Average Medicaid Office Visit Payments in Middleburg Heights, OH: $40.35
Avg. Paid
$40.35
Range
$13.02 – $263.48
Total Claims
77,995
Providers
81
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 Middleburg Heights, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edwina E Simmons
7225 Old Oak Blvd |
$16.69 | 11,299 | 6,417 |
|
John Patrick Spirnak
6900 Pearl Rd Ste 200 |
$24.88 | 5,663 | 5,130 |
|
Mark Joseph Woyshville
18660 Bagley Rd |
$73.71 | 5,291 | 3,750 |
|
John Wilhelm
17535 Rosbough Blvd |
$19.56 | 4,731 | 2,770 |
|
Stephen Richard Pessefall
18660 Bagley Rd |
$44.49 | 3,410 | 2,863 |
|
Garren James Decaro
16600 W Sprague Rd |
$49.92 | 3,247 | 2,950 |
|
Ajit Shah
7215 Old Oak Blvd |
$30.57 | 2,517 | 2,248 |
|
Sanjay Kumar Choudhary
7215 Old Oak Blvd |
$31.76 | 2,392 | 2,030 |
|
Julie Lynn Hilberg
7271 Engle Rd Ste 307 |
$74.67 | 2,328 | 1,922 |
|
Christine Marcin
16600 W Sprague Rd Ste 120 |
$24.95 | 2,211 | 1,214 |
|
Newton Packiaraj Muthunayagam
18780 Bagley Rd Ste 200 |
$40.65 | 2,153 | 1,980 |
|
William Selig
7800 Pearl Rd |
$27.24 | 2,027 | 1,957 |
|
Erica Lough
18660 Bagley Rd Bld 1 Suite 201 |
$40.56 | 1,901 | 1,755 |
|
Charles Luther
18697 Bagley Rd |
$38.12 | 1,620 | 1,205 |
|
Saissy Kendig
18660 Bagley Rd Ste 404 |
$57.37 | 1,605 | 1,400 |
|
Linda M Dilisi
7255 Old Oak Boulevard |
$35.33 | 1,594 | 1,396 |
|
Laura Sprague
18697 Bagley Rd |
$63.48 | 1,586 | 1,298 |
|
Kelly Liufen Liu
18660 Bagley Rd Ste 101 |
$74.09 | 1,541 | 568 |
|
Kau-Wun Chang
18697 Bagley Rd |
$62.16 | 1,339 | 1,115 |
|
Kelsey Renee Murray
7055 Engle Rd Bldg 6 |
$63.76 | 1,304 | 1,152 |
|
Kaleigh N Johnson
17840 Bagley Rd |
$44.39 | 1,230 | 1,167 |
|
Mohammad Shaukat Karim
7255 Old Oak Blvd |
$41.10 | 1,211 | 1,112 |
|
Katherine Marie Mcdowell
7255 Old Oak Blvd Ste C202 |
$42.65 | 1,209 | 937 |
|
Michael Yerukhim
7215 Old Oak Blvd |
$36.85 | 1,198 | 1,013 |
|
Babu Eapen
7255 Old Oak Blvd Ste C106 |
$38.94 | 1,143 | 1,045 |
|
Michelle Mitchell
16600 W Sprague Rd Ste 120 |
$24.12 | 1,064 | 480 |
|
Austin Brooks Smith
18660 Bagley Rd Bldg 1404 |
$56.69 | 879 | 764 |
|
Laura Ann Basco
7265 Old Oak Blvd |
$28.52 | 674 | 415 |
|
Jamie Mae Heinzman
16600 W Sprague Rd Ste 120 |
$36.82 | 519 | 449 |
|
Jennifer Mai Anh Luu
17840 Bagley Rd |
$37.06 | 490 | 445 |
|
Deborah Katherine Corbin
7040 Hepburn Rd |
$28.30 | 463 | 392 |
|
Domingo S Ramos
16600 W Sprague Rd |
$51.39 | 448 | 420 |
|
Dipali A Desai
7255 Old Oak Blvd Ste C209 |
$52.57 | 446 | 390 |
|
Dawn Elizabeth Gresko
18660 Bagley Rd Ste 404 |
$56.66 | 440 | 385 |
|
Susan Krieger
7255 Old Oak Blvd Ste C112 |
$45.83 | 408 | 340 |
|
Kory Patrick Schrom
17840 Bagley Rd |
$52.20 | 383 | 377 |
|
Jamie Cohen
7255 Old Oak Blvd Ste C208 |
$39.13 | 383 | 364 |
|
Hiral Patel
7271 Engle Rd Ste 307 |
$79.33 | 366 | 347 |
|
Florence V Kimbo
18660 Bagley Rd Ste 404A |
$31.39 | 360 | 306 |
|
Kaleigh Samf
17951 Jefferson Park Rd Ste 100 |
$39.07 | 357 | 319 |
|
Lisa Anne Brannack
16600 W Sprague Rd Ste 120 |
$263.48 | 320 | 305 |
|
Jennifer Karen Tuck-Chappill
17840 Bagley Rd |
$56.33 | 309 | 276 |
|
Jennifer Dee Killian
7225 Old Oak Blvd |
$31.04 | 284 | 250 |
|
Krista Mcdonald
7055 Engle Rd Bldg 6-601 |
$60.07 | 266 | 239 |
|
Blake Hardy
7380 Engle Rd |
$40.11 | 265 | 228 |
|
Maureen Margaret Lally
7259 Pearl Rd |
$28.32 | 253 | 244 |
|
Amy Lynne Labuda
6900 Pearl Rd |
$34.36 | 252 | 202 |
|
Colleen Elizabeth Rundle
18780 Bagley Rd Ste 108 |
$45.48 | 246 | 232 |
|
Ankita Sridhar
17840 Bagley Rd |
$33.51 | 240 | 223 |
|
Patrick C Beeman
7379 Pearl Rd Bldg B3 |
$43.08 | 239 | 211 |
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 Middleburg Heights, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middleburg Heights, OH is $40.35 per claim, based on 77,995 claims from 81 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 Middleburg Heights, OH?
There are 81 Medicaid providers offering Office Visit related services in Middleburg Heights, OH according to public payment data.
What is the price range for Office Visit in Middleburg Heights, OH?
Medicaid reimbursement for Office Visit in Middleburg Heights, OH ranges from $13.02 to $263.48 per claim, with an average of $40.35. 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 Middleburg Heights, OH
Home Health Visit
Avg $55.06
165,523 claims
Substance Abuse Treatment
Avg $71.27
92,109 claims
Emergency Room Visit
Avg $79.56
63,297 claims
Blood Work & Lab Tests
Avg $3.60
58,718 claims
Psychiatric Evaluation
Avg $65.56
42,030 claims
Behavioral & Mental Health Therapy
Avg $58.56
36,134 claims
EKG / ECG (Electrocardiogram)
Avg $4.75
22,655 claims
Podiatry (Foot Care)
Avg $8.77
17,591 claims