Average Medicaid Office Visit Payments in Garfield Hts, OH: $37.50
Avg. Paid
$37.50
Range
$8.63 – $110.50
Total Claims
69,069
Providers
40
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 Garfield Hts, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Signature Health Inc.
5410 Transportation Blvd |
$23.68 | 9,183 | 5,500 |
|
Tiffany Martin-Thornton
12395 Mccracken Rd |
$51.40 | 7,856 | 5,144 |
|
Katherine Mary Wagner
13201 Granger Rd Ste 2 |
$49.33 | 7,022 | 6,685 |
|
Lloyd Rong Kung Yeh
13201 Granger Rd Ste 2 |
$48.95 | 5,470 | 5,217 |
|
Mark D Malinowski
13201 Granger Rd Ste 2 |
$46.90 | 4,963 | 4,731 |
|
Jennifer Mary Coliadis
13201 Granger Rd Ste 2 |
$49.62 | 4,456 | 4,253 |
|
Nizar Zahi Nader
12000 Mccracken Rd |
$33.52 | 4,334 | 3,638 |
|
Himanshu Dubey
12000 Mccracken Rd |
$31.82 | 3,187 | 3,035 |
|
Catherine M Cerny
12300 Mccracken Rd |
$25.22 | 2,289 | 2,186 |
|
Stephen M Selkirk
12300 Mccracken Rd |
$20.99 | 2,273 | 2,179 |
|
Jeffrey Charles Lapeyrolerie
10500 Antenucci Blvd |
$29.58 | 1,860 | 1,547 |
|
Khodanpur Guruprasad
12000 Mccracken Rd |
$24.79 | 1,673 | 1,532 |
|
Avi S Marocco
12000 Mccracken Road |
$26.39 | 1,589 | 1,531 |
|
Alan Lee Panteck
1 Infinity Corporate Centre Dr Ste 160 |
$42.78 | 1,548 | 1,441 |
|
Denise C Pacholski
12000 Mccracken Rd |
$24.90 | 1,285 | 1,200 |
|
Adrienne Orihill
12395 Mccracken Rd Unit A-Up |
$42.86 | 1,247 | 1,137 |
|
Kathleen A Hebebrand
12000 Mccracken Rd |
$30.69 | 1,175 | 1,096 |
|
George Aristotle Markakis
12000 Mccracken Rd |
$21.13 | 894 | 845 |
|
James Thomas Rosneck
5555 Transportation Blvd |
$23.02 | 884 | 823 |
|
Sanford M Timen
5400 Transportation Blvd |
$26.09 | 635 | 606 |
|
Jared Stephen Levin
1 Infinity Corporate Centre Dr |
$39.67 | 600 | 569 |
|
Wael Khoury
12000 Mccracken Rd |
$24.06 | 564 | 539 |
|
William F Grossman
13201 Granger Road |
$52.89 | 560 | 429 |
|
Syed S Razmi
12000 Mccracken Rd |
$28.07 | 527 | 445 |
|
Sheila Ann Matosky
12300 Mccracken Rd |
$21.93 | 457 | 361 |
|
Jaime Gamiere
12395 Mccracken Rd |
$18.80 | 399 | 337 |
|
Javier Alfredo Alvarez-Tostado
12000 Mccracken Rd |
$18.22 | 326 | 312 |
|
Abdu George Hawwa
12000 Mccracken Rd |
$27.57 | 279 | 270 |
|
Toribio C Flores
5400 Transportation Blvd |
$25.85 | 273 | 255 |
|
Brennan Cribbins
12300 Mccracken Rd |
$20.30 | 257 | 244 |
|
John E Feighan
12000 Mccracken Rd |
$39.18 | 200 | 186 |
|
Michael Anthony Lopresti
1 Infinity Corporate Centre Dr |
$43.28 | 195 | 185 |
|
Amir Taraben
12000 Mccracken Rd. |
$27.88 | 164 | 156 |
|
Gwen Smith
12000 Mccracken Rd |
$37.10 | 112 | 104 |
|
Charles Anthony Lopresti
1 Infinity Corporate Centre Dr |
$43.41 | 105 | 98 |
|
Pamela Jean Hruby
12000 Mccracken Rd |
$23.20 | 85 | 81 |
|
Rakesh Ranjan, Md & Associates, Inc.
12395 Mccracken Rd Ste H |
$110.50 | 63 | 52 |
|
Jeanne Knotek
13201 Granger Rd |
$46.39 | 35 | 27 |
|
Ellen Rebecca Dreams
12575 Rockside Rd Ste 102 |
$48.13 | 32 | 32 |
|
Lee A Niro
12300 Mccracken Rd |
$8.63 | 13 | 12 |
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 Garfield Hts, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Garfield Hts, OH is $37.50 per claim, based on 69,069 claims from 40 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 Garfield Hts, OH?
There are 40 Medicaid providers offering Office Visit related services in Garfield Hts, OH according to public payment data.
What is the price range for Office Visit in Garfield Hts, OH?
Medicaid reimbursement for Office Visit in Garfield Hts, OH ranges from $8.63 to $110.50 per claim, with an average of $37.50. 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 Garfield Hts, OH
Home Health Visit
Avg $76.13
52,110 claims
Non-Emergency Medical Transportation
Avg $11.61
35,980 claims
Psychiatric Evaluation
Avg $32.51
33,243 claims
Behavioral & Mental Health Therapy
Avg $47.69
32,735 claims
Vaccines & Immunizations
Avg $13.91
28,023 claims
EKG / ECG (Electrocardiogram)
Avg $5.24
12,285 claims
Nursing Facility Care
Avg $17.64
8,573 claims
Blood Work & Lab Tests
Avg $5.23
7,500 claims