Average Medicaid Office Visit Payments in Vandalia, OH: $51.15
Avg. Paid
$51.15
Range
$23.99 – $100.19
Total Claims
62,523
Providers
48
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 Vandalia, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole M Tipton
780 Northwoods Blvd |
$100.19 | 6,324 | 3,706 |
|
Audrey Elizabeth Bateman
900 S Dixie Dr Ste 40 |
$45.54 | 5,409 | 4,263 |
|
Lauren Ashley Braswell
900 S Dixie Dr |
$33.10 | 4,581 | 2,661 |
|
James Edward Wilcher
107 Kenbrook Dr |
$37.41 | 4,511 | 3,895 |
|
Jeremy Michael Crouch
900 S Dixie Dr |
$49.53 | 3,785 | 3,215 |
|
Alexis D Parks Myton
235 W National Rd. |
$70.39 | 3,665 | 3,484 |
|
Stephen R Guy
900 S Dixie Dr |
$49.82 | 2,974 | 2,558 |
|
Jennifer Hope Wells
780 Northwoods Blvd |
$49.40 | 2,942 | 2,679 |
|
Marilyn Jones
1 E National Rd Ste 100 |
$43.47 | 2,938 | 2,759 |
|
Huong-Thao Thy Tran
270 James Bohanan Dr |
$53.92 | 2,494 | 2,339 |
|
David E. Cox
1 E National Rd Ste 100 |
$26.15 | 2,274 | 1,580 |
|
Sara Ann Farling
400 Corporate Center Dr |
$47.95 | 2,178 | 1,957 |
|
Brenda Lee Chewning
780 Northwoods Blvd |
$51.56 | 2,150 | 1,937 |
|
Neva Carissa Dehart
900 S Dixie Dr |
$45.14 | 1,637 | 1,363 |
|
Lisa A Mix
900 S Dixie Dr |
$46.94 | 1,580 | 1,281 |
|
Michele R Carlson
900 S Dixie Dr |
$46.52 | 1,547 | 1,323 |
|
Danielle Marie Bridges
780 Northwoods Blvd |
$48.28 | 1,539 | 1,445 |
|
Mahmood Rahman
76 Fordway Dr. |
$23.99 | 1,296 | 1,179 |
|
Isaac Lucas Cade
780 Northwoods Blvd |
$51.29 | 759 | 678 |
|
Melissa M Burkhardt
900 S Dixie Dr |
$45.18 | 735 | 638 |
|
Donna J Vogel
505 Corporate Center Dr |
$37.51 | 690 | 623 |
|
Samantha Marie Loel
810 Falls Creek Dr Ste B |
$41.85 | 512 | 453 |
|
Kayla Marie Bostwick
600 Aviator Ct Ste 100 |
$42.69 | 502 | 396 |
|
Paige Short
680 Aviator Ct |
$48.62 | 487 | 374 |
|
Suzanne L. Bell
1 E National Rd Ste 100 |
$47.01 | 474 | 453 |
|
Heather Branam
810 Falls Creek Dr Ste B |
$46.50 | 454 | 410 |
|
Darian Borchers
600 Aviator Ct Ste 250 |
$37.11 | 412 | 368 |
|
William Brian Newman
900 S Dixie Dr |
$41.98 | 411 | 328 |
|
Megan S Loesch
505 Corporate Center Dr Unit A |
$55.24 | 394 | 355 |
|
Jessica Ann Francisco
72 N Dixie Dr |
$54.77 | 370 | 344 |
|
Bryn David Greenwell
780 Northwoods Blvd |
$44.20 | 369 | 332 |
|
Lori Jean Pearson
1 E National Rd Ste 100 |
$49.54 | 361 | 315 |
|
Mark A. Couch
235 W. National Rd |
$42.31 | 344 | 306 |
|
Laine D Sommers
505 Corporate Center Dr Unit B |
$56.36 | 313 | 283 |
|
Sara Elizabeth Wilson-Rector
55 Elva Ct |
$44.16 | 262 | 233 |
|
Holly Marie Yeagley
7200 Poe Ave Ste 201 |
$45.20 | 141 | 121 |
|
Shannon Nicole Hammer
780 Northwoods Blvd |
$39.76 | 130 | 119 |
|
Sari A Bright
55 Elva Ct |
$40.78 | 101 | 93 |
|
Bethany Suzanne Purtell
600 Aviator Ct Ste 100 |
$41.71 | 99 | 85 |
|
Teresa Vanhoose
1 E National Rd Ste 100 |
$36.25 | 80 | 67 |
|
Nita Sharon Thomas
600 Aviator Ct Ste 100 |
$45.31 | 73 | 58 |
|
Ross W Collins
407 Corporate Center Dr |
$56.64 | 68 | 63 |
|
Robert Glen Sickinger
113 W National Rd |
$31.65 | 54 | 53 |
|
Joseph P Allen
1 W National Rd |
$45.45 | 33 | 31 |
|
Regina Y'Vonne Jones
680 Aviator Ct |
$49.17 | 27 | 22 |
|
Jennifer Turner
600 Aviator Ct Ste 250 |
$31.33 | 19 | 15 |
|
Karlene Denise Williamson
780 Northwoods Blvd |
$35.56 | 13 | 12 |
|
Kelly L Nagel
505 Corporate Center Dr |
$46.43 | 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 Vandalia, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vandalia, OH is $51.15 per claim, based on 62,523 claims from 48 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 Vandalia, OH?
There are 48 Medicaid providers offering Office Visit related services in Vandalia, OH according to public payment data.
What is the price range for Office Visit in Vandalia, OH?
Medicaid reimbursement for Office Visit in Vandalia, OH ranges from $23.99 to $100.19 per claim, with an average of $51.15. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Vandalia, OH
Home Health Visit
Avg $54.97
284,144 claims
Substance Abuse Treatment
Avg $161.74
75,292 claims
Dental Cleaning & Exam
Avg $24.32
28,571 claims
Psychiatric Evaluation
Avg $76.64
25,899 claims
Dental Filling
Avg $57.40
14,802 claims
Tooth Extraction
Avg $64.63
10,826 claims
Physical Therapy
Avg $19.28
10,381 claims
Ambulance Transport
Avg $66.10
7,846 claims