Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wilmington, OH: $43.62

Avg. Paid

$43.62

Range

$0.40 – $112.28

Total Claims

249,036

Providers

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 Wilmington, OH

Provider	Avg. Paid	Claims	Patients
Stacey Michelle Mcroberts 630 W Main St Ste 209	$47.88	15	12
Rachel Christine Lovano 630 W Main St Ste 304	$40.43	15	15
Mahyar Pourriahi 1184 W Locust St	$62.37	16	13
Jamie Michelle Duck 610 West Main Street	$70.82	23	19
Melanie Ann Johnson 222 W Main St	$2.01	26	26
Terri L. Ballein 485 W Main St	$43.61	39	23
Benjamin Herendeen 610 W Main St	$31.96	57	57
Rick Dwight Compton 630 W Main St	$36.94	72	67
Jacquelynn R Mcconnaughey 2107 Rombach Ave	$48.31	73	70
Kelcy Tucker 71 Kentucky Ave	$63.51	108	102
Nathan J Roberts 610 W Main St	$36.17	111	111
Roxanne Rose Groseth 630 W Main St	$24.25	143	130
Shawn M Swick 222 W Main St	$35.62	167	153
Kyle Fenner 610 W Main St	$21.10	193	174
County Of Clinton 111 S Nelson Ave Ste 1	$13.91	198	196
Stephany A George 2241 Rombach Ave	$48.22	210	143
Caitlyn Schlie Fannin 2845 Progress Way	$38.59	213	190
Hassan F Hamed 1150 W Locust St Ste 300	$58.28	243	218
Mindy Sue Kahlhamer 1661 Rombach Ave	$2.53	262	240
Santosh R. Likki 1184 W Locust St	$35.09	325	294
Chia-Hung Joseph Chen 671 W Main St	$60.12	345	332
Holly L. Lamb 1184 W Locust St	$47.92	399	374
Nicole Marie Goddard 720 Elm St	$42.84	459	421
Elizabeth Flynn Adams 1230 Rombach Ave	$42.39	508	464
Regina Julia Lahmann 1184 W Locust St	$35.06	611	556
Rchp-Wilmington, Llc 610 W Main St	$65.86	687	503
Hassan Issa 31 Farquhar Ave	$23.65	714	621
Mary Louise Inwood 1184 W Locust St	$33.24	724	676
Aubrey Clark 630 W Main St Ste 101	$45.50	776	747
Anita J. Wantz 1184 W Locust St	$38.29	789	722
Margaret M Brausch 1184 W Locust St	$28.32	881	639
Premier Health Care Llc 2845 Progress Way	$43.08	920	874
Richard Alan Devore 630 W Main St Ste 300	$45.63	1,050	1,008
Tamara Tofte 2241 Rombach Ave	$45.03	1,104	940
Leslie Rae Dye 485 W Main St	$70.38	1,189	1,049
Raja A. Nazir 630 W Main St Ste 105	$40.93	1,291	1,236
Jeffrey David Manser 1150 W Locust St	$47.76	1,391	1,339
Gerald Perelman 1435 Rombach Ave	$23.79	1,537	1,387
James Craig Strafford 485 W Main St	$53.95	1,563	1,255
Katy E Meeker 1184 W Locust St	$45.44	1,594	1,478
M. Niranjan Reddy 630 W Main St Ste 105	$45.23	1,644	1,583
Cynthia A Bevan 1175 Airport Rd	$43.27	1,770	1,589
Christopher M Wright 1150 W Locust St Ste 300	$36.43	1,803	1,704
Carrie Cooper-Fenske Sanan 596 W Main St	$55.54	1,881	1,671
Tracy Dean Kelley 630 W Main St Ste 207	$36.38	1,902	1,837
Juliane Stanton 2845 Progress Way	$37.45	1,915	1,508
Healthsource Of Ohio, Inc. 140 W Main St	$0.40	1,930	1,706
Laura A Clutter 1184 W Locust St	$41.85	2,104	1,977
Tiffany Burroughs 1184 W Locust St	$44.46	2,179	2,027
Ronald Joseph Pedalino 610 W Main St	$11.96	2,182	1,332

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 Wilmington, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilmington, OH is $43.62 per claim, based on 249,036 claims from 86 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 Wilmington, OH?

There are 86 Medicaid providers offering Office Visit related services in Wilmington, OH according to public payment data.

What is the price range for Office Visit in Wilmington, OH?

Medicaid reimbursement for Office Visit in Wilmington, OH ranges from $0.40 to $112.28 per claim, with an average of $43.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wilmington, OH: $43.62

Providers Offering Office Visit in Wilmington, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Wilmington, OH

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Blood Work & Lab Tests

Emergency Room Visit

Behavioral & Mental Health Therapy

Vaccines & Immunizations

Urinalysis & Urine Tests

Psychiatric Evaluation

EKG / ECG (Electrocardiogram)