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 |
|---|---|---|---|
|
Thomas Patrick Archer
477 Cooper Rd Ste 200 |
$29.16 | 12 | 12 |
|
Brent Michael Barson
465 N Cleveland Ave Ste 200 |
$34.99 | 12 | 12 |
|
Gregory S Stockfish
575 Copeland Mill Rd |
$54.87 | 12 | 12 |
|
Katrina S Tansky
507 Executive Campus Dr |
$36.34 | 12 | 12 |
|
Guru Reddy
615 Copeland Mill Rd Ste 2D |
$15.96 | 12 | 12 |
|
Timothy L Timko
260 Polaris Pkwy Fl 2 |
$29.61 | 12 | 12 |
|
Princess Urbina
6100 N Hamilton Rd Fl 3 |
$84.23 | 13 | 13 |
|
Tarik Kaya Yuce
6100 N Hamilton Rd |
$152.06 | 13 | 13 |
|
James R Dorado
625 Africa Rd Ste 360 |
$21.64 | 13 | 12 |
|
Duncan Campbell
6100 N Hamilton Rd |
$55.24 | 13 | 13 |
|
Siddharth Uday Shetgeri
70 S Cleveland Ave |
$43.77 | 14 | 14 |
|
Jeannine M Hughes
400 Altair Pkwy Ste 3100 |
$35.98 | 14 | 13 |
|
Lacey Janelle Althausen
400 Altair Pkwy Ste 4400 |
$45.07 | 14 | 14 |
|
Andrew C. Diehl
575 Copeland Mill Rd Ste 1D |
$27.79 | 14 | 13 |
|
Neil Richard
444 N Cleveland Avenue |
$22.74 | 14 | 12 |
|
Kirk A Hummer
500 S Cleveland Ave |
$65.10 | 14 | 13 |
|
Xu Huang
620 S Cleveland Ave |
$15.37 | 15 | 15 |
|
Maranda Eldridge
477 Cooper Rd |
$80.02 | 15 | 13 |
|
Graham D Pallante
340 Polaris Pkwy |
$140.45 | 15 | 14 |
|
Katherine T. Becher
6100 N Hamilton Rd |
$49.79 | 15 | 15 |
|
Katrina Harp
655 Africa Rd |
$46.97 | 15 | 13 |
|
Thomas B Freeman
568 S Cleveland Ave |
$60.67 | 15 | 14 |
|
Amy C Buck
30 Kim Ct W |
$35.36 | 16 | 16 |
|
Laura Renae Gilbert
500 S Cleveland Ave |
$41.96 | 16 | 16 |
|
Bryan T Chambers
340 Polaris Pkwy |
$160.42 | 16 | 16 |
|
Regina A Meyer
444 N Cleveland Ave Ste 200 |
$37.59 | 17 | 13 |
|
Trevor Kitchin
460 Polaris Pkwy Ste 100 |
$20.50 | 17 | 12 |
|
Steven K Bixler
193 W Schrock Rd |
$45.98 | 17 | 12 |
|
Carli J Kovach Romero
7345 State Route 3 |
$38.69 | 17 | 16 |
|
Kristen E Loose
6982 Worthington Rd |
$56.77 | 17 | 15 |
|
Emily Rees
171 Charring Cross Dr S |
$70.11 | 18 | 17 |
|
Amanda Rose Ridolfi
7345 State Route 3 |
$36.79 | 18 | 17 |
|
Scott P. Stephens
70 S Cleveland Ave |
$47.16 | 18 | 12 |
|
Douglas Van Fossen
260 Polaris Pkwy Fl 2 |
$27.72 | 19 | 13 |
|
Mary Grace Carlisle
670 Meridian Way Ste 165 |
$51.65 | 21 | 17 |
|
David Brian Schnitzer
575 Charring Cross Dr |
$30.91 | 23 | 20 |
|
Ali Shapiro
400 Altair Pkwy Ste 3300 |
$47.87 | 24 | 23 |
|
Meenal Misal
6100 N Hamilton Rd Fl 3 |
$56.23 | 24 | 23 |
|
Samantha Strawser
495 Cooper Rd Ste 400 |
$37.08 | 24 | 24 |
|
Waqas Nawaz
6100 N Hamilton Rd Fl 2 |
$74.93 | 25 | 25 |
|
Shilpa A Padia
495 Cooper Rd Ste 400 |
$54.39 | 25 | 25 |
|
Melinda Hunkler
260 Polaris Pkwy Fl 2 |
$34.90 | 26 | 26 |
|
Katherine Babbitt
477 Cooper Rd Ste 440 |
$21.06 | 27 | 24 |
|
John Christopher Novak
300 Polaris Pkwy Ste 210 |
$60.57 | 27 | 25 |
|
Lawrence P Heiny
540 N Cleveland Ave Ste 250 |
$41.28 | 28 | 27 |
|
Thomas A Doyle
450 Alkyre Run Ste 350 |
$29.47 | 28 | 26 |
|
Melanie Dahn
300 Polaris Pkwy |
$34.98 | 28 | 26 |
|
Michael Thomas Banning
477 Cooper Rd Ste 200 |
$48.08 | 29 | 27 |
|
Ryan M Barson
465 N Cleveland Ave Ste 200 |
$74.81 | 29 | 19 |
|
Michael Velez
260 Polaris Pkwy Fl 2 |
$44.07 | 29 | 29 |
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