Average Medicaid Office Visit Payments in Upper Arlington, OH: $45.46
Avg. Paid
$45.46
Range
$4.13 – $276.00
Total Claims
22,874
Providers
37
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 Upper Arlington, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ali M. Carine
3300 Riverside Drive, Suite 200 |
$39.06 | 4,015 | 3,574 |
|
Arlington Urgent Care Inc
3062 Kingsdale Ctr |
$41.25 | 2,704 | 2,178 |
|
Elizabeth Carrie Matre
1885 West Henderson Rd |
$76.17 | 2,574 | 2,476 |
|
Leah M. Welsh
3200 Tremont Rd |
$38.13 | 2,470 | 2,323 |
|
Colleen Janel Young
1885 West Henderson Rd |
$40.87 | 1,578 | 1,504 |
|
Erica Dawn Campbell-Brown
1800 Zollinger Rd |
$56.47 | 1,204 | 1,167 |
|
Daniel A. Jones
1699 W Lane Ave |
$16.10 | 1,145 | 879 |
|
Alex Christopher Dibartola
4605 Sawmill Rd |
$36.31 | 742 | 692 |
|
Erin Leanne Evans
3363 Tremont Rd Ste 220 |
$49.13 | 659 | 556 |
|
Corey Lee Vanhoff
4605 Sawmill Rd |
$123.86 | 631 | 580 |
|
Nathaniel Z Raidel
1885 Henderson Rd |
$13.04 | 626 | 604 |
|
Erica North
1885 Henderson Rd |
$13.08 | 573 | 554 |
|
Amy Canini
1885 Henderson Rd |
$12.87 | 568 | 540 |
|
Angela J Lofaro
4605 Sawmill Rd |
$23.54 | 534 | 398 |
|
Mehrosh Naseem
3200 Tremont Rd |
$63.45 | 412 | 368 |
|
Angela Marie Brown
4605 Sawmill Rd |
$32.22 | 409 | 398 |
|
Nino Diiullo
4661 Sawmill Rd |
$56.04 | 369 | 360 |
|
Meghan Newman
3363 Tremont Rd |
$54.55 | 348 | 341 |
|
Jessica L Henning
3200 Tremont Rd |
$60.65 | 169 | 166 |
|
Amy E. Thompson
3200 Tremont Rd |
$31.39 | 162 | 109 |
|
Access Urgent Medical Care Of Upper Arlington Inc
4661 Sawmill Rd |
$68.19 | 160 | 152 |
|
Bryan David Hollingsworth
4605 Sawmill Rd |
$38.06 | 135 | 113 |
|
Nancy Majors
1885 Henderson Rd # 6149 |
$11.78 | 95 | 92 |
|
Crystal Ransom
1885 Henderson Rd Uppr |
$53.52 | 81 | 81 |
|
Cassandra Bernard
1885 Henderson Rd |
$37.38 | 80 | 68 |
|
Valentine Asongsang Forcha
3924 Mountview Rd |
$164.03 | 77 | 74 |
|
Elizabeth Nkenglefac Folefac
1885 Henderson Rd |
$12.90 | 66 | 63 |
|
Nicole Lynn Meade
3924 Mountview Rd |
$276.00 | 64 | 64 |
|
Marina R Rodriguez
3924 Mountview Rd |
$48.95 | 45 | 39 |
|
Alisa Renee Malone
1955 Henderson Rd |
$45.34 | 37 | 36 |
|
John M Grandominico
3200 Tremont Rd |
$4.13 | 27 | 27 |
|
Angela Walker Crawford
3200 Tremont Rd |
$20.91 | 26 | 26 |
|
Kristin E Devor
1975 Guilford Rd |
$37.36 | 24 | 24 |
|
Ana Knezevic
1885 Henderson Rd |
$11.20 | 22 | 18 |
|
Taylor Hale
1885 Henderson Rd |
$29.39 | 17 | 14 |
|
Kimberly M. Kopfman
3300 Riverside Drive, Suite 200 |
$34.59 | 14 | 12 |
|
Rheanna Moore
2250 N Bank Dr |
$51.81 | 12 | 12 |
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 Upper Arlington, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Upper Arlington, OH is $45.46 per claim, based on 22,874 claims from 37 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 Upper Arlington, OH?
There are 37 Medicaid providers offering Office Visit related services in Upper Arlington, OH according to public payment data.
What is the price range for Office Visit in Upper Arlington, OH?
Medicaid reimbursement for Office Visit in Upper Arlington, OH ranges from $4.13 to $276.00 per claim, with an average of $45.46. 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 Upper Arlington, OH
Psychiatric Evaluation
Avg $39.37
6,098 claims
Nursing Facility Care
Avg $13.44
5,162 claims
Ambulance Transport
Avg $49.80
3,493 claims
Chiropractic Care
Avg $18.94
2,935 claims
Physical Therapy
Avg $15.52
2,613 claims
Behavioral & Mental Health Therapy
Avg $55.12
502 claims
Substance Abuse Treatment
Avg $4.63
249 claims
Ultrasound
Avg $45.17
176 claims