Average Medicaid Office Visit Payments in Whitehall, OH: $59.74
Avg. Paid
$59.74
Range
$10.08 – $222.62
Total Claims
77,901
Providers
17
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 Whitehall, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kwadwo Manu Otchere
5150 East Main St |
$19.69 | 15,645 | 7,471 |
|
Florence Ampadu Ofosu-Frimpong
5225 E Main St |
$18.56 | 13,517 | 6,610 |
|
Daniel Melvin
4653 E Main St |
$121.99 | 7,621 | 6,040 |
|
Angelique Claire Bermudez
675 S Yearling Rd Ste 100 |
$14.99 | 7,248 | 3,120 |
|
Judith L. Brown
3768 E Main St |
$88.48 | 6,079 | 4,384 |
|
Patricia Burns
3768 E Main St |
$116.68 | 5,783 | 3,559 |
|
Courtenay Myers
37 Robinwood Ave |
$79.54 | 5,301 | 2,702 |
|
Heart Of Ohio Family Health Centers
5000 E Main St |
$10.08 | 4,559 | 3,142 |
|
Joseph Patrick Dunlevy
4214 E Main St |
$104.58 | 3,508 | 2,936 |
|
Kathleen Marie Ryan
3768 E Main St |
$115.47 | 3,231 | 2,085 |
|
Tia Lorren Helm
5150 E Main St Ste 105 |
$222.62 | 1,666 | 1,535 |
|
Pauline Destine
5150 E Main St |
$60.51 | 1,075 | 1,019 |
|
Soumya Lakshmi Pandalai
3768 E Main St |
$104.03 | 817 | 699 |
|
Michele Marie Toomey
5000 E Main St |
$26.33 | 801 | 382 |
|
Jason Paul Walker
3768 E Main St |
$113.06 | 765 | 576 |
|
Michelle Marie Spears
4000 E Main St |
$13.60 | 193 | 185 |
|
Fahtima Sesay
3597 E Main St |
$55.75 | 92 | 91 |
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 Whitehall, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Whitehall, OH is $59.74 per claim, based on 77,901 claims from 17 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 Whitehall, OH?
There are 17 Medicaid providers offering Office Visit related services in Whitehall, OH according to public payment data.
What is the price range for Office Visit in Whitehall, OH?
Medicaid reimbursement for Office Visit in Whitehall, OH ranges from $10.08 to $222.62 per claim, with an average of $59.74. 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
8,578,324 claims · 3512 providers
Other Procedures in Whitehall, OH
Home Health Visit
Avg $49.48
201,751 claims
Substance Abuse Treatment
Avg $113.45
89,749 claims
Behavioral & Mental Health Therapy
Avg $90.62
77,507 claims
Dental Cleaning & Exam
Avg $24.28
49,388 claims
Psychiatric Evaluation
Avg $72.80
45,817 claims
Blood Work & Lab Tests
Avg $26.04
29,173 claims
Case Management Services
Avg $91.16
26,014 claims
Speech Therapy
Avg $28.56
22,299 claims