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 |
|---|---|---|---|
|
Samuel Getachew
2152 Reid Ave |
$42.39 | 23,476 | 22,428 |
|
Lisa D Kisaberth
4340 Leavitt Rd Ste D |
$60.64 | 22,086 | 20,615 |
|
Tracy Hardy
1205 Broadway |
$25.56 | 17,626 | 9,048 |
|
Robyn J Miklovich
1800 Livingston Ave |
$23.21 | 15,991 | 8,370 |
|
Marianne Jeanette Parker
6140 S Broadway |
$25.01 | 15,396 | 7,741 |
|
Jessica Ryan Springer
3600 Kolbe Rd Ste 223 |
$28.72 | 14,288 | 7,457 |
|
Anant Jeet
3600 Kolbe Rd |
$34.84 | 14,208 | 13,522 |
|
Khalid Akbar
3600 Kolbe Rd Ste 209 |
$56.24 | 12,637 | 11,950 |
|
Kimberly Michelle Gilbert
6140 S Broadway |
$76.43 | 10,830 | 8,691 |
|
Linda R Work
2152 Reid Ave |
$40.48 | 10,365 | 9,923 |
|
Veronica Tarkenton
3745 Grove Ave |
$21.47 | 10,113 | 5,701 |
|
Abby Myers
1205 Broadway |
$69.34 | 9,161 | 7,842 |
|
Laraine Rimko
2152 Reid Ave |
$33.59 | 8,543 | 8,135 |
|
Wendy Ann Millis
3600 Kolbe Rd Ste 209 |
$63.19 | 8,446 | 7,784 |
|
Osama A Malak
4804 Leavitt Rd |
$38.17 | 8,219 | 7,665 |
|
Mackenzie Lee Ice
6140 S Broadway |
$80.19 | 8,069 | 6,663 |
|
Robin Vee Krause
6140 S Broadway |
$74.88 | 8,068 | 6,774 |
|
Tarek Dbouk
3600 Kolbe Rd |
$46.58 | 7,861 | 6,077 |
|
Evangeline Garcia
5209 Seven Pines Dr |
$25.97 | 7,832 | 7,457 |
|
Jessica Smith
6140 S Broadway |
$93.42 | 7,779 | 6,871 |
|
Lisa Marie Mahone
3600 Kolbe Rd Ste 106 |
$48.36 | 7,395 | 6,158 |
|
Dhruv R Patel
3600 Kolbe Rd Ste 223 |
$45.16 | 7,387 | 6,897 |
|
Lisa Marie Campbell
Family Health And Surgery Center |
$53.11 | 7,365 | 7,039 |
|
Elana Satin Richter
3600 Kolbe Rd Ste 209 |
$40.97 | 7,284 | 6,761 |
|
Dawn Gibson-Owens
5940 Oak Point Rd |
$49.96 | 7,250 | 6,836 |
|
Rajendran Sundaram
5172 Leavitt Rd |
$22.26 | 7,163 | 6,509 |
|
Kevin Turner
3600 Kolbe Rd Ste 120 |
$49.03 | 6,181 | 5,738 |
|
Sameh R Yonan
4804 Leavitt Rd |
$34.24 | 5,994 | 5,356 |
|
Marcietta R Wilson
3600 Kolbe Rd Ste 210 |
$48.64 | 5,871 | 4,590 |
|
Aleksandar Spasic
3700 Kolbe Rd |
$60.43 | 5,846 | 3,528 |
|
Patricia Ann Yost
3700 Kolbe Rd |
$25.39 | 5,837 | 2,972 |
|
Mazen Dahbar
5172 Leavitt Rd |
$26.23 | 5,833 | 5,526 |
|
Alba Juanita Ortega
3600 Kolbe Rd |
$60.69 | 5,429 | 5,004 |
|
Brendan C Mccarty
3600 Kolbe Rd |
$29.54 | 5,383 | 4,666 |
|
Ashok P Makadia
3600 Kolbe Rd Ste 227 |
$42.97 | 5,371 | 5,107 |
|
Robert Thomas
5940 Oak Point Rd |
$49.32 | 5,209 | 4,586 |
|
Saaima Arshad
5700 Cooper Foster Park Rd W |
$27.79 | 5,196 | 4,717 |
|
Lorain County Health & Dentistry
3745 Grove Ave |
$4.46 | 5,113 | 4,389 |
|
Norberto L Juan
3745 Grove Ave. |
$24.99 | 5,038 | 3,031 |
|
Bharat C. Shah
4804 Leavitt Rd |
$29.89 | 4,921 | 4,593 |
|
Emily Tseng
3745 Grove Ave |
$23.95 | 4,816 | 3,101 |
|
Gregory Stuart Grant
5940 Oak Point Rd |
$46.22 | 4,758 | 4,323 |
|
Richelle Dielois Jenkins-Garrett
6140 S Broadway |
$82.65 | 4,654 | 3,741 |
|
Adefunke Adedipe
3600 Kolbe Rd Ste 227 |
$47.54 | 4,551 | 4,234 |
|
Sunita A Mathew
6140 S Broadway |
$95.59 | 4,530 | 3,757 |
|
Lorain County Health & Dentistry
1205 Broadway |
$2.73 | 4,442 | 3,658 |
|
Donald I Cho
3600 Kolbe Rd Ste 205 |
$46.65 | 4,388 | 4,187 |
|
Meghan Elizabeth Lynch Ljubi
3600 Kolbe Rd |
$52.42 | 4,374 | 4,091 |
|
Kathleen Ann Meehan-De La Cruz
3600 Kolbe Rd Ste 120 |
$49.90 | 4,321 | 4,030 |
|
Kathleen Marie Malear
1025 W 23Rd St |
$38.32 | 4,161 | 3,316 |
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