Average Medicaid Office Visit Payments in Troy, OH: $52.31
Avg. Paid
$52.31
Range
$0.35 – $324.39
Total Claims
193,597
Providers
121
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 Troy, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle M Choucair
3006 N County Road 25A Ste 200 |
$44.74 | 16,637 | 15,295 |
|
Georges S Yacoub
3006 N. Co. Rd 25A Ste 102 |
$32.82 | 13,101 | 11,424 |
|
Chad Kennedy
110 S Stanfield Rd |
$96.52 | 9,227 | 8,750 |
|
Rachel Anne Lawrence
600 W Main St Ste 330 |
$21.17 | 8,728 | 4,882 |
|
Daniel John Dilworth
3130 N Dixie Highway |
$44.88 | 8,613 | 6,437 |
|
Michael Franz Dunker
550 Summit Ave |
$84.25 | 8,573 | 7,906 |
|
Jose Luis Rodriguez
31 S Stanfield Rd |
$62.14 | 8,432 | 7,517 |
|
Aruna K Prattipati
3006 N County Road 25A |
$35.68 | 8,058 | 7,289 |
|
Phillip A. K. Hash
550 Summit Avenue |
$102.11 | 7,593 | 7,254 |
|
Rajeev Kulkarni
855 W Market St |
$40.10 | 5,889 | 4,851 |
|
Alisha Jordan Sintz
3130 N County Road 25A |
$53.30 | 4,709 | 3,621 |
|
Ariz Anklesaria
1059 N Market St |
$108.19 | 4,521 | 3,458 |
|
Stewart Inglis Adam
31 S Stanfield Rd |
$59.98 | 4,434 | 3,960 |
|
Thomas Riddle
550 Summit Ave |
$72.08 | 4,423 | 3,640 |
|
Blake Hatfield
2760 S County Road 25A |
$46.45 | 3,674 | 3,489 |
|
Nancy Louise Hall
600 W Main St Ste 330 |
$25.05 | 3,356 | 1,913 |
|
Rory Howard Lewis
600 W Main St Ste 340 |
$52.56 | 2,939 | 2,445 |
|
Allison Lynee Camp
1430 W Main St |
$66.03 | 2,864 | 2,751 |
|
Amit Bansal
3130 N. Co Rd 25A |
$53.92 | 2,858 | 2,180 |
|
Kyle Kirby
3130 N Dixie Hwy |
$47.95 | 2,495 | 1,904 |
|
Stephanie Dale Guajardo
600 W Main St Ste 330 |
$46.45 | 2,381 | 2,183 |
|
Michele Josefovsky
31 S Stanfield Rd Ste 301 |
$34.60 | 2,239 | 1,997 |
|
Ashley Hoskins
731 W Market St |
$48.23 | 2,212 | 2,039 |
|
Julio Cesar Soto
31 S Stanfield Rd Ste 306 |
$42.19 | 2,047 | 1,852 |
|
Raychel Elizabeth Miramontes
1930 Prime Ct Ste 105 |
$47.91 | 2,040 | 1,455 |
|
Ellen S Wise
3130 N Dixie Hwy |
$69.36 | 2,032 | 1,934 |
|
Joseph W Lavelle
600 W Main St Ste 130 |
$37.68 | 2,002 | 1,755 |
|
Melanie S Hynes
700 S Stanfield Rd Ste A |
$42.42 | 1,925 | 1,806 |
|
Michelle Renee Achor
47 S Stanfield Rd |
$36.59 | 1,912 | 1,735 |
|
Sarah Neal
3130 N Country Rd 25 A |
$40.52 | 1,737 | 1,655 |
|
Katherine M Bachman
3130 N County Road 25A |
$51.91 | 1,579 | 1,210 |
|
Carlos Machicao
3130 N County Road 25A |
$41.64 | 1,550 | 1,146 |
|
Kendall Erdahl
600 W Main St Ste 330 |
$43.55 | 1,537 | 1,441 |
|
Janel Frilling
1300 N County Road 25A |
$14.53 | 1,501 | 1,306 |
|
Andrew Toller
3130 N County Road 25A Ste 116 |
$27.90 | 1,481 | 1,240 |
|
Polly Baltes
700 S Stanfield Rd Ste A |
$50.18 | 1,411 | 1,280 |
|
Srinivasu Chamarthy
3130 N County Road 25A Ste 107 |
$37.84 | 1,338 | 995 |
|
Don D Delcamp
31 S Stanfield Rd |
$39.44 | 1,304 | 1,183 |
|
Breann Mccabe
1059 N Market St |
$105.13 | 1,108 | 1,021 |
|
Augustina Addison
3130 N County Road 25A Ste 205 |
$48.20 | 1,067 | 916 |
|
Pamela Sutherly
700 S Stanfield Rd Ste A |
$37.89 | 1,031 | 892 |
|
Jason Michael Tippie
3130 N County Rd 25A |
$25.54 | 998 | 958 |
|
Nichole Marie Norvell
1149 Experiment Farm Rd |
$40.88 | 985 | 919 |
|
Marie Nicole Smith
600 W Main St Ste 130 |
$35.25 | 983 | 904 |
|
Sayed Asad Ali
3130 N County Road 25A |
$29.32 | 868 | 796 |
|
Sabrina Danielle Gunn
3130 N. County Rd. 25A |
$78.21 | 843 | 724 |
|
Craig M Sisco
731 W Market St |
$42.29 | 827 | 761 |
|
Jeffery S Adam
31 S Stanfield Rd |
$69.73 | 810 | 784 |
|
Kara Sue Bruskotter
3130 N County Road 25A |
$40.56 | 795 | 700 |
|
Yusef A Hammuda
3130 N Dixie Hwy |
$36.50 | 776 | 717 |
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 Troy, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Troy, OH is $52.31 per claim, based on 193,597 claims from 121 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 Troy, OH?
There are 121 Medicaid providers offering Office Visit related services in Troy, OH according to public payment data.
What is the price range for Office Visit in Troy, OH?
Medicaid reimbursement for Office Visit in Troy, OH ranges from $0.35 to $324.39 per claim, with an average of $52.31. 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 Troy, OH
Blood Work & Lab Tests
Avg $1.94
112,897 claims
Emergency Room Visit
Avg $104.04
88,506 claims
X-Ray
Avg $6.69
86,965 claims
Physical Therapy
Avg $20.77
72,312 claims
Substance Abuse Treatment
Avg $27.98
56,540 claims
Psychiatric Evaluation
Avg $75.29
42,056 claims
CT Scan (Computed Tomography)
Avg $115.45
35,265 claims
Urinalysis & Urine Tests
Avg $0.63
34,374 claims