Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waverly, OH: $38.68

Avg. Paid

$38.68

Range

$0.28 – $122.14

Total Claims

248,728

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 Waverly, OH

Provider	Avg. Paid	Claims	Patients
Mohammad T. Ali 227 Valley View Dr	$21.74	27,882	14,048
Timothy Craig Mcglone 835 W Emmitt Ave	$53.06	20,437	19,460
Ashley Riley 227 Valley View Dr	$23.18	19,158	10,484
Caylee Lynne Hopkins 835 W Emmitt Ave	$55.37	16,852	16,110
Ali N Penn 227 Valley View Dr	$24.07	15,709	8,919
Denise Michelle Duffy 835 W Emmitt Ave	$59.88	15,217	14,650
Angela D. Gilliland 835 W Emmitt Ave	$59.11	10,785	9,765
Jonathan D Ballard 835 W Emmitt Ave	$50.02	9,418	7,845
Community Action Committee Of Pike County 227 Valley View Dr	$0.28	8,614	6,953
Elisa Nicole Lang 835 W Emmitt Ave	$47.82	7,917	7,379
Thomas Jason Seeley 227 Valley View Dr	$26.28	7,847	4,531
Rebecca Brewster 227 Valley View Dr	$31.66	7,825	5,356
Tiffany Jane Wolfe 12340 State Route 104	$27.15	7,447	6,377
Terry A Johnson 715 W Emmitt Ave	$33.36	7,330	3,031
Megan B Johnson 835 W Emmitt Ave	$38.05	6,968	6,364
Bailey Kathleen Caughlan 227 Valley View Dr	$24.84	5,470	2,865
Justin W Smith 12340 State Route 104	$34.74	5,076	4,687
Derek Allen Lawhorn 835 W Emmitt Ave	$48.26	5,001	4,629
Heather R Mckee 12340 State Route 104	$37.90	4,425	3,990
Holli Eden Dunham 12340 State Route 104	$48.25	4,389	4,022
Elizabeth A Bentley 835 W Emmitt Ave	$54.64	4,095	3,865
Scott E Howard 12340 State Route 104	$40.36	3,602	3,303
Carie Lynn Johnson 12340 State Route 104	$42.98	3,595	3,293
Courtney Elaine Moore 835 W Emmitt Ave	$28.47	3,370	3,156
Laura Madison Knipp Sloas 835 W Emmitt Ave	$24.83	2,732	2,639
David R Kessler 621 E 5Th St	$42.03	2,664	2,335
Ray Allen Jones 860 W Emmitt Ave Ste 6	$72.10	2,431	1,128
Melissa Castellano Flores 12340 State Route 104	$48.97	2,430	2,232
Amber Danielle Buffinger 835 W Emmitt Ave	$64.13	2,162	1,518
Susan R Sammons 203 West Emmitt Ave	$91.31	1,451	1,130
Jill A Neff 835 W Emmitt Ave	$40.89	1,430	1,316
Pike Health Services, Inc 100 Dawn Lane	$91.91	1,011	774
Criston B Evans 14532 Us Highway 23	$20.26	922	263
Sarah Williams 835 W Emmitt Ave	$28.25	915	893
Harry T Kittaka 12340 State Route 104	$64.91	473	430
Community Action Committee Of Pike County 13800 Us Highway 23	$0.53	470	381
Dona Haunani Sanders 227 Valley View Dr	$25.89	338	173
Carla D Williams 412 Dean St	$122.14	290	250
Andrea Nicole Brown 227 Valley View Dr	$41.43	286	268
Sharon Renee Ware 227 Valley View Dr	$99.00	255	240
Mishel Simoni 12340 State Route 104	$29.52	27	27
John Bevins 505 W Emmitt Ave	$41.27	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 Waverly, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waverly, OH is $38.68 per claim, based on 248,728 claims from 42 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 Waverly, OH?

There are 42 Medicaid providers offering Office Visit related services in Waverly, OH according to public payment data.

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

Medicaid reimbursement for Office Visit in Waverly, OH ranges from $0.28 to $122.14 per claim, with an average of $38.68. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Waverly, OH: $38.68

Providers Offering Office Visit in Waverly, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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