Average Medicaid Office Visit Payments in Amherst, OH: $44.54
Avg. Paid
$44.54
Range
$19.06 – $81.15
Total Claims
77,250
Providers
26
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 Amherst, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gary Wayne Dinger
254 Cleveland Ave Ste 101 |
$36.18 | 50 | 50 |
|
Jeffrey Carroll James
1959 Cooper Foster Park Rd |
$37.84 | 125 | 120 |
|
Regina Marie Kahnert
254 Cleveland Ave Ste 101 |
$19.06 | 153 | 140 |
|
Lynn A Bolenbaugh
578 N Leavitt Rd |
$67.01 | 168 | 159 |
|
Sarah Swift
305 N Woodhill Dr |
$47.72 | 180 | 164 |
|
George Michael Bescak
100 Cooper Foster Park Rd Ste 1 |
$22.76 | 373 | 336 |
|
Patricia J Lupe
910 Liberty Bell Dr |
$47.79 | 581 | 512 |
|
Ilona Elizabeth Jurek
578 N Leavitt Rd |
$31.51 | 606 | 556 |
|
Laurie Galvan
910 Liberty Bell Dr |
$60.13 | 835 | 597 |
|
Christina Ann Zarate Kolp
254 Cleveland St |
$43.36 | 874 | 823 |
|
Joanna Lynn Ornelas
578 N Leavitt Rd |
$38.19 | 1,034 | 1,002 |
|
Frank Frantisek Szollosy
1170 Cleveland Ave |
$44.35 | 1,103 | 919 |
|
Alison Helene Kraig
590 N Leavitt Rd |
$81.15 | 2,425 | 2,227 |
|
Catherine M Lamb
910 Liberty Bell Dr |
$60.85 | 2,579 | 2,264 |
|
Travia Monique Taylor
254 Cleveland Ave |
$62.22 | 2,777 | 2,682 |
|
Ronald C Carissimi
101 Cooper Foster Park Rd |
$40.23 | 3,011 | 2,778 |
|
Jennifer A Calabrese
101 Cooper Foster Park Rd |
$47.96 | 3,458 | 3,203 |
|
Darla Mitchell
910 Liberty Bell Dr |
$34.83 | 3,537 | 2,286 |
|
Amber Mackenzie Whited-Watson
47185 Cooper Foster Park Rd |
$35.56 | 4,118 | 3,705 |
|
Michelle Grove
910 Liberty Bell Dr |
$47.64 | 4,213 | 3,699 |
|
Timothy John Wagner
101 Cooper Foster Park Rd |
$42.82 | 5,068 | 4,691 |
|
Raquel Grant Venable
578 N Leavitt Rd |
$35.66 | 5,734 | 5,301 |
|
Molly E Ennis
47185 Cooper Foster Park Rd |
$41.15 | 6,285 | 5,712 |
|
Heather Ann Bruderer
578 N Leavitt Rd |
$50.85 | 7,019 | 6,203 |
|
Arlene Grace Roble
590 N Leavitt Rd |
$51.24 | 7,667 | 7,173 |
|
James K Matheson
578 N Leavitt Rd |
$35.08 | 13,277 | 7,148 |
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 Amherst, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Amherst, OH is $44.54 per claim, based on 77,250 claims from 26 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 Amherst, OH?
There are 26 Medicaid providers offering Office Visit related services in Amherst, OH according to public payment data.
What is the price range for Office Visit in Amherst, OH?
Medicaid reimbursement for Office Visit in Amherst, OH ranges from $19.06 to $81.15 per claim, with an average of $44.54. 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 Amherst, OH
Blood Work & Lab Tests
Avg $7.37
22,193 claims
Eye Exam
Avg $23.75
18,394 claims
Nursing Facility Care
Avg $12.38
17,559 claims
Psychiatric Evaluation
Avg $73.75
15,442 claims
Urinalysis & Urine Tests
Avg $4.33
11,038 claims
Vaccines & Immunizations
Avg $13.79
10,831 claims
Emergency Room Visit
Avg $62.30
10,441 claims
Prescription Medications
Avg $7.79
10,251 claims