Average Medicaid Office Visit Payments in Parma Heights, OH: $50.04
Avg. Paid
$50.04
Range
$10.74 – $117.23
Total Claims
66,411
Providers
8
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 Parma Heights, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cheryl A Kasmarcak
6470 Pearl Rd |
$13.58 | 85 | 42 |
|
Michelle M Hawks
6470 Pearl Rd |
$10.74 | 100 | 57 |
|
Joan Alice Lederer
6929 W 130Th St |
$117.23 | 319 | 275 |
|
Jennifer Christina Benjamin
2500 Metro Health Drive |
$60.14 | 570 | 555 |
|
Mary Kathleen Krueger
6975 W 130Th St |
$20.69 | 628 | 551 |
|
Sree Latha Krishna Jadapalle
11395 Cheyenne Trail |
$96.87 | 1,556 | 1,412 |
|
Zuhayr T Madhun
6785 W 130Th St |
$51.26 | 2,204 | 2,045 |
|
Carmen Popa
6975 W 130Th St |
$48.77 | 60,949 | 45,052 |
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 Parma Heights, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Parma Heights, OH is $50.04 per claim, based on 66,411 claims from 8 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 Parma Heights, OH?
There are 8 Medicaid providers offering Office Visit related services in Parma Heights, OH according to public payment data.
What is the price range for Office Visit in Parma Heights, OH?
Medicaid reimbursement for Office Visit in Parma Heights, OH ranges from $10.74 to $117.23 per claim, with an average of $50.04. 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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New York, NY
Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Parma Heights, OH
Dental Cleaning & Exam
Avg $25.33
199,894 claims
Blood Work & Lab Tests
Avg $5.67
67,601 claims
Speech Therapy
Avg $28.03
62,536 claims
Physical Therapy
Avg $16.41
39,855 claims
Dental Filling
Avg $75.71
39,408 claims
Prescription Medications
Avg $1.04
25,337 claims
Tooth Extraction
Avg $70.05
24,024 claims
Home Health Visit
Avg $121.78
14,235 claims