Average Medicaid Office Visit Payments in North Lima, OH: $48.73
Avg. Paid
$48.73
Range
$0.00 – $81.80
Total Claims
63,908
Providers
24
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 North Lima, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lauren M Treharn
11369 Market St |
$81.80 | 9,748 | 8,804 |
|
Dominic F Conti
9471 Market St Ste A |
$46.32 | 5,203 | 4,888 |
|
Kurt John Dilisio
9471 Market St Ste A |
$43.93 | 4,904 | 4,661 |
|
Joseph John Francisco
9471 Market St Ste A |
$34.39 | 4,624 | 3,961 |
|
Damien A Deist
9471 Market St Ste A |
$39.26 | 4,606 | 4,352 |
|
Nicholas Hrelec
9471 Market St |
$40.16 | 4,177 | 3,943 |
|
Adrian Ieraci
9471 Market St Ste A |
$42.56 | 3,958 | 3,704 |
|
Renee Lynn Mcmanus
11369 Market St |
$66.59 | 3,311 | 2,748 |
|
Andi Hrusovsky
9471 Market St Ste A |
$36.34 | 3,195 | 2,849 |
|
Muhannad Kassawat
11369 Market St |
$57.65 | 2,507 | 1,927 |
|
Armand Louis Minotti
9471 Market St |
$39.26 | 2,436 | 2,225 |
|
Heather A Davis
9471 Market St Ste A |
$37.29 | 2,406 | 2,243 |
|
Manuel Michael Spirtos
9471 Market St Ste A |
$41.10 | 2,234 | 2,016 |
|
Tawnya Dianne Reents
9471 Market St Ste A |
$37.60 | 1,930 | 1,720 |
|
Mallory Ann Ucchino
9471 Market St Ste A |
$46.98 | 1,831 | 1,732 |
|
Steven Wesley Croston
9471 Market St Ste B |
$37.99 | 1,797 | 1,655 |
|
Amy Catherine Branam
9471 Market St Ste A |
$30.98 | 1,677 | 1,476 |
|
Thomas J Traikoff
9471 Market St |
$47.46 | 1,547 | 1,372 |
|
Michael J Cannone
9471 Market St Ste A |
$39.04 | 667 | 649 |
|
Chad L Volovar
9471 Market St Ste A |
$49.14 | 469 | 423 |
|
Michael Francis Tatko
9471 Market St Ste A |
$34.83 | 459 | 439 |
|
Samina Hassan
9471 Market St Ste A |
$44.50 | 159 | 155 |
|
Serenity Center Of Youngstown
11369 Market St |
$28.65 | 50 | 50 |
|
Serenity Center Of Youngstown, Llc
11369 Market St |
$0.00 | 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 North Lima, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Lima, OH is $48.73 per claim, based on 63,908 claims from 24 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 North Lima, OH?
There are 24 Medicaid providers offering Office Visit related services in North Lima, OH according to public payment data.
What is the price range for Office Visit in North Lima, OH?
Medicaid reimbursement for Office Visit in North Lima, OH ranges from $0.00 to $81.80 per claim, with an average of $48.73. 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 North Lima, OH
Dental Cleaning & Exam
Avg $26.06
35,522 claims
Ambulance Transport
Avg $30.95
27,847 claims
Non-Emergency Medical Transportation
Avg $22.49
25,322 claims
X-Ray
Avg $7.28
22,401 claims
Tooth Extraction
Avg $57.82
19,281 claims
Dental Filling
Avg $58.39
13,451 claims
Psychiatric Evaluation
Avg $91.24
8,882 claims
Substance Abuse Treatment
Avg $110.90
5,915 claims