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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sandusky, OH: $42.41

Avg. Paid

$42.41

Range

$0.00 – $187.60

Total Claims

466,031

Providers

211

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 Sandusky, OH

Provider Avg. Paid Claims Patients
Gregory A Surfield

701 Tyler St

$49.30 12 12
James Jefferson Wysor

3103 Campbell St

$39.23 12 12
Norleena Rene Poynter

701 Tyler St

$37.64 13 13
George Phillip Engeler

417 Quarry Lakes Dr

$25.83 13 13
Richard Ralph Keller

3103 Campbell St

$38.07 13 12
Benjamin W Murcek

2800 Hayes Ave

$52.33 14 12
Daniel L Truitt

1326 E Perkins Ave

$53.99 15 14
Jodi Leigh Obermeyer

2500 W Strub Rd Ste B

$12.09 15 14
Gregory Joseph Gerber

2819 Hayes Ave

$0.00 16 15
Robert Miller Carlisle

1401 Bone Creek Dr

$29.89 17 14
Kathy M Lue

2800 Hayes Ave Bldg D

$28.18 18 16
Venkat Yalamanchili

703 Tyler St Ste 351

$70.76 19 15
Sheri Kershaw

703 Tyler St

$29.55 25 25
Matthew E Morrow

2500 W Strub Rd

$13.39 27 26
Paul Michael Bedocs

2500 W Strub Rd

$56.45 32 26
Linda Wanjiku Njoroge

703 Tyler St Ste 252

$27.78 32 26
Lindsay Damschroder

1111 Hayes Ave

$12.04 34 30
Thomas E Fleming

2500 W Strub Rd

$23.25 38 37
Gina Risaliti

2500 W Strub Rd

$26.22 39 31
Kevin Bailey

1401 Bone Creek Dr

$36.94 40 38
William Scott Sheldon

703 Tyler St

$34.42 40 38
Peds On Wheels

167 E Washington Row

$41.58 43 37
Michelle Buehrer

3218 Rods Dr

$36.74 43 38
Marin Beth Waynar

2800 Hayes Ave Bldg B

$37.82 48 43
Beth Megan Mccloud

1111 Hayes Ave

$73.18 50 38
Jill Ann Wasylik-Waldock

1111 Hayes Ave

$41.00 53 52
Gessica Dawn Jones

1012 E Perkins Ave

$9.04 53 34
Gregg D Winnestaffer

3703 Columbus Ave

$38.80 54 52
Scott Campbell

1101 Decatur St

$81.02 62 60
Kimberly Lynn Cullen

2500 W Strub Rd Ste 350

$15.49 67 63
Essam Bashir Elashi

1221 Hayes Ave

$19.13 67 62
Rylee Morgan Northeim

2500 W Strub Rd Ste 350

$60.51 75 73
Robert W Rice

2800 Hayes Ave

$24.71 81 67
Jonathan F Leake

2500 W Strub Rd

$32.01 84 76
Jaimee Rood

417 Quarry Lakes Dr

$33.64 87 77
Mindy Michelle Musser

417 Quarry Lakes Dr

$32.92 88 75
Bryce Michael Kreicher

1112 E Perkins Ave

$46.38 92 84
Dale Earl Braun

703 Tyler St

$31.91 102 92
Jennifer W Gould

2500 W Strub Rd

$53.09 110 110
Michael J Felter

1401 Bone Creek Dr

$36.94 111 94
Josalyn Marie Woodruff

1925 Hayes Ave

$6.69 114 70
Jeffrey A Garman

2500 W Strub Rd

$29.75 116 106
Daniel P Elskens

703 Tyler St Ste 350

$37.80 119 116
Ashley A Burkholder

1912 Hayes Ave

$45.35 122 96
James Edward Fanning

701 Tyler St

$30.88 128 108
Family Health Services Of Erie County

620 E Water St

$7.83 134 86
Firelands Regional Medical Center

1925 Hayes Ave

$86.88 140 134
Austen M Smith

1221 Hayes Ave Ste F

$33.69 146 137
Heidi M Gast

2800 Hayes Ave

$29.41 149 139
Angela M Gillmor

5420 Milan Rd

$42.64 150 145

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 Sandusky, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sandusky, OH is $42.41 per claim, based on 466,031 claims from 211 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 Sandusky, OH?

There are 211 Medicaid providers offering Office Visit related services in Sandusky, OH according to public payment data.

What is the price range for Office Visit in Sandusky, OH?

Medicaid reimbursement for Office Visit in Sandusky, OH ranges from $0.00 to $187.60 per claim, with an average of $42.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Sandusky, OH