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 |
|---|---|---|---|
|
Amanda Johnson
167 E Washington Row |
$44.74 | 47,947 | 25,920 |
|
Paul J Bruner
2500 W Strub Rd |
$23.58 | 15,292 | 12,955 |
|
Jessica F Niese
1200 Sycamore Line |
$60.37 | 15,038 | 14,218 |
|
Jennifer Christine Richardson
1912 Hayes Ave |
$20.44 | 11,880 | 7,877 |
|
Eric Mast
1019 Pierce St |
$21.80 | 11,875 | 9,902 |
|
Firelands Regional Medical Center
1111 Hayes Ave |
$146.66 | 10,821 | 9,841 |
|
Penola P Jones
2500 W Strub Rd Ste 210 |
$37.43 | 10,362 | 7,488 |
|
Jessica Ann Visci
167 E Washington Row |
$44.02 | 10,014 | 6,478 |
|
Susan Renee Rice
420 Superior St |
$17.80 | 9,767 | 5,020 |
|
Alexa Rae Murray
1912 Hayes Ave Ste D |
$24.44 | 8,594 | 6,213 |
|
Edward Radatz
1101 Decatur St |
$19.45 | 8,430 | 7,105 |
|
Nicholas A Brown
3006 Campbell St |
$31.96 | 8,411 | 6,707 |
|
Kelly Lynn Sprout
1925 Hayes Ave |
$59.57 | 8,177 | 7,637 |
|
Robert A Johnson
167 E Washington Row |
$44.79 | 7,918 | 7,003 |
|
Renee A Ott
2500 W Strub Rd Ste 330 |
$41.96 | 7,876 | 7,325 |
|
Morgan Nicole Hoover
1012 E Perkins Ave |
$93.51 | 7,197 | 5,273 |
|
Christy Cox
1912 Hayes Ave |
$28.87 | 7,135 | 5,203 |
|
Stephen E Schuldt
1925 Hayes Ave |
$97.39 | 6,825 | 6,583 |
|
George Robert Kaftan
2500 W Strub Rd |
$40.31 | 6,760 | 5,961 |
|
Sarah Lamarca
1925 Hayes Ave |
$89.49 | 6,691 | 6,284 |
|
Anthony G Tesmond
2500 W Strub Rd Ste 120A |
$57.31 | 6,591 | 5,747 |
|
Jennifer Hacker
420 Superior St |
$21.48 | 6,082 | 3,072 |
|
Richard A Visci
2500 W Strub Rd |
$47.18 | 5,693 | 4,083 |
|
Roberto Gonzales
420 Superior St |
$21.23 | 5,678 | 2,826 |
|
Ahmad Firas Sabbagh
1221 Hayes Ave |
$49.42 | 5,022 | 4,714 |
|
Family Health Services Of Erie County
1912 Hayes Ave Ste D |
$1.57 | 4,900 | 4,064 |
|
Sherif Shawky Zaky
703 Tyler St Ste 352 |
$34.00 | 4,625 | 4,226 |
|
Aaron Martinez
1111 Hayes Ave |
$19.85 | 4,321 | 2,092 |
|
Cheri Lynn Slingwine
1912 Hayes Ave |
$25.15 | 4,166 | 3,195 |
|
Donald Cundiff
1221 Hayes Ave Ste B |
$26.17 | 4,137 | 3,966 |
|
Cassandra Lynn Wineland
167 E Washington Row |
$44.40 | 3,963 | 2,420 |
|
Thomas Lumsden
420 Superior St |
$98.78 | 3,922 | 3,508 |
|
Nataliya Bumagina
1012 E Perkins Ave |
$34.76 | 3,825 | 3,308 |
|
Lindsey R Laconis
2500 W Strub Rd Ste 120A |
$50.43 | 3,740 | 3,347 |
|
Wendell Craig Eldridge
420 Superior St |
$19.73 | 3,723 | 1,852 |
|
Brian J Printy
2500 W Strub Rd |
$58.55 | 3,722 | 2,564 |
|
William L Schlotterer
1610 Cleveland Rd |
$31.53 | 3,711 | 2,792 |
|
Mona Nataprawira
2500 W Strub Rd |
$54.20 | 3,698 | 2,533 |
|
Jenna L Luby
2500 W Strub Rd Ste 230 |
$41.01 | 3,633 | 3,298 |
|
Family Health Services Of Erie County
1912 Hayes Ave |
$9.14 | 3,608 | 2,837 |
|
Rachel Lynn Holbrook
266 E Perkins Ave |
$53.33 | 3,437 | 3,096 |
|
Thomas Patrick Felter
1401 Bone Creek Dr |
$38.78 | 3,319 | 3,069 |
|
Calley Lewis
5420 Milan Rd |
$34.90 | 3,252 | 3,096 |
|
Todd Edward Rambasek
2800 Hayes Ave Bldg C |
$45.31 | 3,155 | 2,930 |
|
Sophia Fotinos
905 Crossings Rd |
$55.94 | 3,035 | 2,918 |
|
Hilary H Timmis
112 Independence Way |
$50.54 | 2,827 | 2,650 |
|
David J Grayson
5420 Milan Rd |
$33.90 | 2,657 | 2,356 |
|
Thomas R. Conley
2520 Columbus Ave Ste F |
$29.40 | 2,588 | 2,388 |
|
Issam Ahmad Al Turk
208 E Perkins Ave |
$60.54 | 2,580 | 2,004 |
|
Timothy Plank
420 Superior St |
$30.35 | 2,565 | 1,389 |
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