Average Medicaid Office Visit Payments in Boardman, OH: $53.32
Avg. Paid
$53.32
Range
$2.58 – $163.26
Total Claims
476,256
Providers
183
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 Boardman, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Armile
8262 South Ave |
$39.12 | 41,152 | 39,059 |
|
Mark C Demetrios
955 Windham Ct |
$75.86 | 15,815 | 15,019 |
|
Joni S Canby
7600 Southern Blvd |
$40.23 | 15,415 | 11,841 |
|
Tara D Winchester
1111 Boardman Canfield Rd |
$43.77 | 14,375 | 11,170 |
|
Antoine T El-Hayek
1111 Boardman Canfield Rd |
$47.34 | 12,390 | 9,617 |
|
George Ellis
910 Boardman-Canfield Road |
$51.33 | 12,209 | 11,518 |
|
David J Sansoterra
6505 Market St |
$26.53 | 11,431 | 6,775 |
|
Theresa Lynn Hahn
8423 Market St Ste 300 |
$81.43 | 11,234 | 10,355 |
|
Sheryl R Handler-Matasar
6505 Market St Bldg A |
$93.98 | 10,876 | 10,312 |
|
Tina Marie Smith
900 Trailwood Dr |
$40.89 | 10,026 | 9,063 |
|
Kimberly Lynn Mc Abee
6505 Market St |
$18.70 | 9,390 | 5,622 |
|
Thomas Joseph Zarlingo
8423 Market St |
$48.80 | 8,771 | 6,448 |
|
Michael Robert Pascolini
8423 Market St |
$50.80 | 8,656 | 8,305 |
|
Ibrahim J Haddad
7641 Market St Ste 3 |
$51.34 | 8,614 | 8,343 |
|
Tiffany Rae Morales
8423 Market St Ste 300 |
$87.56 | 8,573 | 8,419 |
|
Abhay Sharma
8401 Market St |
$19.84 | 8,568 | 4,903 |
|
David E Biats
8423 Market St Fl 3 |
$47.53 | 8,540 | 6,538 |
|
Deanna Marie Bellville
6505 Market St Bldg A1 |
$73.77 | 8,420 | 7,902 |
|
Pradeep Mathur
955 Windham Ct |
$65.69 | 8,286 | 7,727 |
|
Vincent Paolone
8166 Market St |
$78.26 | 7,800 | 7,240 |
|
Kwame A Williams
1265 Boardman Canfield Rd |
$33.34 | 7,654 | 6,565 |
|
Abbie Lynn Medovich
8401 Market St |
$31.27 | 7,109 | 6,398 |
|
Oscar Fouad Khawli
8423 Market St |
$46.43 | 6,848 | 5,523 |
|
Robert Peter Vandekappelle
6505 Market St Fl 2 |
$59.57 | 6,632 | 6,405 |
|
Michelle L Evans
930 Trailwood Dr |
$101.30 | 6,562 | 4,725 |
|
Linda Sue Beilstein
6505 Market St Bldg A1 |
$80.29 | 6,279 | 6,015 |
|
Lori L Leipheimer
8261 Market St |
$91.18 | 6,150 | 4,229 |
|
Jodi Lynn Pegg
725 Boardman Canfield Rd Ste M |
$94.24 | 6,043 | 5,336 |
|
Rachelle Halula
6505 Market St Bldg A1 |
$64.64 | 6,022 | 5,717 |
|
William Louis Houser
780 Boardman Canfield Rd |
$39.58 | 5,559 | 5,380 |
|
Grace L. Smith
6505 Market St Bldg A |
$68.52 | 5,433 | 5,212 |
|
Sarah Elizabeth Watkins
6505 Market St Ste 2100 |
$76.30 | 4,631 | 4,415 |
|
Kenneth Emch
8175 Market St |
$33.72 | 4,492 | 3,737 |
|
Carmen Z Harlan
6614 Southern Blvd |
$85.09 | 4,438 | 4,319 |
|
Aneta J Homer
7000 South Ave Ste 2 |
$36.43 | 4,338 | 3,997 |
|
Tammy M. Daugherty
8423 Market St Fl 3 |
$49.46 | 4,145 | 3,296 |
|
Mary J Pascolini
6505 Market St Ste 2100 |
$76.47 | 3,982 | 3,686 |
|
Molly Corlew
250 Debartolo Pl |
$16.89 | 3,842 | 3,520 |
|
Stacy Lynn Generalovich
6505 Market St Ste 2100 |
$70.57 | 3,618 | 3,489 |
|
Benjamin Robert Brocker
7341 Eisenhower Dr |
$48.04 | 3,604 | 3,272 |
|
Jeffrey Thomas Johnston
835 Mckay Ct Ste 100 |
$38.79 | 3,602 | 3,436 |
|
Courtney Dawn Cuppett
8423 Market St Ste 207 |
$48.10 | 3,467 | 2,257 |
|
Jill Christine Gulling
6505 Market St Bldg A1 |
$79.92 | 3,422 | 3,345 |
|
Taylor Watson
8261 Market St |
$88.11 | 3,353 | 2,617 |
|
Heather Danielle Strawbridge
8423 Market St Ste 300 |
$86.58 | 3,315 | 3,218 |
|
Michael Donald Paronish
8423 Market St Ste 101 |
$38.00 | 3,258 | 3,084 |
|
Sumira Adhikari Koirala
8423 Market St |
$40.47 | 3,061 | 2,885 |
|
Amanda Mae Mcallen
6505 Market St Bldg A1 |
$77.34 | 2,959 | 2,821 |
|
James Edwin Prommersberger
940 Windham Ct |
$33.22 | 2,882 | 1,909 |
|
Jeffrey David Stewart
8423 Market St Ste 207 |
$43.90 | 2,850 | 2,482 |
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 Boardman, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boardman, OH is $53.32 per claim, based on 476,256 claims from 183 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 Boardman, OH?
There are 183 Medicaid providers offering Office Visit related services in Boardman, OH according to public payment data.
What is the price range for Office Visit in Boardman, OH?
Medicaid reimbursement for Office Visit in Boardman, OH ranges from $2.58 to $163.26 per claim, with an average of $53.32. 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 Boardman, OH
Home Health Visit
Avg $48.53
553,007 claims
Physical Therapy
Avg $19.34
479,356 claims
Emergency Room Visit
Avg $85.87
213,380 claims
Psychiatric Evaluation
Avg $60.01
165,358 claims
Ultrasound
Avg $33.42
102,280 claims
Blood Work & Lab Tests
Avg $5.86
88,580 claims
Dental Cleaning & Exam
Avg $26.25
75,236 claims
Urinalysis & Urine Tests
Avg $1.58
73,300 claims