Average Medicaid Office Visit Payments in Rocky River, OH: $41.33
Avg. Paid
$41.33
Range
$0.00 – $88.41
Total Claims
41,330
Providers
44
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 Rocky River, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John A Yousef
22841 Hilliard Blvd |
$41.76 | 5,025 | 4,253 |
|
Bethany Farrell
19895 Detroit Rd |
$42.01 | 3,145 | 2,983 |
|
Planned Parenthood Of Greater Ohio
21016 Center Ridge Rd |
$47.24 | 3,041 | 2,875 |
|
Angela K Chavez
19895 Detroit Rd |
$57.76 | 2,773 | 2,306 |
|
Justin J Smith
19895 Detroit Rd |
$54.95 | 2,624 | 2,506 |
|
David Matthew Wendt
19234 Detroit Rd |
$28.56 | 2,602 | 2,465 |
|
Alexander Brian Craig
2880 Plymouth Ave |
$32.08 | 2,557 | 2,161 |
|
Nancy Wasserbauer Kingston
19800 Detroit Rd |
$52.07 | 2,099 | 1,989 |
|
David A Gumucio
19800 Detroit Rd |
$47.72 | 1,956 | 1,831 |
|
Antony M George
20575 Center Ridge Rd |
$28.71 | 1,462 | 1,192 |
|
Rebecca A Fredrick
19800 Detroit Rd |
$51.27 | 1,389 | 1,315 |
|
Colleen B Staszak
19800 Detroit Rd |
$48.32 | 1,386 | 1,289 |
|
Kevin Christopher
19324 Detroit Rd |
$32.69 | 1,280 | 1,200 |
|
Safaa Al-Haddad
20575 Center Ridge Rd Ste 500 |
$31.64 | 1,270 | 1,201 |
|
Jaspreet Ryan
19895 Detroit Rd |
$34.84 | 1,086 | 992 |
|
Kyle Aaron Bray
2880 Plymouth Ave |
$30.16 | 955 | 804 |
|
Eliana Maria Diaz Duran
19800 Detroit Rd |
$0.00 | 883 | 816 |
|
Grace Chuang Craig
2880 Plymouth Ave |
$28.52 | 838 | 696 |
|
Michelle J Belardo
19800 Detroit Rd Ste 201B |
$46.31 | 758 | 594 |
|
Mark Allan Davis
19113 Detroit Rd |
$46.53 | 680 | 670 |
|
Alfida J Ramahi
20525 Center Ridge Road |
$88.41 | 368 | 341 |
|
Meghan M Crute
19637 Center Ridge Rd |
$39.40 | 286 | 268 |
|
Kathryn Rebecca Tweedle Stoltz
19895 Detroit Rd |
$40.79 | 273 | 248 |
|
Cory M Fisher
19324 Detroit Rd |
$30.25 | 269 | 253 |
|
Alisa Melanie Duncan
2666 Lakeview Ave |
$21.24 | 258 | 244 |
|
David Kretch
2880 Plymouth Ave |
$33.68 | 244 | 220 |
|
Sara Caiola
19324 Detroit Rd # Brr193 |
$25.70 | 243 | 222 |
|
Harkiran Saini
19324 Detroit Rd |
$28.49 | 243 | 233 |
|
Louise A Yunck
20800 Center Ridge Rd |
$60.06 | 193 | 191 |
|
Rafel El-Atassi
20220 Center Ridge Rd |
$12.02 | 179 | 144 |
|
Marianne A. Hocking
20575 Center Ridge Rd |
$23.62 | 169 | 161 |
|
Kishor Patel
21851 Center Ridge Rd |
$46.07 | 123 | 114 |
|
Louis D Klein
20220 Center Ridge Rd |
$80.72 | 119 | 113 |
|
Tracy Watson
1250 Linda St |
$10.09 | 115 | 114 |
|
Natalia Hryniewicz
19324 Detroit Rd |
$37.07 | 84 | 83 |
|
Ryan Earl Hooper
19358 Detroit Rd Ste A |
$49.59 | 76 | 70 |
|
Neal Alan Marks
21360 Center Ridge Rd |
$27.87 | 75 | 63 |
|
Gina Digeronimo
19324 Detroit Rd |
$30.26 | 75 | 72 |
|
Heather Ann Craig
21360 Center Ridge Rd |
$21.50 | 32 | 29 |
|
Robert J Trager
19800 Detroit Rd Ste 201A |
$30.50 | 26 | 25 |
|
Amber Stonehouse Tully
19324 Detroit Rd |
$20.13 | 25 | 19 |
|
Justin W Havemann
19111 Detroit Rd Ste 103 |
$60.09 | 21 | 17 |
|
Leonard Marinis
20525 Center Ridge Rd Ste 502 |
$66.61 | 13 | 13 |
|
David M Brill
19324 Detroit Rd |
$21.95 | 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 Rocky River, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rocky River, OH is $41.33 per claim, based on 41,330 claims from 44 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 Rocky River, OH?
There are 44 Medicaid providers offering Office Visit related services in Rocky River, OH according to public payment data.
What is the price range for Office Visit in Rocky River, OH?
Medicaid reimbursement for Office Visit in Rocky River, OH ranges from $0.00 to $88.41 per claim, with an average of $41.33. 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
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Rocky River, OH
Psychiatric Evaluation
Avg $56.10
45,553 claims
Dental Cleaning & Exam
Avg $25.14
15,349 claims
Eye Exam
Avg $27.95
14,366 claims
Nursing Facility Care
Avg $15.99
9,651 claims
Physical Therapy
Avg $34.85
6,545 claims
Substance Abuse Treatment
Avg $112.55
6,229 claims
Behavioral & Mental Health Therapy
Avg $77.42
4,361 claims
Blood Work & Lab Tests
Avg $6.80
4,225 claims