Average Medicaid Office Visit Payments in West Union, OH: $52.39
Avg. Paid
$52.39
Range
$0.00 – $87.93
Total Claims
142,751
Providers
25
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 Union, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adam P Zeigler
131 Cic Blvd |
$65.23 | 29,445 | 26,917 |
|
Andrew Edwin Shaheen
131 Cic Blvd |
$56.36 | 17,924 | 17,193 |
|
Sarica Lillie
90 Cic Blvd |
$54.57 | 15,566 | 14,955 |
|
Cadee Schumacher
131 Cic Blvd |
$61.05 | 14,437 | 13,445 |
|
Tara R. Applegate
90 Cic Blvd |
$55.59 | 13,910 | 13,188 |
|
David B Parrett
211 N Wilson Dr |
$28.71 | 13,060 | 10,463 |
|
Kayla Ross
131 Cic Blvd. |
$52.45 | 10,216 | 9,596 |
|
Robert Eugene Newman
90 Cic Blvd |
$50.10 | 6,119 | 5,751 |
|
Debora Kay Katz
192 Chestnut Ridge Rd |
$18.96 | 4,426 | 2,501 |
|
Justin Stuart Greenlee
90 Cic Blvd |
$57.35 | 4,413 | 4,230 |
|
Dawne Hamilton
560 Rice Dr |
$32.28 | 3,340 | 2,677 |
|
Hannah Hopkins
11100 State Route 41 |
$34.07 | 2,594 | 1,658 |
|
John H Shupert
126 N Cross St |
$41.19 | 1,832 | 1,742 |
|
Kelsey Louise Potter
90 Cic Blvd |
$27.94 | 1,600 | 1,457 |
|
Amanda Gail Wallace
247 Cic Blvd |
$87.93 | 1,252 | 887 |
|
Amber Irwin
192 Chestnut Ridge Rd |
$26.33 | 639 | 353 |
|
William Elwood Hablitzel
113 E Mulberry St |
$24.91 | 537 | 488 |
|
Angela M Shupert
90 Cic Blvd |
$32.40 | 462 | 429 |
|
Joshua R Horn
107 N Wilson Dr |
$9.95 | 455 | 432 |
|
Shawnee Mental Health Center Inc
192 Chestnut Ridge Rd |
$9.49 | 239 | 157 |
|
Heather Dawn Winder
11100 State Route 41 |
$50.40 | 170 | 158 |
|
Adams County Regional Medical Center
11100 State Route 41 |
$0.00 | 45 | 26 |
|
Howard L. Covert
125 S Manchester St |
$43.61 | 34 | 33 |
|
Adams County Auditor
560 Rice Dr |
$9.67 | 21 | 12 |
|
Lela Ann Wolf
247 Cic Blvd |
$22.76 | 15 | 15 |
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 Union, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Union, OH is $52.39 per claim, based on 142,751 claims from 25 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 Union, OH?
There are 25 Medicaid providers offering Office Visit related services in West Union, OH according to public payment data.
What is the price range for Office Visit in West Union, OH?
Medicaid reimbursement for Office Visit in West Union, OH ranges from $0.00 to $87.93 per claim, with an average of $52.39. 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
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Other Procedures in West Union, OH
Substance Abuse Treatment
Avg $156.03
110,888 claims
Behavioral & Mental Health Therapy
Avg $49.46
38,877 claims
Psychiatric Evaluation
Avg $57.61
31,339 claims
X-Ray
Avg $5.21
23,865 claims
Chiropractic Care
Avg $18.67
20,232 claims
Blood Work & Lab Tests
Avg $9.70
16,972 claims
Speech Therapy
Avg $29.15
15,856 claims
CT Scan (Computed Tomography)
Avg $34.34
10,098 claims