Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Niles, OH: $39.65

Avg. Paid

$39.65

Range

$19.69 – $137.84

Total Claims

110,014

Providers

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 Niles, OH

Provider	Avg. Paid	Claims	Patients
Joseph A Potocki 531 Robbins Ave	$38.67	22,421	17,829
Melissa Valantine Ferrara 918 Youngstown Warren Rd	$38.87	20,397	17,983
Teresa A Yocum 918 Youngstown Warren Rd	$40.01	9,182	8,303
Basem Nabil Doss 425 Robbins Ave	$49.54	7,809	7,311
Emad Shawky Baky 1252 Youngstown Warren Rd	$42.17	6,798	5,352
Ramona S Sheth 940 Robbins Ave	$34.05	5,893	5,326
Phillip Paul Malvasi 1017 Youngstown Warren Rd	$36.52	5,692	4,655
Ramy Fahim 720 Youngstown Warren Rd	$32.72	5,433	4,188
Sanjay Y Sheth 940 Robbins Ave	$37.58	4,908	4,399
Jeffrey Blaine Sutton 1250 Youngstown Warren Rd	$33.53	2,412	2,220
Thomas Groner 720 Youngstown Warren Rd	$26.87	2,247	1,743
Kristin Ann Withrow 165 E Park Ave	$106.24	2,244	2,061
Rachel Pusateri 1331 Youngstown Warren Rd	$38.38	1,875	1,670
Heba L Mikhail 1254 Youngstown Warren Rd	$30.11	1,703	1,536
William S Eddy 929 Robbins Ave	$24.37	1,346	1,246
Erin Dukats 1331 Youngstown Warren Rd	$29.22	1,325	1,225
Anthony R Lanier 1150 Niles Cortland Rd	$34.10	1,109	983
Eugene D Podolsky 720 Youngstown Warren Rd	$32.88	885	761
Amy Adel Sugar 1331 Youngstown Warren Rd	$32.60	813	775
Giacinta Brinsey 1331 Youngstown Warren Rd	$39.86	806	738
Joey Michelle Annichine 425 Robbins Ave	$40.76	765	666
Cindy Ann Fink 1331 Youngstown Warren Rd	$41.07	716	657
Donna Michelle Matig 114 N Bentley Ave	$37.30	657	620
Dr. Phillip Malvasi D.O. Llc 1017 Youngstown Warren Rd	$41.76	434	378
Bahaa Awadalla 1254 Youngstown Warren Rd	$35.43	408	368
Heidi Alflen 185 Fairlawn Ave	$19.69	358	350
Jessica Lynn Kellar 1331 Youngstown Warren Rd	$56.33	338	288
Holli Lynn Foster 412 Stanton Ave	$25.37	304	233
Jamie Lynn Elenz 1500 Mckinley Ave	$63.68	300	263
Nicholas Perry Klein 929 Robbins Ave	$45.42	281	247
Stacy Goodyear 1331 Youngstown Warren Rd	$38.01	117	104
Yogesh O Sheth 940 Robbins Ave	$23.88	25	25
Joseph Raffuel 950 Youngstown Warren Rd Ste G	$137.84	13	13

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 Niles, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Niles, OH is $39.65 per claim, based on 110,014 claims from 33 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 Niles, OH?

There are 33 Medicaid providers offering Office Visit related services in Niles, OH according to public payment data.

What is the price range for Office Visit in Niles, OH?

Medicaid reimbursement for Office Visit in Niles, OH ranges from $19.69 to $137.84 per claim, with an average of $39.65. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Niles, OH: $39.65

Providers Offering Office Visit in Niles, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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