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
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 Sandusky, OH
Home Health Visit
Avg $43.27
438,677 claims
Blood Work & Lab Tests
Avg $5.88
227,097 claims
Emergency Room Visit
Avg $84.02
175,771 claims
Psychiatric Evaluation
Avg $78.08
130,688 claims
Vaccines & Immunizations
Avg $6.81
94,659 claims
Dental Cleaning & Exam
Avg $20.10
94,171 claims
Physical Therapy
Avg $26.02
94,042 claims
Behavioral & Mental Health Therapy
Avg $66.12
81,638 claims