Average Medicaid Office Visit Payments in Shaker Heights, OH: $59.94
Avg. Paid
$59.94
Range
$0.00 – $318.75
Total Claims
67,356
Providers
26
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 Shaker Heights, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew Mossman
20046 Walker Rd Ste 7 |
$79.87 | 12,794 | 7,722 |
|
Zyama Goldman
20600 Chagrin Blvd |
$33.54 | 12,011 | 9,242 |
|
Alla Kolkin
3461 Warrensville Center Rd |
$34.91 | 11,656 | 10,040 |
|
Thomas D. Eppright
3160 Courtland Blvd |
$110.25 | 10,646 | 3,250 |
|
Angela O Kyei
3461 Warrensville Center Rd Ste 100 |
$51.89 | 7,362 | 6,992 |
|
Albert A Etheart
20300 Chargrin Blvd |
$67.37 | 2,811 | 2,692 |
|
Benjamin Abraham
2545 Kendall Rd |
$37.33 | 2,416 | 2,291 |
|
University Primary Care Practices Inc
3605 Warrensville Center Rd |
$45.07 | 1,829 | 1,764 |
|
Jeffrey Michael Turell
3435 Lee Rd |
$73.83 | 1,470 | 1,337 |
|
Robert Thomas Portnow
3691 Lee Rd |
$29.67 | 1,105 | 1,049 |
|
George Ludwig Gelehrter
3049 Chadbourne Rd |
$14.75 | 1,095 | 1,022 |
|
Adrienne Loretz
3461 Warrensville Center Rd |
$16.43 | 589 | 537 |
|
Margaret Robenalt
18910 Oxford Rd |
$41.13 | 360 | 337 |
|
Ada Nworie
3535 Lee Road |
$128.83 | 318 | 277 |
|
Tiffany Renee Hayes
22001 Fairmount Blvd |
$160.85 | 249 | 238 |
|
Ashley Krystyna Bjelicic
20300 Chagrin Blvd |
$44.83 | 189 | 164 |
|
James Michael Koch
20776 Brantley Rd |
$23.01 | 142 | 134 |
|
Rachel Sieke
2675 Warrensville Center Rd Apt 7 |
$31.53 | 113 | 106 |
|
Andrew John Hanson
16100 Van Aken Blvd |
$0.31 | 52 | 51 |
|
Joseph Rabe
3001 Warrington Rd |
$59.18 | 47 | 38 |
|
Michael Scott Bennett
3605 Warrensville Center Rd |
$50.46 | 29 | 27 |
|
Robert Brody
3461 Warrensville Center Rd |
$3.90 | 22 | 14 |
|
Linda T Dabney
3616 Chelton Rd |
$318.75 | 13 | 13 |
|
University Hospitals Regional Practices Llc
3605 Warrensville Center Rd |
$64.11 | 13 | 12 |
|
Miranda Riggs Barnhart
22001 Fairmount Blvd |
$22.22 | 13 | 12 |
|
Shaker Clinic, Llc
20600 Chagrin Blvd |
$0.00 | 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 Shaker Heights, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shaker Heights, OH is $59.94 per claim, based on 67,356 claims from 26 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 Shaker Heights, OH?
There are 26 Medicaid providers offering Office Visit related services in Shaker Heights, OH according to public payment data.
What is the price range for Office Visit in Shaker Heights, OH?
Medicaid reimbursement for Office Visit in Shaker Heights, OH ranges from $0.00 to $318.75 per claim, with an average of $59.94. 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 Shaker Heights, OH
Home Health Visit
Avg $57.63
698,485 claims
Behavioral & Mental Health Therapy
Avg $104.00
208,449 claims
Psychiatric Evaluation
Avg $61.99
104,702 claims
Speech Therapy
Avg $38.10
59,038 claims
Dental Cleaning & Exam
Avg $17.38
26,393 claims
Ambulance Transport
Avg $66.49
13,901 claims
Podiatry (Foot Care)
Avg $7.64
13,004 claims
Personal Care Services
Avg $24.02
9,343 claims