Average Medicaid Office Visit Payments in Vermilion, OH: $46.65
Avg. Paid
$46.65
Range
$2.88 – $676.34
Total Claims
28,816
Providers
18
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 Vermilion, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole E Leach
1607 State Rd |
$46.44 | 6,726 | 6,252 |
|
Derik W Sidell
1605 State Rd Ste 8 |
$43.90 | 3,514 | 3,246 |
|
Elizabeth Marie Thaxton
1607 State Rd Ste 6 |
$37.79 | 3,398 | 3,124 |
|
Craig J Recko
1607 State Rt 60 |
$37.72 | 3,373 | 3,137 |
|
Krystal Russell
1607 State Rd |
$47.39 | 2,647 | 2,365 |
|
Dina Cynthia Bauer
5435 Liberty Ave |
$17.27 | 1,506 | 1,141 |
|
Michele Ralofsky
1607 State Route 60 |
$51.16 | 1,468 | 1,333 |
|
Cristen Adams Spoden
1607 State Rd Ste 6 |
$37.84 | 1,310 | 1,235 |
|
Joshua Augustine Muetzel
1607 State Rd Ste 6 |
$47.58 | 1,174 | 1,100 |
|
Khin Zan Tha
1607 State Rd |
$2.88 | 902 | 860 |
|
Melisa Ann Janosik
1607 State Rd Ste 6 |
$41.94 | 881 | 821 |
|
Nicholas Michael Fabian
4365 Liberty Ave |
$45.50 | 731 | 686 |
|
Richard John Kearns
4733 Liberty Avenue |
$25.35 | 318 | 282 |
|
Bonnie Jean Foster
3491 Edgewater Dr |
$676.34 | 285 | 250 |
|
Bailey Williams
1607 State Rd Ste 6 |
$37.41 | 191 | 172 |
|
Huyen Ngoc T Bartholomew
1605 State Route 60 |
$16.71 | 172 | 94 |
|
Amber Diane Casbohm
1607 State Rd |
$28.06 | 151 | 132 |
|
Olga Kontarovich
1605 State Route 60 Ste 8 |
$32.71 | 69 | 61 |
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 Vermilion, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vermilion, OH is $46.65 per claim, based on 28,816 claims from 18 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 Vermilion, OH?
There are 18 Medicaid providers offering Office Visit related services in Vermilion, OH according to public payment data.
What is the price range for Office Visit in Vermilion, OH?
Medicaid reimbursement for Office Visit in Vermilion, OH ranges from $2.88 to $676.34 per claim, with an average of $46.65. 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 Vermilion, OH
Chiropractic Care
Avg $15.95
28,541 claims
Speech Therapy
Avg $28.41
11,817 claims
Physical Therapy
Avg $17.45
9,774 claims
Psychiatric Evaluation
Avg $75.72
6,010 claims
Dental Cleaning & Exam
Avg $17.22
4,992 claims
Eye Exam
Avg $13.39
3,183 claims
Substance Abuse Treatment
Avg $22.81
2,860 claims
Blood Work & Lab Tests
Avg $8.31
1,606 claims