Average Medicaid Office Visit Payments in Lorain, OH: $42.76
Avg. Paid
$42.76
Range
$0.00 – $318.75
Total Claims
582,044
Providers
235
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 Lorain, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rebecca A Colwell
5172 Leavitt Rd |
$24.70 | 12 | 12 |
|
Molly Therese Freeman
5700 Cooper Foster Park Rd W |
$23.77 | 13 | 12 |
|
Lorain County Health & Dentistry
6140 S Broadway |
$6.54 | 14 | 12 |
|
Kathleen Marie Forbrizzio
6140 S Broadway |
$82.85 | 15 | 15 |
|
Stephanie Michele Ouhadi
4560 Oberlin Ave Ste 1 |
$36.70 | 16 | 12 |
|
Christina Maley
3700 Kolbe Rd |
$0.00 | 17 | 15 |
|
Carol Lynn Nagel
3600 Kolbe Road Suite 127 |
$0.73 | 17 | 12 |
|
Elizabeth Ann Carek
3600 Kolbe Rd Ste 11 |
$35.45 | 17 | 12 |
|
Rita Susec
3600 Kolbe Rd Ste 11 |
$318.75 | 19 | 19 |
|
Aimee Holmes
6140 S Broadway |
$50.22 | 22 | 22 |
|
Kerri M Sudik
5700 Cooper Foster Park Rd W |
$28.42 | 26 | 25 |
|
Sharon Mae Choma
3700 Kolbe Rd |
$17.36 | 28 | 25 |
|
Zeki Acun
3600 Kolbe Rd Ste 203 |
$53.22 | 28 | 27 |
|
Lea Michele Wojtkiewicz
5800 Cooper Foster Park Rd W |
$26.45 | 29 | 27 |
|
Lauren Coe
3700 Kolbe Rd |
$59.51 | 30 | 24 |
|
Planned Parenthood Of Greater Ohio
200 W 9Th St |
$59.97 | 30 | 27 |
|
Jessica B Wells
221 W 21St St |
$31.11 | 32 | 28 |
|
Erica Marie Roesch
5700 Cooper Foster Park Rd W |
$22.36 | 34 | 31 |
|
David Blaine Joyce
3600 Kolbe Rd |
$32.17 | 39 | 39 |
|
Mercy Health Physicians Lorain, Llc
3700 Kolbe Rd |
$49.88 | 42 | 41 |
|
Steven Cotman
3600 Kolbe Rd |
$43.47 | 42 | 40 |
|
Cristal Denise Tomblin
3700 Kolbe Rd |
$36.80 | 42 | 38 |
|
Stephen Okolo
3364 Kolbe Rd |
$74.77 | 49 | 49 |
|
Irene Jarmoszuk
3600 Kolbe Rd |
$286.88 | 50 | 48 |
|
Danielle Sheppard
5700 Cooper Foster Park Rd W |
$38.21 | 51 | 51 |
|
Beverly J Paige
3600 Kolbe Rd |
$25.78 | 52 | 41 |
|
Jason Darmstadt
205 W 20Th St |
$39.62 | 52 | 40 |
|
Charles R. Wehbe
3600 Kolbe Rd Ste 227 |
$25.99 | 58 | 42 |
|
Mercy Health Physicians Lorain Specialty Care Llc
3700 Kolbe Rd |
$51.42 | 65 | 57 |
|
Fremio Vargas
221 W 21St St |
$9.09 | 68 | 55 |
|
Nathan Matthew Rech
3600 Kolbe Rd Ste 106 |
$28.06 | 69 | 68 |
|
Kiefer Hock
3600 Kolbe Rd Ste 209 |
$47.37 | 70 | 63 |
|
Abby Yarham
5700 Cooper Foster Park Rd W |
$23.34 | 76 | 66 |
|
Jonathan Eric Klarfeld
3905 Oberlin Ave |
$32.54 | 76 | 69 |
|
Jarrod Eastep
3700 Kolbe Rd |
$33.71 | 79 | 79 |
|
Huan Viet Pham
5373 Oberlin Ave |
$34.33 | 85 | 74 |
|
William Hardy
3600 Kolbe Rd Ste 106 |
$71.95 | 86 | 85 |
|
Jennifer Rose Seelie
6140 S Broadway |
$54.90 | 109 | 87 |
|
Shannon Marie Convery
5172 Leavitt Rd |
$29.69 | 112 | 100 |
|
Jessica Carlene Tomazic
5800 Cooper Foster Park Rd W |
$34.68 | 115 | 110 |
|
Marianne Norris
2152 Reid Ave |
$17.75 | 122 | 95 |
|
Philip Diedrich Wendschuh
3600 Kolbe Rd |
$14.70 | 125 | 98 |
|
Caitlin Lee Crowell
3600 Kolbe Rd Ste 205 |
$32.96 | 126 | 114 |
|
Shannon Webb Von Gunten
5172 Leavitt Rd |
$28.31 | 129 | 120 |
|
Kate Clancy
3600 Kolbe Rd Ste 206 |
$55.59 | 135 | 127 |
|
Philip Robert Cataline
221 W 21St St Ste 1 |
$45.08 | 135 | 128 |
|
Nicole Katharine Harder
5700 Cooper Foster Park Rd W |
$32.07 | 137 | 136 |
|
Victor Nemeth
3600 Kolbe Rd |
$22.10 | 137 | 128 |
|
Lisa Marie Trockley
3600 Kolbe Rd Ste 223 |
$56.26 | 150 | 145 |
|
Stella Christine Paparizos
5700 Cooper Foster Park Rd W |
$23.16 | 159 | 152 |
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 Lorain, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lorain, OH is $42.76 per claim, based on 582,044 claims from 235 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 Lorain, OH?
There are 235 Medicaid providers offering Office Visit related services in Lorain, OH according to public payment data.
What is the price range for Office Visit in Lorain, OH?
Medicaid reimbursement for Office Visit in Lorain, OH ranges from $0.00 to $318.75 per claim, with an average of $42.76. 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 Lorain, OH
Behavioral & Mental Health Therapy
Avg $73.54
353,970 claims
Blood Work & Lab Tests
Avg $5.56
292,761 claims
Psychiatric Evaluation
Avg $68.76
200,757 claims
Substance Abuse Treatment
Avg $132.64
187,034 claims
Emergency Room Visit
Avg $85.32
173,745 claims
Vaccines & Immunizations
Avg $12.47
139,698 claims
Home Health Visit
Avg $77.73
101,545 claims
Dental Cleaning & Exam
Avg $21.07
89,933 claims