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 |
|---|---|---|---|
|
Kelly L Nagel
505 Corporate Center Dr |
$46.43 | 12 | 12 |
|
Karlene Denise Williamson
780 Northwoods Blvd |
$35.56 | 13 | 12 |
|
Jennifer Turner
600 Aviator Ct Ste 250 |
$31.33 | 19 | 15 |
|
Regina Y'Vonne Jones
680 Aviator Ct |
$49.17 | 27 | 22 |
|
Joseph P Allen
1 W National Rd |
$45.45 | 33 | 31 |
|
Robert Glen Sickinger
113 W National Rd |
$31.65 | 54 | 53 |
|
Ross W Collins
407 Corporate Center Dr |
$56.64 | 68 | 63 |
|
Nita Sharon Thomas
600 Aviator Ct Ste 100 |
$45.31 | 73 | 58 |
|
Teresa Vanhoose
1 E National Rd Ste 100 |
$36.25 | 80 | 67 |
|
Bethany Suzanne Purtell
600 Aviator Ct Ste 100 |
$41.71 | 99 | 85 |
|
Sari A Bright
55 Elva Ct |
$40.78 | 101 | 93 |
|
Shannon Nicole Hammer
780 Northwoods Blvd |
$39.76 | 130 | 119 |
|
Holly Marie Yeagley
7200 Poe Ave Ste 201 |
$45.20 | 141 | 121 |
|
Sara Elizabeth Wilson-Rector
55 Elva Ct |
$44.16 | 262 | 233 |
|
Laine D Sommers
505 Corporate Center Dr Unit B |
$56.36 | 313 | 283 |
|
Mark A. Couch
235 W. National Rd |
$42.31 | 344 | 306 |
|
Lori Jean Pearson
1 E National Rd Ste 100 |
$49.54 | 361 | 315 |
|
Bryn David Greenwell
780 Northwoods Blvd |
$44.20 | 369 | 332 |
|
Jessica Ann Francisco
72 N Dixie Dr |
$54.77 | 370 | 344 |
|
Megan S Loesch
505 Corporate Center Dr Unit A |
$55.24 | 394 | 355 |
|
William Brian Newman
900 S Dixie Dr |
$41.98 | 411 | 328 |
|
Darian Borchers
600 Aviator Ct Ste 250 |
$37.11 | 412 | 368 |
|
Heather Branam
810 Falls Creek Dr Ste B |
$46.50 | 454 | 410 |
|
Suzanne L. Bell
1 E National Rd Ste 100 |
$47.01 | 474 | 453 |
|
Paige Short
680 Aviator Ct |
$48.62 | 487 | 374 |
|
Kayla Marie Bostwick
600 Aviator Ct Ste 100 |
$42.69 | 502 | 396 |
|
Samantha Marie Loel
810 Falls Creek Dr Ste B |
$41.85 | 512 | 453 |
|
Donna J Vogel
505 Corporate Center Dr |
$37.51 | 690 | 623 |
|
Melissa M Burkhardt
900 S Dixie Dr |
$45.18 | 735 | 638 |
|
Isaac Lucas Cade
780 Northwoods Blvd |
$51.29 | 759 | 678 |
|
Mahmood Rahman
76 Fordway Dr. |
$23.99 | 1,296 | 1,179 |
|
Danielle Marie Bridges
780 Northwoods Blvd |
$48.28 | 1,539 | 1,445 |
|
Michele R Carlson
900 S Dixie Dr |
$46.52 | 1,547 | 1,323 |
|
Lisa A Mix
900 S Dixie Dr |
$46.94 | 1,580 | 1,281 |
|
Neva Carissa Dehart
900 S Dixie Dr |
$45.14 | 1,637 | 1,363 |
|
Brenda Lee Chewning
780 Northwoods Blvd |
$51.56 | 2,150 | 1,937 |
|
Sara Ann Farling
400 Corporate Center Dr |
$47.95 | 2,178 | 1,957 |
|
David E. Cox
1 E National Rd Ste 100 |
$26.15 | 2,274 | 1,580 |
|
Huong-Thao Thy Tran
270 James Bohanan Dr |
$53.92 | 2,494 | 2,339 |
|
Marilyn Jones
1 E National Rd Ste 100 |
$43.47 | 2,938 | 2,759 |
|
Jennifer Hope Wells
780 Northwoods Blvd |
$49.40 | 2,942 | 2,679 |
|
Stephen R Guy
900 S Dixie Dr |
$49.82 | 2,974 | 2,558 |
|
Alexis D Parks Myton
235 W National Rd. |
$70.39 | 3,665 | 3,484 |
|
Jeremy Michael Crouch
900 S Dixie Dr |
$49.53 | 3,785 | 3,215 |
|
James Edward Wilcher
107 Kenbrook Dr |
$37.41 | 4,511 | 3,895 |
|
Lauren Ashley Braswell
900 S Dixie Dr |
$33.10 | 4,581 | 2,661 |
|
Audrey Elizabeth Bateman
900 S Dixie Dr Ste 40 |
$45.54 | 5,409 | 4,263 |
|
Nicole M Tipton
780 Northwoods Blvd |
$100.19 | 6,324 | 3,706 |
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