Average Medicaid Office Visit Payments in Tipp City, OH: $55.18
Avg. Paid
$55.18
Range
$2.48 – $86.14
Total Claims
41,836
Providers
20
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 Tipp City, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alan Michael Wilimitis
1483 West Main Street |
$49.52 | 13,363 | 12,349 |
|
Kevin A. Horvath
1483 West Main Street |
$70.91 | 10,543 | 10,299 |
|
David Summers
6310 Jefferson Dr |
$47.20 | 3,311 | 2,457 |
|
Kathryn Lorraine Dearing
1483 W Main St |
$50.82 | 2,336 | 2,204 |
|
Zaynab Zarrabi
70 Weller Dr |
$46.61 | 2,050 | 1,894 |
|
Sara Marietta
450 N Hyatt St Ste 202 |
$38.41 | 1,812 | 1,571 |
|
Chelsea Brooks
7695 S County Road 25A |
$86.14 | 1,756 | 1,625 |
|
Kathryn E Lorenz
450 N Hyatt St |
$46.99 | 1,572 | 1,454 |
|
Shannon Jacobs
1483 W Main St |
$43.88 | 1,168 | 1,075 |
|
Sherry Lynn Ashburn
6670 Peters Rd |
$56.64 | 746 | 629 |
|
Gabriel Nikolaus Duda
450 N Hyatt St Ste 202 |
$51.36 | 714 | 558 |
|
Deborah Jane Nash
245 S Garber Dr |
$40.32 | 491 | 444 |
|
Jessica A Rizzotte
1483 W. Main St |
$39.50 | 460 | 444 |
|
Vanessa Moore Salupo Wehrley
70 Weller Dr Ste 100 |
$49.96 | 451 | 391 |
|
Aaron Christopher Harju
450 N Hyatt St |
$43.95 | 437 | 393 |
|
Erin Lindsay Mathews
70 Weller Dr Ste 100 |
$36.87 | 371 | 343 |
|
Jessica Wolfe
115 S Tippecanoe Dr |
$50.12 | 143 | 142 |
|
Amy Renee Studebaker
914 W Main St |
$33.23 | 70 | 63 |
|
Erin Beth Engel
7200 Studebaker Rd |
$2.48 | 28 | 18 |
|
Anupama S Kulkarni
450 N Hyatt St |
$41.12 | 14 | 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 Tipp City, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tipp City, OH is $55.18 per claim, based on 41,836 claims from 20 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 Tipp City, OH?
There are 20 Medicaid providers offering Office Visit related services in Tipp City, OH according to public payment data.
What is the price range for Office Visit in Tipp City, OH?
Medicaid reimbursement for Office Visit in Tipp City, OH ranges from $2.48 to $86.14 per claim, with an average of $55.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Tipp City, OH
Vaccines & Immunizations
Avg $15.12
22,324 claims
Podiatry (Foot Care)
Avg $6.03
11,809 claims
Psychiatric Evaluation
Avg $71.42
8,914 claims
Speech Therapy
Avg $47.46
8,775 claims
Emergency Room Visit
Avg $89.26
8,042 claims
Behavioral & Mental Health Therapy
Avg $64.32
5,093 claims
Blood Work & Lab Tests
Avg $4.76
4,600 claims
Dental Cleaning & Exam
Avg $28.61
3,924 claims