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 |
|---|---|---|---|
|
Alexus Ann Bushee
6900 Pearl Rd Ste 200 |
$53.83 | 12 | 12 |
|
Chinmay B Vyas
7255 Old Oak Blvd Ste C209 |
$41.89 | 12 | 12 |
|
Vikram Singh Bisen
7255 Old Oak Blvd Ste C208 |
$43.54 | 13 | 13 |
|
Palmer Coleman
17840 Bagley Rd |
$30.99 | 13 | 12 |
|
Ashley Casandra Fuentes
7225 Old Oak Blvd Ste A210 |
$61.58 | 14 | 13 |
|
Tara Phillips
17840 Bagley Rd |
$33.69 | 15 | 13 |
|
Akhilesh Rao
7225 Old Oak Blvd |
$14.43 | 15 | 12 |
|
Victor Kairouz
7255 Old Oak Blvd Ste C208 |
$39.42 | 16 | 16 |
|
Andrea Phillips Bates
7271 Engle Rd Ste 307 |
$172.59 | 16 | 16 |
|
Philip Coverdale
18697 Bagley Rd |
$41.40 | 16 | 16 |
|
Serafin Cruz Garcia
16600 W Sprague Rd Ste 120 |
$67.70 | 17 | 15 |
|
Alexandra Christine Mcdermott
7255 Old Oak Blvd Ste C208 |
$24.14 | 18 | 15 |
|
Erica L Casto
18660 Bagley Rd |
$34.02 | 18 | 15 |
|
Maria K Baran
7259 Pearl Rd |
$57.47 | 25 | 25 |
|
Matthew James Laubert
15299 Bagley Rd Ste 300 |
$22.11 | 36 | 24 |
|
Eric Martin Pasko
7259 Pearl Rd |
$35.51 | 36 | 29 |
|
Robert Brent Wilder
18697 Bagley Rd |
$63.96 | 41 | 40 |
|
Mojtaba E Youssefi
7255 Old Oak Blvd |
$42.68 | 50 | 49 |
|
Anthony J. Gingo
7215 Old Oak Blvd |
$47.91 | 55 | 39 |
|
Martin A Kosdrosky
6900 Pearl Road |
$23.65 | 55 | 49 |
|
Tushar Kantilal Shah
7255 Old Oak Blvd # C209C |
$48.69 | 57 | 51 |
|
Vasmeen Ratra
17840 Bagley Rd |
$31.50 | 58 | 56 |
|
Katie Rundle
18780 Bagley Rd # 104 |
$30.11 | 60 | 42 |
|
Trilok Sharma
7255 Old Oak Blvd |
$32.72 | 79 | 77 |
|
Salman Rahman
16600 W Sprague Rd |
$54.03 | 125 | 115 |
|
Laura Pesetsky
18697 Bagley Rd |
$34.36 | 128 | 104 |
|
Brian Tomcany
7800 Pearl Rd |
$25.02 | 153 | 148 |
|
David Sugerman
7123 Pearl Rd |
$73.20 | 155 | 147 |
|
Lucy Alia Jury
16600 W Sprague Rd Ste 120 |
$71.22 | 171 | 153 |
|
Jenna Burcham
18697 Bagley Rd |
$13.02 | 200 | 154 |
|
Eric Kirby
18697 Bagley Rd |
$21.68 | 212 | 183 |
|
Patrick C Beeman
7379 Pearl Rd Bldg B3 |
$43.08 | 239 | 211 |
|
Ankita Sridhar
17840 Bagley Rd |
$33.51 | 240 | 223 |
|
Colleen Elizabeth Rundle
18780 Bagley Rd Ste 108 |
$45.48 | 246 | 232 |
|
Amy Lynne Labuda
6900 Pearl Rd |
$34.36 | 252 | 202 |
|
Maureen Margaret Lally
7259 Pearl Rd |
$28.32 | 253 | 244 |
|
Blake Hardy
7380 Engle Rd |
$40.11 | 265 | 228 |
|
Krista Mcdonald
7055 Engle Rd Bldg 6-601 |
$60.07 | 266 | 239 |
|
Jennifer Dee Killian
7225 Old Oak Blvd |
$31.04 | 284 | 250 |
|
Jennifer Karen Tuck-Chappill
17840 Bagley Rd |
$56.33 | 309 | 276 |
|
Lisa Anne Brannack
16600 W Sprague Rd Ste 120 |
$263.48 | 320 | 305 |
|
Kaleigh Samf
17951 Jefferson Park Rd Ste 100 |
$39.07 | 357 | 319 |
|
Florence V Kimbo
18660 Bagley Rd Ste 404A |
$31.39 | 360 | 306 |
|
Hiral Patel
7271 Engle Rd Ste 307 |
$79.33 | 366 | 347 |
|
Jamie Cohen
7255 Old Oak Blvd Ste C208 |
$39.13 | 383 | 364 |
|
Kory Patrick Schrom
17840 Bagley Rd |
$52.20 | 383 | 377 |
|
Susan Krieger
7255 Old Oak Blvd Ste C112 |
$45.83 | 408 | 340 |
|
Dawn Elizabeth Gresko
18660 Bagley Rd Ste 404 |
$56.66 | 440 | 385 |
|
Dipali A Desai
7255 Old Oak Blvd Ste C209 |
$52.57 | 446 | 390 |
|
Domingo S Ramos
16600 W Sprague Rd |
$51.39 | 448 | 420 |
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