Average Medicaid Office Visit Payments in Cleveland, OH: $41.74
Avg. Paid
$41.74
Range
$0.00 – $318.75
Total Claims
4,839,931
Providers
3,568
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 Cleveland, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Hospitals Cleveland Medical Center
11100 Euclid Ave |
$125.74 | 105,047 | 82,951 |
|
Care Alliance
1530 Saint Clair Avenue |
$32.64 | 52,933 | 41,542 |
|
University Hospitals Cleveland Medical Center
11100 Euclid Ave |
$155.82 | 44,964 | 39,293 |
|
Northeast Ohio Neighborhood Health Services, Inc.
8300 Hough Ave |
$29.96 | 27,855 | 19,234 |
|
Michael David Magiera
11100 Euclid Ave |
$29.45 | 23,965 | 12,175 |
|
David Lynn Brager
3929 Rocky River Dr |
$22.20 | 22,505 | 11,059 |
|
Vidula Khadilkar
3100 E 45Th St |
$54.14 | 22,434 | 18,284 |
|
Keyhan Mobasseri
7211 Broadway Ave |
$50.32 | 22,351 | 18,875 |
|
Elizabeth Ann Petitt
8301 Detroit Ave |
$20.27 | 17,954 | 9,613 |
|
Northeast Ohio Neighborhood Health Services, Inc.
13301 Miles Ave |
$25.62 | 17,448 | 12,234 |
|
Northeast Ohio Neighborhood Health Services, Inc.
12100 Superior Ave |
$29.42 | 17,321 | 12,660 |
|
Idya Praveen Kumar
13301 Miles Ave |
$15.27 | 16,316 | 8,119 |
|
Melanie E Golembiewski
11709 Lorain Ave |
$17.97 | 15,894 | 10,065 |
|
Richard A Zinni
13301 Miles Ave |
$27.51 | 15,684 | 7,851 |
|
Hazem M Nouraldin
1730 West 25Th St |
$33.99 | 15,438 | 12,977 |
|
Adebowale A Adedipe
11201 Shaker Blvd |
$41.54 | 15,399 | 14,652 |
|
Amandeep Bains
11100 Euclid Ave |
$184.20 | 15,301 | 1,865 |
|
Frank Sajen
9500 Euclid Ave |
$25.44 | 15,155 | 9,060 |
|
Brian Alexander Soto
5209 Detroit Ave |
$21.29 | 15,084 | 7,169 |
|
Natalia Parkanzky
3569 Ridge Rd |
$24.66 | 15,023 | 10,661 |
|
James Ward
4400 Euclid Ave |
$22.79 | 14,895 | 7,823 |
|
Jerald Mark Garcia
11100 Euclid Ave |
$58.16 | 14,766 | 13,469 |
|
Northeast Ohio Neighborhood Health Services, Inc.
15322 Saint Clair Ave |
$24.36 | 14,129 | 10,125 |
|
Grace Mccracken
15322 Saint Clair Ave |
$17.70 | 13,963 | 6,845 |
|
Lisa Marie Lawrence
4500 Euclid Ave |
$21.68 | 13,883 | 7,752 |
|
Ines Del Carmen Cuebas Rolon
2500 Metrohealth Dr |
$31.14 | 13,812 | 13,021 |
|
Afsaneh Darejeh
11100 Euclid Ave |
$54.22 | 13,409 | 12,970 |
|
Xiaozhou Tang
2500 Metrohealth Dr |
$33.96 | 13,017 | 12,390 |
|
Anne S Wise
3569 Ridge Road |
$25.34 | 12,350 | 8,784 |
|
Amy Ebbitt
6412 Franklin Blvd |
$27.82 | 12,252 | 8,544 |
|
Bonnie M Kaput
3929 Rocky River Dr |
$28.68 | 12,088 | 6,736 |
|
Sheng Liu
2500 Metrohealth Dr |
$24.46 | 12,005 | 8,116 |
|
Saroj B Brar
28340 Red Raven Rd |
$78.98 | 11,857 | 10,750 |
|
The Cleveland Clinic Foundation
9500 Euclid Ave |
$24.96 | 11,659 | 10,790 |
|
Aleksandra Rabinovich
1001 Lakeside Ave E Ste 1000 |
$25.50 | 11,472 | 8,060 |
|
Wayne A Forde
2500 Metrohealth Dr |
$29.17 | 11,078 | 8,502 |
|
Shaina Marie Allen
4400 Euclid Ave |
$25.71 | 11,054 | 5,900 |
|
Momin Mohamed Hassan Gabir
9500 Euclid Ave |
$91.25 | 10,729 | 10,582 |
|
Sasha Elizabeth Yurgionas
11709 Lorain Ave |
$23.43 | 10,702 | 7,770 |
|
Valarie Jean Gray
12201 Euclid Ave |
$17.36 | 10,661 | 5,700 |
|
Erick Roman Kauffman
2358 Professor Ave |
$21.76 | 10,592 | 7,041 |
|
Erin Patricia Murphy
4400 Euclid Ave |
$27.75 | 10,549 | 5,500 |
|
Jennifer Sobrowski
3569 Ridge Rd |
$22.38 | 10,443 | 6,528 |
|
Jennifer Rae Mlady
3929 Rocky River Dr |
$24.28 | 10,305 | 5,065 |
|
Jaina Amin
11000 Euclid Ave |
$23.26 | 10,294 | 6,081 |
|
Tara-Lin Hollins
9500 Euclid Ave |
$70.04 | 10,244 | 9,123 |
|
Gaby Khoury
2500 Metrohealth Dr |
$35.19 | 10,070 | 9,584 |
|
The Metrohealth System
2500 Metrohealth Dr |
$11.49 | 10,051 | 9,221 |
|
Leonor M Osorio
3600 Franklin Blvd |
$29.85 | 9,807 | 9,389 |
|
Harry K Kiefer
2500 Metrohealth Dr |
$29.07 | 9,787 | 9,169 |
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 Cleveland, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cleveland, OH is $41.74 per claim, based on 4,839,931 claims from 3568 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 Cleveland, OH?
There are 3568 Medicaid providers offering Office Visit related services in Cleveland, OH according to public payment data.
What is the price range for Office Visit in Cleveland, OH?
Medicaid reimbursement for Office Visit in Cleveland, OH ranges from $0.00 to $318.75 per claim, with an average of $41.74. 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 Cleveland, OH
Blood Work & Lab Tests
Avg $5.86
7,265,730 claims
Home Health Visit
Avg $54.94
3,518,961 claims
Emergency Room Visit
Avg $98.94
3,436,346 claims
Behavioral & Mental Health Therapy
Avg $95.38
2,548,278 claims
X-Ray
Avg $8.95
2,124,741 claims
Substance Abuse Treatment
Avg $65.51
1,764,305 claims
Vaccines & Immunizations
Avg $8.45
1,524,000 claims
Psychiatric Evaluation
Avg $71.68
1,389,804 claims