Average Medicaid Office Visit Payments in East Cleveland, OH: $32.32
Avg. Paid
$32.32
Range
$0.60 – $44.56
Total Claims
62,994
Providers
17
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 East Cleveland, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bridget Clare Mansell
13951 Terrace Rd |
$19.02 | 59 | 54 |
|
Northeast Ohio Neighborhood Health Services, Inc.
15201 Euclid Ave |
$0.60 | 372 | 217 |
|
Sherisse Yvonne Johnston
13944 Euclid Ave |
$28.08 | 806 | 617 |
|
Jeffrey Pesek
13951 Terrace Rd |
$24.94 | 1,034 | 965 |
|
Octavia Lynnette Gabriel
13944 Euclid Ave |
$32.20 | 1,133 | 1,053 |
|
Jennifer R. Mizak
15201 Euclid Ave |
$8.35 | 1,380 | 642 |
|
Joaquin Veloso Lim
13545 Euclid Ave |
$44.04 | 1,577 | 1,538 |
|
Brain U Nwaozuzu
13944 Euclid Ave |
$25.72 | 1,763 | 1,673 |
|
Yuji Umeda
13951 Terrace Rd |
$24.59 | 1,889 | 1,739 |
|
Tayesha Marie Johnson
13944 Euclid Ave |
$28.39 | 1,915 | 1,778 |
|
Frances Marie Jackson
13951 Terrace Rd |
$34.29 | 2,624 | 2,087 |
|
Jaline Wilkes
13944 Euclid Ave |
$20.44 | 3,955 | 3,794 |
|
Ursula L Jackson
13944 Euclid Ave |
$22.56 | 4,506 | 4,260 |
|
Nana Kobaivanova
13944 Euclid Ave |
$30.25 | 5,516 | 5,283 |
|
Andrei Brateanu
13944 Euclid Ave |
$31.51 | 6,075 | 5,809 |
|
Valerie T. Coats
15201 Euclid Ave |
$16.42 | 6,159 | 3,547 |
|
Dwight K. Carson
15201 Euclid Ave |
$44.56 | 22,231 | 11,432 |
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 East Cleveland, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Cleveland, OH is $32.32 per claim, based on 62,994 claims from 17 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 East Cleveland, OH?
There are 17 Medicaid providers offering Office Visit related services in East Cleveland, OH according to public payment data.
What is the price range for Office Visit in East Cleveland, OH?
Medicaid reimbursement for Office Visit in East Cleveland, OH ranges from $0.60 to $44.56 per claim, with an average of $32.32. 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 East Cleveland, OH
Blood Work & Lab Tests
Avg $6.85
45,793 claims
Ambulance Transport
Avg $55.98
37,741 claims
Emergency Room Visit
Avg $83.45
13,073 claims
Urinalysis & Urine Tests
Avg $1.96
11,186 claims
Speech Therapy
Avg $34.38
10,871 claims
Physical Therapy
Avg $19.99
7,244 claims
Psychiatric Evaluation
Avg $57.29
6,010 claims
Nursing Facility Care
Avg $17.33
4,479 claims