Average Medicaid Office Visit Payments in Copley, OH: $35.48
Avg. Paid
$35.48
Range
$19.50 – $64.83
Total Claims
19,247
Providers
12
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 Copley, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jenna Arlene Brinker
4721 Treetop Dr |
$64.83 | 17 | 14 |
|
Kelly Marie Salapski
4290 Scarlet Oak Dr |
$37.48 | 29 | 26 |
|
Candace K Decourville
2839 Copley Rd |
$32.31 | 142 | 116 |
|
Nina Carmela Rosales Tamayo
4389 Medina Rd |
$28.33 | 167 | 135 |
|
Sandeep K Chatha
2839 Copley Rd |
$26.23 | 198 | 149 |
|
Sarah L Cunningham
2839 Copley Rd |
$57.23 | 350 | 309 |
|
Samantha Pribula
155 Heritage Woods Dr |
$25.78 | 369 | 342 |
|
Frank Kousaie
1270 S Cleveland Massillon Rd Unit A |
$25.44 | 845 | 805 |
|
Lakeisha Sherille Shepherd
1616 Sunnyacres Rd |
$44.88 | 2,083 | 990 |
|
Grenville Joachim Machado
2839 Copley Rd |
$36.26 | 2,427 | 2,198 |
|
Henry Tucker
440 Danbury Ln |
$19.50 | 6,287 | 5,354 |
|
Gary E Machado
2839 Copley Rd |
$49.12 | 6,333 | 5,794 |
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 Copley, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Copley, OH is $35.48 per claim, based on 19,247 claims from 12 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 Copley, OH?
There are 12 Medicaid providers offering Office Visit related services in Copley, OH according to public payment data.
What is the price range for Office Visit in Copley, OH?
Medicaid reimbursement for Office Visit in Copley, OH ranges from $19.50 to $64.83 per claim, with an average of $35.48. 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 Copley, OH
Home Health Visit
Avg $55.39
34,143 claims
X-Ray
Avg $4.96
18,460 claims
Nursing Facility Care
Avg $14.88
18,037 claims
Psychiatric Evaluation
Avg $88.70
9,356 claims
CT Scan (Computed Tomography)
Avg $32.61
6,971 claims
Speech Therapy
Avg $32.32
4,868 claims
Physical Therapy
Avg $25.21
4,794 claims
Ambulance Transport
Avg $50.43
4,420 claims