Average Medicaid Office Visit Payments in Oberlin, OH: $47.06
Avg. Paid
$47.06
Range
$4.17 – $82.12
Total Claims
33,689
Providers
18
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 Oberlin, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caroline Just
224 W Lorain St Ste 100 |
$52.13 | 53 | 51 |
|
Lawrence T. Hyde
200 W Lorain St |
$64.47 | 55 | 50 |
|
Tony Richard El-Hayek
224 W Lorain St Ste 100 |
$52.83 | 89 | 88 |
|
Helmut J Jungschaffer
224 W Lorain St |
$43.57 | 208 | 188 |
|
Thomas J Klosterman
65 E College St |
$82.12 | 290 | 253 |
|
Herbert E. Russell
200 W Lorain St |
$70.91 | 303 | 298 |
|
Lorain County Health & Dentistry
260 South Main Street |
$4.17 | 396 | 330 |
|
Jennifer Leigh Schlesinger
140 W College St |
$28.92 | 516 | 476 |
|
Hannah Kathleen Bieri
319 W Lorain St |
$21.81 | 541 | 406 |
|
Daniel E. Mcdermott
200 W Lorain St |
$58.16 | 690 | 667 |
|
Israel James Cajigas
319 W Lorain St |
$48.28 | 1,533 | 1,419 |
|
Matthew Madison Smith
224 W Lorain St Ste 100 |
$39.13 | 1,585 | 1,464 |
|
Anne Torsney
200 W Lorain St |
$26.10 | 2,440 | 2,334 |
|
Rebecca L Beck
224 W Lorain St Ste 100 |
$44.95 | 3,028 | 2,795 |
|
Deon Kevin Regis
319 W Lorain St |
$49.92 | 3,329 | 3,047 |
|
Nicole Maddock
319 W Lorain St |
$45.44 | 3,474 | 3,138 |
|
Haley Robuck
224 W Lorain St Ste 100 |
$43.67 | 4,416 | 4,035 |
|
John R Sanderson
12289 Leavitt Rd |
$55.75 | 10,743 | 9,861 |
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 Oberlin, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oberlin, OH is $47.06 per claim, based on 33,689 claims from 18 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 Oberlin, OH?
There are 18 Medicaid providers offering Office Visit related services in Oberlin, OH according to public payment data.
What is the price range for Office Visit in Oberlin, OH?
Medicaid reimbursement for Office Visit in Oberlin, OH ranges from $4.17 to $82.12 per claim, with an average of $47.06. 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 Oberlin, OH
Emergency Room Visit
Avg $90.07
122,039 claims
Blood Work & Lab Tests
Avg $3.73
77,326 claims
Urinalysis & Urine Tests
Avg $0.88
19,845 claims
EKG / ECG (Electrocardiogram)
Avg $2.82
14,093 claims
X-Ray
Avg $5.80
10,694 claims
Ambulance Transport
Avg $49.99
5,306 claims
CT Scan (Computed Tomography)
Avg $282.21
4,854 claims
Prescription Medications
Avg $0.06
4,052 claims