Average Medicaid Office Visit Payments in Pepper Pike, OH: $57.33
Avg. Paid
$57.33
Range
$19.85 – $116.57
Total Claims
40,582
Providers
7
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 Pepper Pike, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adella Wasserstein
3011 Kersdale Rd |
$19.85 | 13,474 | 7,568 |
|
Deana Lynn Couture
29125 Chagrin Blvd |
$42.99 | 10,942 | 10,035 |
|
Erin Lynn Gooch
3737 Lander Rd |
$90.63 | 8,159 | 7,852 |
|
Noah L Miller
29425 Chagrin Blvd |
$116.57 | 5,950 | 5,610 |
|
Ellen Rosenblatt
30800 Chagrin Blvd |
$101.83 | 1,041 | 950 |
|
Allison Effron
31100 Pinetree Rd Ste 215 |
$48.92 | 986 | 895 |
|
Ashleigh Bushman
2550 Lander Rd |
$49.16 | 30 | 29 |
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 Pepper Pike, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pepper Pike, OH is $57.33 per claim, based on 40,582 claims from 7 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 Pepper Pike, OH?
There are 7 Medicaid providers offering Office Visit related services in Pepper Pike, OH according to public payment data.
What is the price range for Office Visit in Pepper Pike, OH?
Medicaid reimbursement for Office Visit in Pepper Pike, OH ranges from $19.85 to $116.57 per claim, with an average of $57.33. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Other Procedures in Pepper Pike, OH
Home Health Visit
Avg $44.00
185,496 claims
Behavioral & Mental Health Therapy
Avg $90.56
83,079 claims
Psychiatric Evaluation
Avg $80.94
63,837 claims
Substance Abuse Treatment
Avg $141.91
18,454 claims
Personal Care Services
Avg $18.05
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Nursing Facility Care
Avg $11.30
4,345 claims
Case Management Services
Avg $87.68
2,344 claims
Blood Work & Lab Tests
Avg $23.47
949 claims