Average Medicaid Office Visit Payments in Xenia, OH: $59.50
Avg. Paid
$59.50
Range
$0.20 – $128.79
Total Claims
115,982
Providers
51
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 Xenia, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Five Rivers Health Centers
1659 W 2Nd St |
$26.17 | 15 | 13 |
|
Tcn Behavioral Health Services, Inc.
452 W Market St |
$115.08 | 17 | 17 |
|
Franklin Halley
452 W Market St |
$96.28 | 25 | 24 |
|
Madison Luebke
2066 W Main St Ste 150 |
$43.99 | 46 | 45 |
|
Emily Malsch
2066 W Main St Ste 130 |
$42.44 | 62 | 60 |
|
Kathleen Elaine Fitzgerald-Petersen
360 Wilson Dr |
$30.06 | 137 | 90 |
|
Kimberly Carol Vandalen
193 S Progress Dr |
$41.27 | 187 | 171 |
|
Wayne Charles Woodard
1141 N. Monroe Dr. |
$32.83 | 305 | 282 |
|
Linda Ellen Bailey
244 Wilson Dr |
$53.27 | 342 | 301 |
|
Jessica Darnell
193 S Progress Dr |
$57.76 | 358 | 305 |
|
Robert D. Boike
1345 Bellbrook Ave |
$39.44 | 407 | 373 |
|
Five Rivers Health Centers
360 Wilson Dr |
$0.20 | 458 | 324 |
|
Lindsay Bone
53 W Main St |
$89.61 | 465 | 324 |
|
Emily Joanne Cooper
50 N Progress Dr |
$33.94 | 509 | 493 |
|
Rosalie Barath Beverly
50 N Progress Dr |
$1.68 | 573 | 551 |
|
Santosh Khurma
50 N. Progress Dr. |
$42.77 | 620 | 567 |
|
Dina Maria Thurman
600 Buckskin Trl |
$45.50 | 741 | 673 |
|
Alliance Physicians Inc
50 N Progress Dr |
$34.59 | 813 | 776 |
|
Bret Becker
452 W Market St |
$65.45 | 862 | 691 |
|
Robert Martin Henison
36 N Detroit St |
$120.61 | 939 | 576 |
|
Kendall A Rodriguez
244 Wilson Dr |
$38.06 | 1,191 | 1,114 |
|
Kelly Cronomiz Soltis
452 W Market St |
$79.64 | 1,375 | 1,276 |
|
Esam Alkhawaga
452 W Market St |
$97.66 | 1,387 | 1,271 |
|
Amrita Kaur Roderick
452 W Market St |
$89.75 | 1,558 | 1,237 |
|
Jacqueline Naomi Sandor
50 N Progress Dr |
$45.20 | 1,569 | 1,494 |
|
Harish Raj Seetha Rammohan
1141 N Monroe Dr Fl 3 |
$41.48 | 1,654 | 1,523 |
|
Marcus Paul Bolton
1157 N Monroe Dr Ste 220 |
$42.67 | 1,777 | 1,665 |
|
Jennifer Reid Reichert
53 W Main St |
$128.79 | 1,938 | 1,542 |
|
Kevin L Sharrett
50 N Progress Dr |
$30.78 | 1,967 | 1,808 |
|
Richard H Byers
1157 N Monroe Dr Ste 220 |
$35.78 | 1,986 | 1,840 |
|
Kimberly Ann Bell
1157 N Monroe Dr Ste 220 |
$10.39 | 2,013 | 1,588 |
|
Penny Sue Hogan
1768 W Park Sq |
$47.10 | 2,020 | 1,899 |
|
Melissa Eileen Hanna
50 N Progress Dr |
$51.19 | 2,022 | 1,902 |
|
Steve M Friday
1182 N Monroe Dr |
$35.54 | 2,124 | 1,904 |
|
Leslie Pulver
287 Cincinnati Ave |
$97.35 | 2,320 | 2,140 |
|
Dinah Callender
36 N Detroit St |
$85.88 | 2,483 | 2,041 |
|
Cynthia Mcmaken
360 Wilson Dr |
$22.22 | 2,496 | 1,401 |
|
Helena Duque-Pages
1157 N Monroe Dr |
$44.71 | 2,570 | 2,432 |
|
Kevin Keith Edwards
121 S Progress Dr |
$51.84 | 2,923 | 2,120 |
|
Nancy Hesz
1659 W 2Nd St |
$39.37 | 3,340 | 2,732 |
|
Thomas L Brunsman
50 N Progress Dr |
$24.03 | 3,412 | 3,088 |
|
Kaitlyn Pollock
452 W Market St |
$111.62 | 3,789 | 3,578 |
|
Laurie A Bankston
50 N Progress Dr |
$48.16 | 3,989 | 3,780 |
|
Stephanie Ann Keener
36 N Detroit St Ste 105 |
$105.05 | 4,695 | 3,069 |
|
Katherine Sue Lin
121 S Progress Dr |
$54.58 | 5,028 | 3,563 |
|
Caitlin Stigall
452 W Market St |
$94.76 | 5,227 | 4,517 |
|
Laura Ndip Katte
452 W Market St |
$96.30 | 6,013 | 5,545 |
|
Gary A Mueller
2496 Stewart Rd |
$93.03 | 6,871 | 6,403 |
|
Georgia Ann Lindsey
452 W Market St |
$75.00 | 8,149 | 7,346 |
|
Stephen Hough
360 Wilson Dr |
$22.72 | 9,263 | 4,873 |
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 Xenia, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Xenia, OH is $59.50 per claim, based on 115,982 claims from 51 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 Xenia, OH?
There are 51 Medicaid providers offering Office Visit related services in Xenia, OH according to public payment data.
What is the price range for Office Visit in Xenia, OH?
Medicaid reimbursement for Office Visit in Xenia, OH ranges from $0.20 to $128.79 per claim, with an average of $59.50. 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 Xenia, OH
Substance Abuse Treatment
Avg $142.66
235,234 claims
Behavioral & Mental Health Therapy
Avg $82.90
93,637 claims
Blood Work & Lab Tests
Avg $4.86
62,692 claims
Emergency Room Visit
Avg $100.40
51,342 claims
Dental Cleaning & Exam
Avg $21.95
49,020 claims
Psychiatric Evaluation
Avg $80.48
48,403 claims
Speech Therapy
Avg $31.72
45,610 claims
Physical Therapy
Avg $18.66
44,306 claims