Average Medicaid Office Visit Payments in Berea, OH: $63.63
Avg. Paid
$63.63
Range
$18.38 – $315.73
Total Claims
36,059
Providers
22
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 Berea, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John James Kavlich
276 W Bagley Rd |
$40.97 | 19 | 15 |
|
Ohioguidestone
202 E Bagley Rd |
$120.55 | 71 | 58 |
|
Brandy Elizabeth Rahm
275 Eastland Rd |
$59.81 | 81 | 78 |
|
Colleen Theresa Scullin
275 Eastland Rd |
$37.48 | 99 | 93 |
|
Ohioguidestone
202 East Bagley Road |
$118.53 | 221 | 214 |
|
Amanda Cafarelli De Leon
563 W Bagley Rd |
$57.39 | 392 | 369 |
|
Nathaniel A Hamm
429 Front St |
$30.08 | 419 | 338 |
|
David Carl Ludwig
1350 W Bagley Rd |
$54.04 | 546 | 499 |
|
Ladislav Fedorko
1350 W Bagley Rd |
$315.73 | 986 | 915 |
|
Nicole Christine Troy
563 W Bagley Rd |
$52.51 | 1,100 | 1,022 |
|
Brandie Lea Hebb
232 Butternut Ln |
$253.98 | 1,337 | 1,036 |
|
Mary Canonico
202 E Bagley Rd |
$79.06 | 1,378 | 1,235 |
|
Beverly Diane Williams
205 W Bagley Rd |
$58.75 | 1,573 | 1,419 |
|
Jessica Shattuck
108 Slippery Rock Ln |
$51.69 | 1,726 | 1,447 |
|
Tyecia Stevens
398 W Bagley Rd Ste 12 |
$19.91 | 2,158 | 2,040 |
|
Benjamin Kravitz
205 W Bagley Rd |
$49.59 | 2,270 | 1,605 |
|
Sheryl Christine Aponte
570 N Rocky River Dr |
$18.38 | 2,845 | 1,793 |
|
Theodore R Gover
205 W Bagley Rd |
$47.35 | 2,931 | 2,157 |
|
Kallie Lin Hinspeter
201 Front St |
$29.82 | 2,932 | 1,463 |
|
Bridget Rubel
845 W Bagley Rd |
$83.84 | 2,990 | 1,386 |
|
Kimberly Tenita Clark
202 E Bagley Rd |
$93.59 | 3,741 | 3,472 |
|
Selah Westfall
845 W Bagley Rd |
$24.30 | 6,244 | 3,510 |
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 Berea, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berea, OH is $63.63 per claim, based on 36,059 claims from 22 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 Berea, OH?
There are 22 Medicaid providers offering Office Visit related services in Berea, OH according to public payment data.
What is the price range for Office Visit in Berea, OH?
Medicaid reimbursement for Office Visit in Berea, OH ranges from $18.38 to $315.73 per claim, with an average of $63.63. 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 Berea, OH
Behavioral & Mental Health Therapy
Avg $85.28
185,939 claims
Psychiatric Evaluation
Avg $79.20
154,598 claims
Speech Therapy
Avg $23.15
33,126 claims
Eye Exam
Avg $16.68
14,209 claims
Nursing Facility Care
Avg $15.98
13,205 claims
Substance Abuse Treatment
Avg $108.39
11,986 claims
Physical Therapy
Avg $20.63
8,303 claims
Ambulance Transport
Avg $47.72
7,359 claims