perez Rodriguez
45 St Lawrence Dr |
$40.51 | 15,514 | 13,189 |
|
Kathleen Elizabeth Pool
500 W Market St |
$45.64 | 7,531 | 5,063 |
|
Cassie Taber
1344 W Seneca Ave |
$22.04 | 6,311 | 2,973 |
|
Brett Might
2495 W Market St |
$50.01 | 6,239 | 5,724 |
|
Romena I Moorjani
500 W Market St |
$57.63 | 5,679 | 4,943 |
|
Luke A Davis
486 W Perry St |
$56.56 | 5,319 | 4,761 |
|
Amber Gerken
2562 W Market St |
$54.23 | 5,083 | 4,567 |
|
Wesley W. Hedges
1344 W Seneca Ave |
$32.55 | 4,420 | 3,935 |
|
Abner Cordero
143 S Monroe St |
$64.67 | 4,166 | 2,454 |
|
Shannon Lynae Studer
437 W Market St |
$49.87 | 4,165 | 3,534 |
|
Betsey Lynn Brady
500 W Market St |
$38.43 | 3,135 | 2,501 |
|
Sarah Sewell
500 W Market St |
$42.94 | 3,003 | 2,598 |
|
Rudolph Jesse Vela
3101 W. U.S. Rte 224 |
$47.63 | 2,838 | 2,140 |
|
Velda Francesca Coleman
486 W Perry St |
$16.25 | 2,140 | 924 |
|
Stefan Cosmin Iacob
27 St Lawrence Dr Ste 103 |
$50.47 | 2,128 | 1,755 |
|
Mark J Akers
81 Ashwood Dr |
$28.20 | 2,046 | 1,875 |
|
Ali Ahmad
45 St Lawrence Dr |
$33.44 | 1,849 | 1,695 |
|
Noel' Carin Zimmerman
81 Ashwood Dr |
$26.34 | 1,388 | 1,152 |
|
Dual Aree Wagner
1344 W Seneca Ave |
$37.34 | 1,345 | 1,139 |
|
Hannah Marie Vaughn
27 St Lawrence Dr Ste 103 |
$47.18 | 1,338 | 1,087 |
|
Joel William Consolo
40 Clay St |
$14.59 | 1,291 | 1,186 |
|
Health Partners Of Western Ohio
1344 W Seneca Ave |
$1.36 | 1,124 | 824 |
|
Christian Arthur Meade
433 W Market St |
$39.38 | 1,122 | 978 |
|
Elizabeth Ann Gegorski
500 W Market St |
$42.35 | 895 | 814 |
|
Corie Lynn Kovach
45 St Lawrence Dr |
$40.44 | 889 | 692 |
|
Sean Hart
2562 W Market St |
$47.97 | 855 | 783 |
|
Breanna L Laudick
45 St Lawrence Dr |
$37.70 | 795 | 708 |
|
Joel Ardner
676 Miami St |
$34.94 | 786 | 580 |
|
Steven Bruhl
45 St Lawrence Dr |
$32.09 | 782 | 709 |
|
Robin Kathleen Rosipko
27 St Lawrence Dr Ste 103 |
$31.02 | 756 | 692 |
|
Katie Lynne Alford
81 Ashwood Dr |
$30.37 | 755 | 614 |
|
Rachel E Fruth
2815 S State Route 100 |
$35.93 | 669 | 561 |
|
Kyle D. Dorkoskie
27 St Lawrence Dr Ste 204 |
$24.52 | 634 | 572 |
|
Thomas Gerard Zaciewski
27 St Lawrence Dr |
$36.37 | 479 | 452 |
|
Bethany Parsell
27 St Lawrence Dr |
$33.44 | 476 | 440 |
|
Melissa Fox
463 W Perry St |
$47.37 | 458 | 371 |
|
Tanveer Singh Brar
27 St. Lawrence Drive |
$40.83 | 443 | 331 |
|
Tammie Sue Queen
76 Ashwood Dr |
$5.80 | 361 | 210 |
|
Michael G Scherer
2815 S State Route 100 |
$37.94 | 317 | 290 |
|
Christopher D Sears
258 Progress Pkwy |
$23.06 | 283 | 247 |
|
Gerri L Rine
2815 S State Route 100 |
$39.27 | 228 | 197 |
|
Jennifer Elizabeth Perry
27 St Lawrence Dr |
$45.13 | 226 | 216 |
|
Jonathan Chandler Frederick
1344 W Seneca Ave |
$54.43 | 223 | 210 |
|
Penelope Mashburn
27 St. Lawrence Dr. |
$28.16 | 188 | 163 |
|
County Of Seneca Ohio County Office Of Auditor
71 S Washington St |
$14.16 | 178 | 175 |
|
Rachael Ann Fuller
81 Ashwood Dr |
$26.90 | 165 | 153 |
|
Brenton M Hall
27 St Lawrence Dr Ste 103 |
$36.62 | 149 | 145 |
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 Tiffin, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tiffin, OH is $40.64 per claim, based on 188,827 claims from 59 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 Tiffin, OH?
There are 59 Medicaid providers offering Office Visit related services in Tiffin, OH according to public payment data.
What is the price range for Office Visit in Tiffin, OH?
Medicaid reimbursement for Office Visit in Tiffin, OH ranges from $1.36 to $64.67 per claim, with an average of $40.64. 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 Tiffin, OH
Blood Work & Lab Tests
Avg $5.97
90,052 claims
Physical Therapy
Avg $33.84
54,847 claims
Psychiatric Evaluation
Avg $49.75
52,203 claims
Vaccines & Immunizations
Avg $13.65
50,319 claims
Speech Therapy
Avg $43.36
42,436 claims
Urinalysis & Urine Tests
Avg $3.85
39,080 claims
Emergency Room Visit
Avg $119.62
26,707 claims
Behavioral & Mental Health Therapy
Avg $65.79
24,313 claims