Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Elyria, OH: $50.80

Avg. Paid

$50.80

Range

$3.01 – $157.30

Total Claims

204,128

Providers

105

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 Elyria, OH

Provider	Avg. Paid	Claims	Patients
Jennifer Shockley 630 E River St	$26.52	16,008	8,780
Emh Regional Medical Center 630 E River St	$118.96	14,933	12,780
Sana Abumeri 860 E Broad St	$44.21	11,779	9,363
Vikramjeet Kumar 673 E River St	$45.66	7,690	7,033
Margaret Messerly 992 N Abbe Rd	$59.21	6,778	5,197
Darshan Mahajan 673 E River St	$49.78	6,695	6,234
Matthias Helfrich 1027 E Broad St	$59.87	6,038	5,867
Abraham O Pedro 1120 E Broad St	$44.06	6,007	5,566
Meredith Wylie 540 Griswold Rd	$94.02	5,491	4,093
Usha Gupta 630 E River St	$21.27	4,841	2,761
Douglas G Mcdonald 630 E River St	$64.08	4,650	4,336
Mary Adetokunbo Esho 1120 E Broad St	$49.58	4,019	3,647
Niraj Chimanbhai Mistry 125 E Broad St	$35.37	3,879	3,651
Douglas Joseph Sherlock 125 E Broad Street	$54.41	3,533	3,102
John Michael Kukay 303 Chestnut Commons Dr	$36.69	3,426	3,165
Patrick P Litam 41201 Schadden Rd	$31.23	3,381	2,893
Amy S Newton 630 E River St	$33.43	3,246	1,891
Nicholas J Ksenich 1120 E Broad St	$57.01	3,212	2,948
James Charles Morales 540 Griswold Rd	$117.68	3,145	1,826
Michele D Lowe 125 E Broad St Ste 218	$54.85	3,137	2,545
Bradley D Barker 1120 E Broad St	$46.24	2,951	2,760
Jay E Sidloski 41201 Schadden Rd	$30.24	2,898	2,471
Vagesh Mahadevappa Hampole 125 E Broad St	$47.07	2,640	2,430
Kamaleswary Ravichandran 10325 Dewhurst Rd	$59.20	2,632	2,272
Chandra V Singh 125 E Broad St	$45.45	2,557	2,409
Dennis E Carson 1120 E Broad St	$49.56	2,508	2,378
David J Hintz 1170 E Broad St	$22.30	2,484	1,694
Kristin W Guilonard 105 Louden Ct	$31.26	2,422	1,472
Norman A Floro 455 Griswold Rd	$51.42	2,336	2,081
Nicholas James Tuttle 303 Chestnut Commons Dr	$25.60	2,328	2,247
Deborah Anne Nobilio-Vicario 10325 Dewhurst Rd	$43.58	2,287	2,043
Lynne Dipasupil Romero 125 E Broad St	$53.04	2,222	2,104
Molly Lynne Stropko 630 E River St	$55.29	2,191	1,884
Haralambie Siscu 303 Chestnut Commons Dr	$29.76	2,180	2,065
Mushtaq Mahmood 10325 Dewhurst Rd	$49.09	2,168	1,910
Addie Shock 125 E Broad St Ste 302	$43.30	2,025	1,919
Chuka Onyeneke 160 Cleveland St	$88.91	1,976	716
Andrea Rini 630 E River St	$22.03	1,839	1,751
Miah Haynes 303 Chestnut Commons Dr	$25.18	1,831	1,775
Debabrata Ghosh 673 E River St	$70.13	1,806	1,703
Harmohinder Singh Dhillon 125 E Broad St	$41.80	1,805	1,655
Britney M Algood 168 Cleveland St	$30.25	1,749	1,343
Charles David O'Shaughnessy 125 E Broad St	$36.35	1,714	1,539
Ismail Suleman Ahmed 1120 E Broad St	$37.94	1,706	1,626
Belagodu N Kantharaj 41201 Schadden Road	$32.51	1,651	1,404
Nicole Fatemeh Scavuzzo 525 Chestnut Commons Dr	$60.56	1,638	1,579
Nadia Abdallah 525 Chestnut Commons Dr	$66.21	1,627	1,596
Niki Virginia Smiley Wilson 1120 E Broad St	$32.57	1,561	1,444
Naim Zreik Farhat 125 E Broad St	$38.02	1,506	1,375
Ademola K Abiose 125 E Broad St Ste 305	$46.35	1,355	1,219

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 Elyria, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elyria, OH is $50.80 per claim, based on 204,128 claims from 105 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 Elyria, OH?

There are 105 Medicaid providers offering Office Visit related services in Elyria, OH according to public payment data.

What is the price range for Office Visit in Elyria, OH?

Medicaid reimbursement for Office Visit in Elyria, OH ranges from $3.01 to $157.30 per claim, with an average of $50.80. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Elyria, OH: $50.80

Providers Offering Office Visit in Elyria, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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