Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Urbana, OH: $37.29

Avg. Paid

$37.29

Range

$0.82 – $88.07

Total Claims

88,442

Providers

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 Urbana, OH

Provider	Avg. Paid	Claims	Patients
Jene E Bramel 204 Patrick Ave	$34.63	11,186	8,991
Jillian Alexis Shellabarger 1522 E Us Highway 36	$43.33	7,309	6,348
Donya Daneen Weeks 204 Patrick Ave	$40.34	6,968	6,490
Ceena Philipose Paul 204 Patrick Ave	$35.85	6,617	5,383
Marcus Richardson 970 E Us Highway 36 Ste B	$39.31	4,948	4,364
Community Mercy Health Partners 204 Patrick Ave	$0.82	4,159	2,572
Jill M Sanders 204 Patrick Ave	$31.34	3,646	2,810
Leigh Ann Swank 1880 E Us Highway 36	$36.41	3,368	2,503
Andrea K Young 209 Lippincott Ln	$52.11	3,248	3,033
Lindsey Nicole Stevenson 1958 E Us Highway 36 Ste C	$58.50	3,123	2,867
John Crankshaw 1958 E Us Highway 36	$33.95	3,070	2,862
Kristen Marie Davis 605 Miami St	$24.51	2,986	2,077
Marie Y Barth 1880 E Us Highway 36	$47.39	2,838	2,612
Jessica El-Asmar 900 Scioto St Ste 4	$47.45	2,638	2,433
Aijaz Ahmed 900 Scioto St	$36.43	2,471	2,267
Danielle Rose Smith 1958 E Us Highway 36	$34.80	2,467	2,242
Karena Christine Hager 1880 E Us Highway 36	$41.86	2,056	1,899
John Clancy Sanford 204 Patrick Ave	$36.70	2,052	1,837
Joseph M Metz 1958 E Us Highway 36	$32.95	1,637	1,524
James David Grove 303 N Main St	$44.98	1,461	1,371
Christina Lachae Markovitz 300 Patrick Ave	$38.72	1,300	1,174
Jeffrey Lawrence Donay 1598 E Us Highway 36	$5.57	973	808
Susan Yu 970 E Us Highway 36 Ste B	$31.89	870	765
Madelyn Bartsch 1958 E Us Highway 36 Ste C	$44.50	869	773
Hillary Diane Pullins 900 Scioto St Ste 4	$38.09	810	767
Rochelle C Clark-Pulfer 1958 E Us Highway 36	$32.07	699	635
Rachel Margaret Church 605 Miami St Ste 100	$33.41	675	601
Amanda Marie Brannon 904 Scioto St	$45.48	632	601
Karen J Smith 900 Scioto St Ste 4	$73.19	553	482
Amy Winters 1958 E Us Highway 36	$49.33	542	502
Rachel Thurneyssen 904 Scioto St Fl 2	$51.05	528	483
Joaquin Llado-Frazer 900 Scioto St Ste 4	$45.08	475	443
Karen Staats 900 Scioto St Ste 4	$37.44	426	384
Jennifer M Sertell 848 Scioto St	$13.85	359	319
Larry E Lefevre 1430 E Us Highway 36	$83.04	310	133
Joy Kimberly Higginbotham 204 Patrick Ave	$25.35	73	68
Joshua Frashure Richards 848 Scioto Street	$38.12	54	45
John Scott Phillips 970 E Us Highway 36 Ste B	$27.36	33	29
Healing Hands Urgent Care, Llc. 848 Scioto St	$88.07	13	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 Urbana, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Urbana, OH is $37.29 per claim, based on 88,442 claims from 39 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 Urbana, OH?

There are 39 Medicaid providers offering Office Visit related services in Urbana, OH according to public payment data.

What is the price range for Office Visit in Urbana, OH?

Medicaid reimbursement for Office Visit in Urbana, OH ranges from $0.82 to $88.07 per claim, with an average of $37.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Urbana, OH: $37.29

Providers Offering Office Visit in Urbana, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

Las Vegas, NV

Other Procedures in Urbana, OH

Speech Therapy

Vaccines & Immunizations

Blood Work & Lab Tests

Psychiatric Evaluation

Physical Therapy

Substance Abuse Treatment

Eye Exam

Chiropractic Care