Average Medicaid Office Visit Payments in Broadview Heights, OH: $83.61
Avg. Paid
$83.61
Range
$19.79 – $117.80
Total Claims
28,939
Providers
18
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 Broadview Heights, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aditi M Sheth
5718 W Mill Rd |
$117.80 | 14,145 | 12,656 |
|
Sylvester Smarty
3505 E Royalton Rd |
$57.41 | 2,563 | 1,790 |
|
Christine Boyko
2001 E Royalton Rd |
$50.10 | 2,440 | 2,377 |
|
Katherine Simenc
8765 Broadview Rd |
$44.77 | 1,778 | 1,640 |
|
David Eugene Mcnair
7500 Town Centre Dr Ste 300 |
$52.08 | 1,363 | 1,122 |
|
Kelly M Christean
5901 E Royalton Rd Suite 1400B |
$54.50 | 1,271 | 1,216 |
|
Ernesto Gerardo
5901 E Royalton Rd Ste 2100 |
$57.03 | 1,200 | 1,141 |
|
Sarah Grace Michalak
9075 Town Centre Dr Ste 100 |
$44.12 | 1,089 | 1,030 |
|
Jock Neil Taylor
5901 E Royalton Rd Ste 1400 |
$45.52 | 1,033 | 965 |
|
James Anthony Bartyzel
5901 E Royalton Rd |
$60.79 | 746 | 710 |
|
Gina V. Horne
5901 E Royalton Rd Ste 2200 |
$47.66 | 496 | 466 |
|
Lucy Kathleen O'Brien
303 E Royalton Rd |
$49.93 | 210 | 191 |
|
Ashley Osterman
9075 Town Centre Dr Ste 100 |
$19.79 | 194 | 179 |
|
Michael E Saridakis
1 Eagle Valley Ct Ste 105 |
$48.08 | 164 | 154 |
|
Rebecca Ann Pollack
5901 E Royalton Rd # 1400B |
$42.65 | 142 | 138 |
|
Jennifer Elizabeth Wehner
2001 E Royalton Rd |
$26.04 | 43 | 36 |
|
Kristen M. Byrne
130 Kimrose Ln |
$23.15 | 42 | 38 |
|
Rashelle Marie Ansec
1707 Stoney Run Cir |
$67.67 | 20 | 17 |
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 Broadview Heights, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Broadview Heights, OH is $83.61 per claim, based on 28,939 claims from 18 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 Broadview Heights, OH?
There are 18 Medicaid providers offering Office Visit related services in Broadview Heights, OH according to public payment data.
What is the price range for Office Visit in Broadview Heights, OH?
Medicaid reimbursement for Office Visit in Broadview Heights, OH ranges from $19.79 to $117.80 per claim, with an average of $83.61. 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
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Other Procedures in Broadview Heights, OH
Home Health Visit
Avg $77.14
170,627 claims
Behavioral & Mental Health Therapy
Avg $105.32
5,396 claims
Ambulance Transport
Avg $39.55
3,200 claims
Speech Therapy
Avg $22.11
3,016 claims
Emergency Room Visit
Avg $64.84
2,898 claims
Nursing Facility Care
Avg $15.66
2,389 claims
Podiatry (Foot Care)
Avg $4.43
1,577 claims
Psychiatric Evaluation
Avg $42.85
1,392 claims