Average Medicaid Office Visit Payments in West Chester, OH: $53.49
Avg. Paid
$53.49
Range
$2.56 – $316.08
Total Claims
350,490
Providers
226
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 West Chester, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West Chester Hospital Llc
7700 University Drive |
$85.63 | 22,110 | 17,901 |
|
Keri E Lauer
8020 Liberty Way |
$25.19 | 21,184 | 11,061 |
|
Alex Hobbs
8148 Princeton Glendale Rd |
$60.78 | 10,688 | 9,516 |
|
Jayasree Jayadevan Nandagopal
7760 University Ct |
$105.10 | 10,316 | 9,497 |
|
Jeffrey Lubow
7700 University Dr |
$26.09 | 7,992 | 4,500 |
|
Harsh Sachdeva
7759 University Dr |
$34.50 | 7,944 | 7,557 |
|
Hungchih Lee
7862 Kingland Dr Ste 201 |
$18.57 | 7,460 | 6,420 |
|
Michael Adam Donaworth
7690 Discovery Dr |
$54.82 | 7,423 | 6,913 |
|
Faith Dawn Samaan
7217 Cincinnati Dayton Rd |
$68.05 | 7,349 | 6,622 |
|
Linda M Griffin Nsombi
9050 Centre Pointe Dr |
$96.25 | 6,879 | 5,044 |
|
Christopher J Diatte
4870 Wunnenberg Way |
$60.43 | 6,717 | 5,636 |
|
Michelle Kleinmann
7792 Misty Shore Dr |
$62.26 | 6,088 | 4,670 |
|
Nafeh Fananapazir
8040 Princeton Glendale Rd |
$51.06 | 5,154 | 4,610 |
|
Mark A. Macnealy
8859 Cincinnati Dayton Rd Ste 102 |
$71.67 | 5,126 | 3,903 |
|
Antoinette Feni Davis
7217 Cincinnati Dayton Rd |
$75.94 | 5,025 | 4,538 |
|
Lakkaraj Rajasekhar
7218 Stone Harbour Ln Ste 200 |
$92.52 | 4,922 | 2,993 |
|
Samina Ahmed
8040 Princeton-Glendale Rd |
$49.87 | 4,886 | 4,495 |
|
Theresa M Derickson
8040 Princeton-Glendale Rd. |
$46.92 | 4,513 | 4,216 |
|
Anthony J Blanchard
7690 Discovery Dr |
$25.99 | 4,401 | 3,471 |
|
Amy K Bernhard
7759 University Drive, Suite C |
$31.57 | 4,376 | 4,195 |
|
Christian Docena
8859 Brookside Ave Ste 101 |
$42.86 | 4,369 | 3,744 |
|
Jenny L Debruer
8040 Princeton Glendale Rd |
$48.24 | 4,210 | 3,866 |
|
Gregory Dante Roulette
7700 University Dr |
$47.90 | 4,101 | 3,163 |
|
Jami L Easterday
7217 Cincinnati Dayton Rd |
$50.71 | 3,960 | 3,667 |
|
David Franklin Kappa
7690 Discovery Dr |
$42.46 | 3,826 | 3,343 |
|
Nathaniel Andrew Harris
7798 Discovery Dr Ste A |
$41.32 | 3,710 | 3,108 |
|
Dana Schaltz Larochelle
7675 Wellness Way |
$44.38 | 3,614 | 2,559 |
|
Ivan R Bennett
7798 Discovery Dr. |
$35.97 | 3,611 | 3,502 |
|
Abigail Komplin
7690 Discovery Dr Unit 1000 |
$51.34 | 3,594 | 3,393 |
|
Mark Callow
7690 Discovery Dr |
$39.81 | 3,498 | 3,343 |
|
Diane Koehl
8859 Brookside Ave Ste 101 |
$58.59 | 3,359 | 3,161 |
|
Richard T Laughlin
7690 Discovery Dr |
$54.35 | 3,215 | 3,015 |
|
Caitlin E Mccarthy
8899 Brookside Ave Ste 101 |
$53.69 | 3,175 | 2,788 |
|
Steven D Vordenberg
8020 Liberty Way |
$35.57 | 3,131 | 2,525 |
|
Kamali L. Bouvay
8040 Princeton Glendale Rd |
$83.88 | 3,061 | 2,971 |
|
Elizabeth Adu-Gyamfi
7675 Wellness Way |
$57.90 | 2,980 | 2,660 |
|
Jason Ernst
7690 Discovery Dr |
$49.20 | 2,969 | 2,769 |
|
Heather Marie Waugh
7690 Discovery Dr Unit 1700 |
$39.20 | 2,754 | 2,663 |
|
Paula Lafranconi
8040 Princeton-Glendale Rd |
$37.38 | 2,675 | 2,574 |
|
Rakeshkumar Kaneria
7760 West Voa Park Dr |
$74.64 | 2,539 | 2,269 |
|
Shoaib Asgher
8020 Liberty Way |
$42.27 | 2,392 | 2,161 |
|
Phillip Randall Ross
7690 Discovery Dr |
$47.34 | 2,382 | 2,262 |
|
Katherine A Lyons
8040 Princeton Glendale Rd |
$41.85 | 2,248 | 2,144 |
|
Sarah J Sabin
8899 Brookside Ave Ste 101 |
$50.27 | 2,231 | 1,866 |
|
Cassandra Hazelrig
4932 Wunnenberg Way Ste B |
$106.52 | 2,145 | 1,995 |
|
David Bernholt
7690 Discovery Dr |
$91.80 | 2,057 | 1,760 |
|
James Kenneth Fortman
7759 University Dr |
$49.37 | 2,049 | 1,904 |
|
Lubna B. Munshi
8040 Princeton Glendale Rd |
$53.33 | 2,021 | 1,949 |
|
Brian Chilelli
8737 Union Centre Blvd |
$44.17 | 2,005 | 1,689 |
|
Jennifer A Henrich
8899 Brookside Ave Ste 101 |
$57.67 | 1,959 | 1,674 |
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 West Chester, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Chester, OH is $53.49 per claim, based on 350,490 claims from 226 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 West Chester, OH?
There are 226 Medicaid providers offering Office Visit related services in West Chester, OH according to public payment data.
What is the price range for Office Visit in West Chester, OH?
Medicaid reimbursement for Office Visit in West Chester, OH ranges from $2.56 to $316.08 per claim, with an average of $53.49. 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 West Chester, OH
Home Health Visit
Avg $65.09
271,857 claims
Physical Therapy
Avg $54.79
242,475 claims
Durable Medical Equipment (DME)
Avg $42.77
227,358 claims
Speech Therapy
Avg $43.07
204,332 claims
Blood Work & Lab Tests
Avg $11.02
200,622 claims
Behavioral & Mental Health Therapy
Avg $91.91
128,384 claims
Psychiatric Evaluation
Avg $67.74
125,645 claims
Substance Abuse Treatment
Avg $93.30
87,010 claims