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 |
|---|---|---|---|
|
Joshua Neal Oakley
1830 W Main St |
$2.76 | 12 | 12 |
|
Miami County
510 W Water St Ste 130 |
$12.69 | 12 | 12 |
|
Brian Jeremy Gootzeit
3130 N County Rd 25A |
$40.53 | 13 | 12 |
|
Robert Michael Kohut
3130 N County Road 25A Ste 212 |
$20.14 | 13 | 12 |
|
Evelyn Sarah Brown
3006 N Dixie Hwy |
$39.05 | 13 | 12 |
|
Lois Ann Krousgrill
3130 N County Road 25A Ste 112 |
$35.06 | 14 | 12 |
|
Gonzalo J Rodriguez
3130 N County Road 25A Ste 212 |
$3.56 | 14 | 14 |
|
Christine L Asher
3130 N County Road 25A |
$28.35 | 14 | 12 |
|
Megan Turner
3130 N County Rd |
$13.73 | 14 | 12 |
|
Jordan Grilliot
3130 N County Road 25A Ste 116 |
$57.95 | 15 | 14 |
|
After Hours Family Care Inc
31 S Stanfield Rd |
$53.15 | 15 | 15 |
|
Mary K Skaats
731 W Market St |
$35.38 | 17 | 14 |
|
John Christopher Peters
31 Stanfield Rd. |
$25.29 | 20 | 16 |
|
Lindsey Renee Trutter
3006 N County Road 25A Ste 104 |
$98.41 | 30 | 26 |
|
William A Castaldo
3006 N County Road 25A |
$34.63 | 30 | 26 |
|
Gbeminiyi Olanrewaju Samuel
3130 N County Road 25A Ste 109 |
$88.88 | 31 | 26 |
|
Kimberly S Diltz
3130 N County Road 25A |
$36.54 | 39 | 38 |
|
Deann L Osterman
3006 N County Road 25A |
$16.04 | 40 | 28 |
|
Hometown Urgent Care Of Michigan, P.C.
1430 W Main St |
$0.35 | 41 | 41 |
|
Allison Mendenhall
998 S Dorset Rd |
$53.81 | 42 | 41 |
|
Ronald Karl Setzkorn
3130 N County Road 25A |
$48.96 | 43 | 39 |
|
Craig Critchley
700 S Stanfield Rd |
$42.93 | 53 | 52 |
|
Kaye Marie Sekas
600 W Main St Ste 330 |
$54.49 | 66 | 63 |
|
Kelly Crego-Lee
512 Crescent Dr |
$324.39 | 70 | 70 |
|
Stephanie Tuente
3130 N County Road 25A Ste 114 |
$38.14 | 70 | 66 |
|
Kenneth L. Reed
3130 N County Road 25A Ste 109 |
$36.63 | 71 | 70 |
|
Upper Valley Professional Corporation
3130 N County Road 25A |
$43.73 | 74 | 74 |
|
Richard Edwin Myers
1100 Wayne St |
$27.59 | 82 | 80 |
|
Richard Plumb
700 S Stanfield Rd |
$50.08 | 93 | 89 |
|
Misty Manuel
998 S Dorset Rd Ste 301 |
$33.67 | 118 | 99 |
|
Alyssa Michelle Goodwin
600 W Main St Ste 340 |
$49.35 | 126 | 122 |
|
Pradip Mahendrabhai Vyas
65 S Stanfield Rd |
$16.84 | 142 | 123 |
|
Lori A Darrah
45 S Stanfield Rd |
$75.57 | 171 | 164 |
|
Allyson K Halderman
700 S Stanfield Rd Ste A |
$49.91 | 205 | 179 |
|
Mohamed Abdelrahman
600 W Main St Ste 330 |
$42.44 | 219 | 208 |
|
Shannon Graham
731 W Market St |
$45.98 | 226 | 209 |
|
Roxanne K Robbins
31 S Stanfield Rd Ste 301 |
$27.95 | 249 | 233 |
|
Rafay Atiq
3130 N County Road 25A |
$22.79 | 250 | 227 |
|
Joni Lynne Reser
3130 N County Road 25A Ste 212 |
$25.77 | 256 | 226 |
|
Meghan Elshoff
855 W Market St |
$43.68 | 261 | 244 |
|
Leandra Jordan Gray
51 S Stanfield Rd |
$31.01 | 263 | 249 |
|
Alicia N Walls
110 S Stanfield Rd Ste C |
$76.78 | 304 | 279 |
|
Linda Davidson
700 S Stanfield Rd |
$36.23 | 310 | 289 |
|
Leah Rochelle Gale
998 S Dorset Rd |
$34.27 | 342 | 311 |
|
Irina A. Gendler
998 S Dorset Rd |
$52.78 | 343 | 296 |
|
Susan L. Hoying
3006 N County Road 25A |
$37.91 | 345 | 322 |
|
Robert Francis Malarkey
3130 N County Road 25A Ste 116 |
$32.66 | 346 | 321 |
|
Rabindra Kitchener
3006 N Dixie Hwy |
$12.64 | 352 | 341 |
|
Kathryn Marie Blackmore
731 W Market St |
$40.99 | 358 | 301 |
|
Cindy Fleming
1149 Experiment Farm Rd |
$49.53 | 390 | 334 |
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