Average Medicaid Office Visit Payments in Wintersville, OH: $44.17
Avg. Paid
$44.17
Range
$3.39 – $72.78
Total Claims
94,097
Providers
34
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 Wintersville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anand John Mathew
107 Main St |
$43.20 | 12,912 | 11,530 |
|
Crystal Torok
148 Main St |
$59.64 | 8,816 | 5,884 |
|
Roxane Gates
148 Main St |
$61.24 | 8,406 | 5,627 |
|
Manuel W Ballas
200 Luray Dr |
$19.87 | 6,415 | 4,106 |
|
Laila Dyan Richards
150 Main St |
$54.21 | 5,606 | 4,064 |
|
Coleen Hart
107 Main St |
$38.90 | 5,158 | 4,848 |
|
Melissa K Keyser
148 Main St |
$72.78 | 4,387 | 2,557 |
|
George Vanweelden
864 Main St |
$34.78 | 4,161 | 3,875 |
|
Atul P Shah
100 Welday Ave |
$36.43 | 4,077 | 3,550 |
|
Nicholas Dicarlo
148 Main St |
$45.29 | 3,705 | 2,880 |
|
Erin N Krieg
148 Main St |
$17.02 | 3,607 | 2,549 |
|
Page Hardsouk
150 Main St |
$55.15 | 3,228 | 2,325 |
|
Lynn Marie Miller
200 Luray Dr |
$26.30 | 3,178 | 2,895 |
|
Shaban Al Shoshi
100 Welday Ave |
$36.21 | 3,168 | 2,868 |
|
Sarah Elizabeth Ensinger
148 Main St |
$40.78 | 2,143 | 1,989 |
|
Carly L Rauch
148 Main St |
$70.63 | 1,919 | 1,052 |
|
Erica Anne Kuchinski
148 Main St |
$40.07 | 1,857 | 1,673 |
|
Derek Powell
500 Main St |
$33.55 | 1,827 | 1,749 |
|
Brittany Klinger
107 Main St |
$44.33 | 1,790 | 1,705 |
|
Mark Kissinger
107 Main St |
$33.78 | 1,332 | 1,279 |
|
April Vella-Powell
500 Main St |
$41.56 | 1,181 | 1,064 |
|
Joy A Irvin
107 Main St |
$46.56 | 941 | 871 |
|
Christine Radivoj
148 Main St |
$26.52 | 881 | 769 |
|
Tina Marie Tiberio
200 Luray Dr |
$3.39 | 854 | 680 |
|
Melissa Lynn Crabtree
148 Main St |
$49.51 | 675 | 525 |
|
Ranjan Prakash Bhandari
100 Welday Ave |
$28.43 | 389 | 287 |
|
Melissa Buksa
107 Main St |
$52.06 | 387 | 358 |
|
Kevin J Harris
107 Main St |
$36.03 | 371 | 332 |
|
Lindsay Blake
200 Luray Dr |
$27.65 | 311 | 279 |
|
Jasmin A Tamboli
227 Canton Rd |
$45.42 | 138 | 116 |
|
Ananth Rayabhari
107 Main St |
$70.32 | 130 | 117 |
|
Anthony William Grant
319 Main St |
$20.50 | 60 | 44 |
|
William Steven Grant
319 Main St |
$20.68 | 48 | 37 |
|
Amy Renea Dorsey
107 Main St |
$50.36 | 39 | 38 |
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 Wintersville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wintersville, OH is $44.17 per claim, based on 94,097 claims from 34 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 Wintersville, OH?
There are 34 Medicaid providers offering Office Visit related services in Wintersville, OH according to public payment data.
What is the price range for Office Visit in Wintersville, OH?
Medicaid reimbursement for Office Visit in Wintersville, OH ranges from $3.39 to $72.78 per claim, with an average of $44.17. 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 Wintersville, OH
Home Health Visit
Avg $86.52
296,050 claims
Vaccines & Immunizations
Avg $17.81
13,880 claims
Physical Therapy
Avg $17.03
9,203 claims
Ambulance Transport
Avg $46.92
9,068 claims
Blood Work & Lab Tests
Avg $11.41
8,952 claims
Psychiatric Evaluation
Avg $81.14
8,775 claims
Emergency Room Visit
Avg $57.61
8,661 claims
Speech Therapy
Avg $36.92
6,998 claims