Average Medicaid Office Visit Payments in North Royalton, OH: $46.98
Avg. Paid
$46.98
Range
$26.52 – $61.01
Total Claims
4,319
Providers
11
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 Royalton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony Elias
7171 Royalton Rd # 200 |
$38.34 | 1,003 | 929 |
|
Melinda Jo Carie
12301 Ridge Rd |
$61.01 | 833 | 757 |
|
Alan Blake Wiggers
14200 Ridge Rd Ste 102 |
$42.61 | 774 | 751 |
|
Tetyana Shevchuk
12301 Ridge Rd |
$42.18 | 520 | 505 |
|
Thomas Barwacz
14200 Ridge Rd |
$55.70 | 408 | 379 |
|
Jessica Renee Chaney
12301 Ridge Rd |
$45.22 | 277 | 268 |
|
Donna Lee Lanza
12744 State Rd |
$52.96 | 227 | 195 |
|
Grace Song
10139 Royalton Rd Ste H |
$48.06 | 162 | 148 |
|
Angela Borisov
6442 Akins Rd |
$26.52 | 89 | 81 |
|
Joseph David Schwartz
10500 Royalton Rd Ste A |
$60.43 | 14 | 13 |
|
Christine Cee Ai Tam
7171 Royalton Rd # 200 |
$36.74 | 12 | 12 |
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 Royalton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Royalton, OH is $46.98 per claim, based on 4,319 claims from 11 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 Royalton, OH?
There are 11 Medicaid providers offering Office Visit related services in North Royalton, OH according to public payment data.
What is the price range for Office Visit in North Royalton, OH?
Medicaid reimbursement for Office Visit in North Royalton, OH ranges from $26.52 to $61.01 per claim, with an average of $46.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Other Procedures in North Royalton, OH
Home Health Visit
Avg $83.12
37,425 claims
Eye Exam
Avg $39.48
32,663 claims
Psychiatric Evaluation
Avg $67.04
25,344 claims
Nursing Facility Care
Avg $12.14
20,106 claims
Dental Cleaning & Exam
Avg $24.26
13,686 claims
Speech Therapy
Avg $27.14
13,006 claims
Ambulance Transport
Avg $52.28
6,542 claims
Physical Therapy
Avg $20.12
5,843 claims