Average Medicaid Office Visit Payments in Wapakoneta, OH: $42.95
Avg. Paid
$42.95
Range
$22.40 – $84.46
Total Claims
49,649
Providers
30
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 Wapakoneta, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Victor Mark Wei
16 E Auglaize St |
$84.46 | 6,618 | 6,064 |
|
Elizabeth A Bull
602 W Redskin Trl |
$34.82 | 4,934 | 4,441 |
|
Michelle K. Katterheinrich
1100 Defiance St |
$38.35 | 3,505 | 3,259 |
|
Krystal L Brill
602 W Redskin Trl |
$33.33 | 3,127 | 2,832 |
|
Susan M Kaufman
1251 Lincoln Hwy |
$43.83 | 3,099 | 2,761 |
|
Shelley Fogt
602 W Redskin Trl |
$31.23 | 3,040 | 2,660 |
|
Venkata K Chalasani
812 Redskin Trl Ste A |
$35.99 | 3,040 | 2,752 |
|
Jeremy D Engel
602 W Redskin Trl |
$40.73 | 2,908 | 2,608 |
|
Andrea Smith
602 W Redskin Trl |
$29.53 | 2,611 | 2,298 |
|
Mathew M Jose
1015 S Blackhoof St |
$36.01 | 2,394 | 2,096 |
|
Kaitlin A Martin
1321 Bellefontaine St Ste 100 |
$52.37 | 2,038 | 1,819 |
|
Elizabeth J Rammel
1258 Bellefontaine St Ste B |
$49.44 | 1,784 | 1,647 |
|
Marissa K. Recker
602 W Redskin Trl |
$34.77 | 1,401 | 1,253 |
|
Cheryl L Wayman
602 W Redskin Trl |
$30.62 | 1,152 | 1,024 |
|
Savannaha R Crish
602 W Redskin Trl |
$22.40 | 1,018 | 898 |
|
Jamie A. Szelagowski
1007 W Auglaize St |
$41.42 | 982 | 852 |
|
Kara L. Swanson
602 W Redskin Trl |
$25.38 | 907 | 806 |
|
George A Herman
1007 W Auglaize St |
$33.32 | 802 | 646 |
|
Samantha Paige Gruber
16 E Auglaize St |
$53.01 | 776 | 540 |
|
Ashok Kumar Tripuraneni
1015 S Blackhoof St Ste B |
$25.99 | 755 | 609 |
|
Nicole Stephens
1321 Bellefontaine St Ste 100 |
$24.12 | 694 | 579 |
|
John Charles Elkins
108 W Auglaize St |
$32.87 | 537 | 415 |
|
Brittany Kay Clark
1258 Bellefontaine St Ste A |
$40.49 | 507 | 484 |
|
Parmie A Herman
1007 W Auglaize St |
$32.68 | 356 | 299 |
|
Logan Thomas Smith
1258 Bellefontaine St Ste A |
$31.14 | 353 | 336 |
|
Heather Selby
1007 W Auglaize St |
$38.28 | 125 | 107 |
|
Melissa Ann Fogt
1007 W Auglaize St |
$34.43 | 68 | 67 |
|
Amy Rae Elkins
108 W Auglaize St |
$37.52 | 55 | 40 |
|
Tracy Lynn Sharp
1100 Defiance St |
$24.07 | 33 | 27 |
|
Kellye Moore-Texter
1258 Bellefontaine St Ste A |
$26.30 | 30 | 24 |
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 Wapakoneta, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wapakoneta, OH is $42.95 per claim, based on 49,649 claims from 30 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 Wapakoneta, OH?
There are 30 Medicaid providers offering Office Visit related services in Wapakoneta, OH according to public payment data.
What is the price range for Office Visit in Wapakoneta, OH?
Medicaid reimbursement for Office Visit in Wapakoneta, OH ranges from $22.40 to $84.46 per claim, with an average of $42.95. 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 Wapakoneta, OH
Psychiatric Evaluation
Avg $37.88
23,488 claims
Speech Therapy
Avg $26.92
21,364 claims
Chiropractic Care
Avg $16.09
16,785 claims
Blood Work & Lab Tests
Avg $2.30
12,504 claims
Eye Exam
Avg $31.40
9,959 claims
Emergency Room Visit
Avg $87.91
8,122 claims
Physical Therapy
Avg $18.56
7,960 claims
Vaccines & Immunizations
Avg $18.25
2,097 claims