Average Medicaid Office Visit Payments in Yellow Springs, OH: $33.01
Avg. Paid
$33.01
Range
$7.04 – $45.10
Total Claims
23,695
Providers
10
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 Yellow Springs, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Donald Alexander Gronbeck
888 Dayton St Unit 106 |
$43.23 | 9,736 | 5,594 |
|
Keith A Watson
100 Kahoe Ln |
$28.07 | 5,058 | 2,756 |
|
Jeffrey James Bell
888 Dayton St |
$31.26 | 2,422 | 1,966 |
|
Danielle Leigh Swisshelm
888 Dayton St Unit 106 |
$7.04 | 2,233 | 1,886 |
|
Andrea Light Carr
245 Northwood Dr |
$45.10 | 1,574 | 1,353 |
|
Bobbi Rockey Barth
888 Dayton St |
$20.40 | 1,008 | 855 |
|
Christopher Seinjen Wharton
888 Dayton St Unit 200 |
$31.37 | 750 | 651 |
|
Shannon Michelle Lewis
888 Dayton St Unit 200 |
$11.97 | 717 | 638 |
|
Greene Memorial Hospital Inc
888 Dayton St |
$7.13 | 101 | 91 |
|
Clifford W Fawcett
888 Dayton St |
$37.83 | 96 | 86 |
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 Yellow Springs, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Yellow Springs, OH is $33.01 per claim, based on 23,695 claims from 10 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 Yellow Springs, OH?
There are 10 Medicaid providers offering Office Visit related services in Yellow Springs, OH according to public payment data.
What is the price range for Office Visit in Yellow Springs, OH?
Medicaid reimbursement for Office Visit in Yellow Springs, OH ranges from $7.04 to $45.10 per claim, with an average of $33.01. 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 Yellow Springs, OH
Psychiatric Evaluation
Avg $56.32
34,103 claims
Emergency Room Visit
Avg $82.17
6,235 claims
Behavioral & Mental Health Therapy
Avg $32.25
5,857 claims
Blood Work & Lab Tests
Avg $2.11
4,636 claims
Dental Cleaning & Exam
Avg $26.34
3,813 claims
Ambulance Transport
Avg $28.92
1,038 claims
Urinalysis & Urine Tests
Avg $1.84
1,032 claims
Vaccines & Immunizations
Avg $12.21
377 claims