Average Medicaid Office Visit Payments in Canton, OH: $46.47
Avg. Paid
$46.47
Range
$0.00 – $166.21
Total Claims
1,276,960
Providers
548
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 Canton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisa Richer Ford
2600 Sixth Street Sw |
$56.22 | 12 | 12 |
|
Neurocare Center Inc
4105 Holiday St Nw |
$72.75 | 12 | 12 |
|
Sanjiv K Khullar
2726 Fulton Dr Nw |
$53.19 | 12 | 12 |
|
Christina Cristino
2600 Sixth St Sw |
$22.20 | 12 | 12 |
|
Philip Gerow Cameron
4774 Munson St Nw |
$77.00 | 12 | 12 |
|
Mark L Cecil
4760 Belpar St Nw |
$7.27 | 12 | 12 |
|
Jennifer E Cummings
1330 Mercy Dr Nw Ste 101 |
$39.26 | 13 | 12 |
|
Sara Kathleen Mallady
2537 Brookdale St Nw |
$41.56 | 13 | 13 |
|
Stacy Lyn Irwin
2600 Sixth St Sw |
$34.82 | 13 | 13 |
|
Kerry Renee Tedesco
2600 6Th St Sw |
$65.29 | 13 | 12 |
|
Adel M Zakari
4368 Dressler Rd Nw Ste 201A |
$62.66 | 13 | 13 |
|
Matthew Joseph Stonestreet
4760 Belpar St Nw |
$2.36 | 13 | 12 |
|
Kelli J Baker
4565 Dressler Rd Nw |
$67.70 | 14 | 14 |
|
Steven Mark Kelly
2600 6Th St Sw |
$33.72 | 14 | 13 |
|
Kelly Melton
2600 Sixth St Sw |
$20.55 | 14 | 13 |
|
Francis Ergina
1320 Mercy Dr Nw |
$56.81 | 14 | 13 |
|
Tiffany M. Fisher
4466 Fulton Dr Nw |
$38.98 | 14 | 13 |
|
Child And Adolescent Behavioral Health
4641 Fulton Dr Nw |
$0.00 | 14 | 12 |
|
Paul T Scheatzle
236 3Rd St Sw |
$22.89 | 14 | 14 |
|
Makilzhan Shanmugam
1330 Mercy Dr Nw |
$43.05 | 14 | 13 |
|
Laura H Fries
4565 Dressler Rd Nw |
$9.45 | 14 | 12 |
|
Cody Rider
2600 6Th St Sw |
$54.01 | 14 | 14 |
|
Kirby L Sweitzer
1330 Mercy Dr Nw |
$86.43 | 14 | 13 |
|
Sanjiv Khetarpal
4665 Belpar St Nw |
$50.87 | 15 | 14 |
|
Simonette Carol Jones
1330 Mercy Dr Nw |
$14.92 | 15 | 13 |
|
Kenny S Yung
2726 Fulton Dr Nw |
$60.24 | 15 | 15 |
|
Giustina M Brechbill
2600 6Th St Sw |
$19.05 | 15 | 13 |
|
Erin Lynn Fitzpatrick
Po Box 80690 |
$21.84 | 15 | 15 |
|
Vanessa Helen Worley
4105 Holiday St Nw |
$46.62 | 15 | 15 |
|
Timothy M O'Toole
2600 Sixth St Sw |
$52.28 | 15 | 15 |
|
Rebecca L. Wolfe
4466 Fulton Dr Nw |
$47.23 | 15 | 15 |
|
Eveline Rusdianto Klenotic
2600 Sixth St Sw |
$25.01 | 15 | 13 |
|
Thomas W Watson
4760 Belpar St Nw |
$19.82 | 16 | 15 |
|
Deborah Kay Darnell
2663 Cleveland Avenue Nw |
$45.79 | 16 | 16 |
|
Meghan Elizabeth Nein
4760 Belpar St Nw |
$12.40 | 16 | 14 |
|
Latoya Livingston
1341 Market Ave N |
$21.00 | 17 | 16 |
|
Marna Marie Revlock
128 Wertz Ave Nw Ste A |
$41.94 | 18 | 17 |
|
Marjorie Smith
624 Market Ave N |
$17.35 | 18 | 12 |
|
Aaron M Mcmichael
3945 Fulton Dr Nw |
$0.00 | 19 | 15 |
|
Meredith L Skotschir
919 2Nd St Ne |
$22.20 | 19 | 18 |
|
Abigayle Lynne Myers
2600 6Th St Sw |
$35.59 | 20 | 19 |
|
E. A. Malacaman M. D. Llc
128 Wertz Ave. N.W |
$43.61 | 20 | 20 |
|
Julianne Keeler
1320 Mercy Dr Nw |
$10.52 | 21 | 13 |
|
Kasey Cook
2600 6Th St Sw |
$19.79 | 26 | 25 |
|
James Melvin Rajan
4650 Hills And Dales Rd Nw |
$27.21 | 26 | 25 |
|
Samantha D'Amico
4535 Dressler Rd Nw |
$36.89 | 26 | 17 |
|
Natalie Marie Raber
2615 Tuscarawas St W |
$28.84 | 26 | 24 |
|
Victoria Boylen
236 3Rd St Sw |
$17.67 | 27 | 21 |
|
Katherine Anne Lasher
2600 Sixth St Sw Ste 710 |
$29.81 | 27 | 25 |
|
Nicholas Bisconti
2600 Seventh St Sw |
$30.99 | 27 | 27 |
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 Canton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canton, OH is $46.47 per claim, based on 1,276,960 claims from 548 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 Canton, OH?
There are 548 Medicaid providers offering Office Visit related services in Canton, OH according to public payment data.
What is the price range for Office Visit in Canton, OH?
Medicaid reimbursement for Office Visit in Canton, OH ranges from $0.00 to $166.21 per claim, with an average of $46.47. 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 Canton, OH
Home Health Visit
Avg $66.21
1,047,837 claims
Blood Work & Lab Tests
Avg $5.42
1,012,747 claims
Emergency Room Visit
Avg $90.78
740,307 claims
Psychiatric Evaluation
Avg $70.83
631,711 claims
Behavioral & Mental Health Therapy
Avg $76.93
535,285 claims
X-Ray
Avg $7.48
381,505 claims
Nursing Facility Care
Avg $11.21
248,952 claims
EKG / ECG (Electrocardiogram)
Avg $5.65
240,681 claims