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
Maher S Kodsy 630 E River St	$45.47	12	12
Mark I Winters 1100 N Abbe Rd	$29.07	12	12
Matthias Helfrich 1027 E Broad St	$5.09	13	13
Rachel Lynn Lydy 41201 Schadden Rd	$36.12	15	13
Ruth Devereaux 602 Leona St	$8.72	15	15
David Barron 41201 Schadden Rd	$28.58	15	14
Louis D'Amico 125 E Broad St	$36.49	15	14
Maureen C Keshock 630 E River St	$21.08	16	16
Alisa Marvin 303 Chestnut Commons Dr	$20.90	23	14
Kara J Quan 125 E Broad St	$26.77	24	24
Susan Lynn Szydlowski 630 E River St	$157.30	27	26
Vijay Kakumanu 630 E River St	$20.44	32	24
Namrata Kumar 673 E River St	$21.17	35	32
Mohammad Akbar Naeem 418 E Broad St	$68.21	35	33
Jolitta Vincentta Mcgraw 347 Midway Blvd	$20.45	36	31
Randall L Cassidy 1120 E Broad St	$20.79	40	25
Joanna Kristine Brown 125 E Broad St	$27.14	51	48
Kathryn Abele 303 Chestnut Commons Dr	$35.96	51	51
Sydney Taylor Gober 303 Chestnut Commons Dr	$45.11	54	51
Laura Vrabel 630 E River St	$68.21	83	83
Corrie Danielle Weitzel 303 Chestnut Commons Dr	$19.05	92	91
Jennifer Gelske 41201 Schadden Rd	$25.40	112	90
Elizabeth Leona Clark 630 E River St	$47.87	120	116
William J Scott 10325 Dewhurst Rd	$27.88	148	126
Rohit Shah 630 E River St	$24.82	152	147
Adedeji Oluwatosin Sodeinde 1170 E Broad St Ste 102	$33.85	156	144
Carol Marie Gibbons 5319 Hoag Drive	$37.76	171	163
Ahmed Fawzy 1170 E Broad St	$32.97	213	192
Patricia J Cathcart 10325 Dewhurst	$54.57	214	193
Ashok Ramadugu 661 E River St	$40.33	246	222
Traci Eileen Evans-Ellacott 125 E Broad St	$30.22	261	232
Sheila Jones 347 Midway Blvd Ste 210	$40.79	289	232
Kelly Kavanaugh 710A Leona St	$40.44	293	260
Adjondi Marie Gosseaux 630 E River St	$35.64	310	290
Vivek Nadkarni 1170 E Broad St	$34.45	324	301
Ravi V Chari 125 E Broad St Ste 201	$35.66	327	290
Govindram Keshavlal Mehta 125 E Broad St	$39.65	377	330
Alex Payne 174 Midway Blvd	$54.49	380	330
Jack W Cramer 1120 E Broad St	$42.22	447	415
Xuan Huang 41201 Schadden Rd Ste 2	$28.01	461	406
Carmen Kathy Hansford 125 E Broad St	$46.56	575	549
Lorain County Health & Dentistry 105 Louden Ct	$3.01	583	530
Elizabeth Rospert 303 Chestnut Commons Dr	$29.40	604	565
Romeo Sapuriada Miclat 1060 N Abbe Rd	$26.40	646	572
Michael Vacante 125 E Broad St	$42.56	718	627
Matthew Janik 303 Chestnut Commons Dr	$21.61	892	853
Raymond Patrick Webber 10325 Dewhurst Rd	$47.27	897	829
Michael Monroe Langer 125 E Broad St	$40.41	974	873
Alexandria Mancuso 630 E River St	$37.28	1,000	941
Alberto Noel Diaz 125 E Broad St	$38.28	1,008	917

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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Other Procedures in Elyria, OH

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Blood Work & Lab Tests

Emergency Room Visit

Ambulance Transport

Home Health Visit

Dental Cleaning & Exam

Psychiatric Evaluation

EKG / ECG (Electrocardiogram)