Average Medicaid Office Visit Payments in Westerville, OH: $58.21
Avg. Paid
$58.21
Range
$1.86 – $322.61
Total Claims
585,772
Providers
377
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 Westerville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Kevin Haninger
500 S Cleveland Ave |
$98.42 | 27,073 | 20,608 |
|
Daniela A Humphrey
433 N Cleveland Ave |
$85.78 | 24,568 | 17,781 |
|
Adam Paul Garlock
433 N Cleveland Ave |
$84.56 | 22,156 | 15,380 |
|
Sheela R Rao
433 N Cleveland Ave |
$81.62 | 15,282 | 11,333 |
|
Terry Philip Barber
433 N Cleveland Ave |
$88.86 | 12,303 | 8,245 |
|
Toscha Manahan
7348 Frasier Rd |
$85.83 | 12,300 | 6,473 |
|
Barbara Laroque
6100 N Hamilton Rd |
$20.94 | 10,748 | 6,608 |
|
Jennifer L Wyse
433 N Cleveland Ave |
$84.14 | 10,046 | 7,257 |
|
Hayley J Lisi
655 Africa Rd |
$19.18 | 9,530 | 4,748 |
|
John M Williamson
5011 Pine Creek Dr |
$109.28 | 8,664 | 6,524 |
|
Tam Minh Tran
655 Africa Rd |
$49.41 | 8,343 | 6,867 |
|
Beth G Lafont
495 Cooper Rd |
$49.16 | 7,553 | 5,383 |
|
Amy Cohagan
595 Copeland Mill Rd |
$62.21 | 7,309 | 6,775 |
|
Shakir Sarwar
300 Polaris Pkwy |
$39.37 | 6,895 | 6,141 |
|
Rebecca Hambach Petraglia
70 S Cleveland Ave |
$27.01 | 6,531 | 3,469 |
|
Sunil Nayyar
387 County Line Rd W Ste 225 |
$42.76 | 6,308 | 3,733 |
|
Robert E Gould
450 Alkyre Run Ste 360 |
$33.24 | 6,261 | 5,582 |
|
Devon L Reed
655 Africa Rd |
$20.64 | 6,093 | 3,388 |
|
Gregory Michael Figg
300 Polaris Pkwy |
$33.94 | 6,081 | 5,850 |
|
Susan Marie Davy
495 Cooper Rd |
$49.43 | 6,022 | 4,481 |
|
Patricia Rose Baumann
444 N Cleveland Ave Ste 120 |
$22.88 | 6,008 | 2,919 |
|
Jeanne Elizabeth Bauer
500 S Cleveland Ave |
$59.07 | 5,860 | 4,907 |
|
Christopher Lautt
631 Copeland Mill Rd Ste B |
$62.15 | 5,820 | 4,899 |
|
Joseph F Amato
495 Cooper Rd |
$50.24 | 5,688 | 4,057 |
|
Regina Tolliver
460 Polaris Pkwy Ste 100 |
$35.77 | 5,627 | 5,028 |
|
Lukasz Lozanski
700 Brooksedge Blvd |
$72.15 | 5,384 | 4,991 |
|
Alana Milton
540 N Cleveland Ave Ste 200 |
$64.84 | 5,362 | 3,456 |
|
Omoefe Efetevbia
6106 Cooper Woods Dr |
$43.11 | 5,113 | 4,325 |
|
Andrea N Snyder
6100 N Hamilton Rd Fl 3 |
$68.44 | 4,777 | 4,466 |
|
Robert S Gotfried
465 N Cleveland Ave |
$52.94 | 4,441 | 4,143 |
|
Alan James Murnane
444 N Cleveland Ave Ste 120 |
$47.16 | 4,356 | 3,022 |
|
Jonathan Patrick Mcfadden
625 Africa Rd Ste 200 |
$23.35 | 4,312 | 2,228 |
|
Amanda Viles
430 Altair Pkwy Ste 110 |
$19.39 | 4,223 | 2,307 |
|
Heather Lynn Yates
495 Cooper Rd Ste 325 |
$81.95 | 4,192 | 2,721 |
|
Michael Jack Leymaster
575 Westar Xing |
$48.79 | 4,163 | 3,869 |
|
Ryan R Ristow
575 Copeland Mill Rd |
$54.56 | 4,084 | 3,838 |
|
Alexander Si-Chan Yeh
625 Africa Rd Ste 220 |
$52.53 | 4,071 | 3,818 |
|
Lara Marie Flaute
655 Africa Rd |
$17.61 | 3,943 | 2,004 |
|
Randy Lee Hinkle
300 Polaris Pkwy |
$43.84 | 3,890 | 3,554 |
|
Jenna L Birdsell
15 Bishop Dr |
$76.34 | 3,860 | 3,569 |
|
Dena Gost
700 Brooksedge Blvd |
$71.00 | 3,800 | 3,482 |
|
Mount Carmel Health System
500 S Cleveland Ave |
$91.32 | 3,689 | 3,098 |
|
Patrick Shayne Rheaume
904 Eastwind Dr |
$49.35 | 3,517 | 2,453 |
|
Michelle Emelia Yaw
575 Westar Xing |
$48.76 | 3,433 | 3,209 |
|
Tiffany L Bell
580 Office Pkwy |
$77.78 | 3,410 | 2,489 |
|
Devindrjit Jordan Singh
6100 N Hamilton Rd |
$18.00 | 3,401 | 1,762 |
|
Ketul K Shah
300 Polaris Pkwy Ste 2300 |
$35.89 | 3,397 | 3,209 |
|
Adam C Spiess
477 Cooper Rd |
$45.00 | 3,330 | 3,120 |
|
Karen D'Angelo
495 Cooper Rd |
$46.67 | 3,272 | 2,759 |
|
Jane L Emerick
625 Africa Rd Ste 320 |
$14.91 | 3,244 | 2,017 |
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 Westerville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Westerville, OH is $58.21 per claim, based on 585,772 claims from 377 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 Westerville, OH?
There are 377 Medicaid providers offering Office Visit related services in Westerville, OH according to public payment data.
What is the price range for Office Visit in Westerville, OH?
Medicaid reimbursement for Office Visit in Westerville, OH ranges from $1.86 to $322.61 per claim, with an average of $58.21. 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 Westerville, OH
Home Health Visit
Avg $53.03
1,155,652 claims
Blood Work & Lab Tests
Avg $3.36
282,970 claims
Durable Medical Equipment (DME)
Avg $34.13
268,628 claims
Emergency Room Visit
Avg $94.20
239,848 claims
Physical Therapy
Avg $19.38
166,895 claims
Psychiatric Evaluation
Avg $73.32
118,006 claims
Dental Cleaning & Exam
Avg $26.39
88,323 claims
Vaccines & Immunizations
Avg $10.27
76,149 claims