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 |
|---|---|---|---|
|
Stephanie Lauren Roller Callow
7690 Discovery Dr |
$36.87 | 12 | 12 |
|
Krischelle Panganiban Rowland
7690 Discovery Dr |
$16.34 | 12 | 12 |
|
Matthew Doers
7700 University Dr |
$27.41 | 13 | 12 |
|
Kathryn Danielle Balcom
7675 Wellness Way Ste 315 |
$67.92 | 13 | 13 |
|
Zaiba Malik
7836 Spring Garden Ct |
$20.49 | 13 | 12 |
|
Kenneth Gary Farber
7589 Tylers Place Blvd |
$33.04 | 13 | 12 |
|
Apex Clinicare Llc
8148 Princeton Glendale Rd |
$88.07 | 14 | 14 |
|
Edward P Drohan
7665 Monarch Ct |
$29.25 | 14 | 13 |
|
Jessica Kallenborn
7798 Discovery Dr Ste A |
$58.94 | 15 | 14 |
|
Arthur G Arand
9075 Centre Pointe Dr Ste 200 |
$63.12 | 15 | 12 |
|
Christa Shawn Bryant
8614 Shepherd Farm Dr |
$2.56 | 15 | 13 |
|
Jonathan Knuth Smith
7690 Discovery Dr |
$39.55 | 24 | 24 |
|
Dana K Brown
9075 Centre Pointe Dr Ste 200 |
$74.16 | 24 | 24 |
|
Karen E Gill
7217 Cincinnati Dayton Rd # 2342 |
$42.89 | 26 | 26 |
|
Miranda Johnson
5900 W Chester Rd |
$79.72 | 26 | 26 |
|
Arnold E Drummond
8020 Liberty Way |
$41.19 | 27 | 27 |
|
Ronald E Smith
8040 Princeton-Glendale Rd |
$32.19 | 30 | 26 |
|
Rekha Chaudhary
7675 Wellness Way |
$32.68 | 32 | 24 |
|
Zachary J Plummer
9075 Centre Pointe Dr Ste 200 |
$50.20 | 33 | 24 |
|
Alex Mirzoev
7700 University Dr |
$43.42 | 38 | 38 |
|
Brett Rossow
7675 Wellness Way |
$80.47 | 42 | 40 |
|
Cynthia Annette Perez
7700 University Dr |
$71.11 | 44 | 42 |
|
Shanhong Wang
7760 W Voice Of America Park Dr Ste D |
$19.86 | 46 | 45 |
|
Emily G Hurley
7700 University Dr |
$37.34 | 48 | 42 |
|
Jennifer Henderson
7690 Discovery Dr |
$12.75 | 53 | 47 |
|
Jennifer Marie Klimek
8238 Princeton Glendale Rd |
$43.68 | 54 | 53 |
|
Stephanie Fliehman
7690 Discovery Dr |
$55.10 | 61 | 60 |
|
Shahla Marie Hosseini
7690 Discovery Dr |
$27.37 | 66 | 63 |
|
Charles R Hattemer
7690 Discovery Dr |
$19.99 | 66 | 64 |
|
Sarah Kristen Gamble
7675 Wellness Way |
$27.66 | 66 | 64 |
|
Meron Gizaw Sisay
6111 Tennyson Dr |
$26.17 | 75 | 53 |
|
Hayley Catherine Barnes
7675 Wellness Way |
$43.56 | 75 | 72 |
|
Pranav B. Sheth
7249 Liberty Way Ste 100 |
$47.39 | 79 | 75 |
|
Ryan James Godinsky
9075 Centre Pointe Dr Ste 200 |
$49.03 | 79 | 72 |
|
Kenisha La'Trece Davis
7593 Tylers Place Blvd |
$99.10 | 80 | 55 |
|
Muhammad Zohaib Bawany
7675 Wellness Way |
$51.99 | 82 | 73 |
|
Ashley A. Carrasquillo
7690 Discovery Dr |
$35.96 | 86 | 85 |
|
Rachel N Pauls
7759 University Dr |
$51.11 | 90 | 81 |
|
Benjamin Valley
8734 Union Centre Blvd |
$64.08 | 96 | 91 |
|
Douglas Michael Thompson
8040 Princeton Glendale Rd |
$59.65 | 101 | 84 |
|
Naseer Khan
7700 University Dr |
$29.00 | 106 | 103 |
|
Ronald Glenn Hess
9100 Centre Pointe Dr |
$43.78 | 106 | 96 |
|
Abigail Bitter Lupp
7675 Wellness Way |
$61.01 | 109 | 76 |
|
Ryan M. Gobble
7690 Discovery Dr |
$38.03 | 116 | 116 |
|
Manoj Kumar Singh
7675 Wellness Way |
$45.18 | 116 | 106 |
|
Brad Watkins
7798 University Ct |
$24.85 | 117 | 117 |
|
Farida Begum
8141 Vegas Ct |
$45.50 | 120 | 78 |
|
Diana Bollenbacher
7580 Cox Ln |
$46.54 | 122 | 117 |
|
Joyce Brenneman
8040 Princeton Glendale Rd |
$38.99 | 125 | 108 |
|
Caitlyn Seul Miller
7675 Wellness Way Ste 201 |
$22.01 | 127 | 114 |
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