Average Medicaid Office Visit Payments in Sheffield Village, OH: $52.64
Avg. Paid
$52.64
Range
$17.29 – $103.25
Total Claims
150,058
Providers
64
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 Sheffield Village, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Harkeet Sandhu
5001 Transportation Dr |
$71.95 | 21,910 | 19,684 |
|
Scott Martin Ciaccia
5001 Transportation Dr Ste 101 |
$64.41 | 9,427 | 8,683 |
|
Cole Christopher Budinsky
5001 Transportation Dr |
$74.46 | 8,436 | 7,985 |
|
Heidi D. Lencoski
5054 Waterford Dr |
$48.96 | 8,135 | 6,179 |
|
Marc Eric Guay
5001 Transportation Dr # 200 |
$42.72 | 7,310 | 7,002 |
|
Sanjay Kumar
5319 Hoag Dr |
$36.95 | 7,275 | 6,690 |
|
David G Marsh
5001 Transportation Dr |
$64.25 | 6,920 | 6,444 |
|
Sanjay R Parikh
5001 Transportation Dr Ste 201 |
$63.91 | 6,534 | 6,339 |
|
Daniel J. Zanotti
5001 Transportation Dr |
$59.12 | 5,152 | 4,888 |
|
Robert M. Zanotti
5001 Transportation Dr |
$54.37 | 4,549 | 4,149 |
|
Jason D Ridgel
5323 Meadow Lane Ct |
$48.45 | 4,367 | 4,153 |
|
Tracy Ann Carter
5054 Waterford Place Dr |
$37.65 | 3,767 | 3,456 |
|
Ernest Degidio
5001 Transportation Dr |
$60.53 | 3,581 | 3,277 |
|
Brendan W Bauer
5319 Hoag Dr Ste 210 |
$41.41 | 3,316 | 2,948 |
|
James E Ohliger
5323 Meadow Lane Ct |
$46.01 | 3,135 | 2,898 |
|
Theophilus Arthur-Mensah
5343 Meadow Lane Ct |
$40.80 | 3,038 | 2,464 |
|
William B. Stanfield
5001 Transportation Dr |
$72.07 | 2,838 | 2,628 |
|
Robert Jon Berkowitz
5001 Transportation Dr |
$58.09 | 2,697 | 2,591 |
|
Sunjay Mathur
5319 Hoag Dr |
$42.15 | 2,486 | 2,307 |
|
Mark D Bej
5319 Hoag Dr |
$45.65 | 2,451 | 2,332 |
|
Charles I Choi
5319 Hoag Dr |
$31.61 | 2,387 | 2,183 |
|
Vanessa R Kabat
5001 Transportation Dr Ste 101 |
$24.58 | 2,356 | 2,097 |
|
Caryn L Delisio
5319 Hoag Dr Ste 100 |
$36.85 | 2,195 | 2,063 |
|
Kathy A Dalzell
5319 Hoag Dr |
$38.12 | 2,125 | 1,989 |
|
Parshotam C Gupta
5319 Hoag Dr |
$35.90 | 1,947 | 1,731 |
|
John Paul Gerhard
5319 Hoag Dr Ste 115 |
$34.30 | 1,923 | 1,694 |
|
Rebecca Suit
5319 Hoag Dr |
$36.70 | 1,898 | 1,794 |
|
Digna Moya
5334 Meadow Lane Ct |
$29.40 | 1,732 | 1,600 |
|
Megan Henfling
5334 Meadow Lane Ct |
$21.66 | 1,541 | 1,443 |
|
Rummel T Moya
5334 Meadow Lane Ct |
$28.67 | 1,436 | 1,340 |
|
Sara Klem
5334 Meadow Lane Ct |
$30.63 | 1,416 | 1,319 |
|
Amy Ann Bradbury
5334 Meadow Lane Ct |
$24.43 | 1,272 | 1,209 |
|
Meredith Linda Mizanin
5334 Meadow Lane Ct |
$24.70 | 1,165 | 1,101 |
|
Sleiman Saher Abukhater
5327 Detroit Rd |
$58.16 | 1,086 | 946 |
|
Melanie Ann Devito
5334 Meadow Lane Ct |
$25.86 | 970 | 901 |
|
Merryann Werley
5319 Hoag Dr Ste 210A |
$32.38 | 647 | 526 |
|
Sandeep M Sheth
5255 N Abbe Rd Ste 1 |
$101.26 | 633 | 608 |
|
Kimberly Fish
5319 Hoag Dr Ste 111 |
$39.57 | 625 | 597 |
|
Arthur J Myers
5319 Hoag Dr |
$49.41 | 623 | 493 |
|
Joanne Holiday
5319 Hoag Dr |
$23.00 | 569 | 477 |
|
Gerald E Gavlak
5001 Transportation Dr Ste 101 |
$43.05 | 432 | 403 |
|
Bushra Siddiqui
5327 Detroit Rd Ste B |
$40.57 | 397 | 374 |
|
Michelle Lyn Veneman
5319 Hoag Dr Ste 210A |
$22.77 | 307 | 283 |
|
Amar Basavaraj Mutnal
5319 Hoag Dr Ste 240 |
$45.08 | 292 | 258 |
|
Ahmad Saad Siddiqi
5001 Transportation Dr Ste 201 |
$44.20 | 270 | 259 |
|
Erin Stehman
5001 Transportation Dr |
$58.25 | 213 | 202 |
|
Martina Marie Ferraro
5275 N Abbe Rd |
$57.01 | 210 | 193 |
|
Jamie Lynn Kirby
5334 Meadow Lane Ct |
$17.29 | 208 | 196 |
|
Eric Gaines
5001 Transportation Dr |
$82.70 | 205 | 187 |
|
Heidi A Morris
5319 Hoag Dr Ste 210A |
$32.91 | 201 | 139 |
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 Sheffield Village, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sheffield Village, OH is $52.64 per claim, based on 150,058 claims from 64 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 Sheffield Village, OH?
There are 64 Medicaid providers offering Office Visit related services in Sheffield Village, OH according to public payment data.
What is the price range for Office Visit in Sheffield Village, OH?
Medicaid reimbursement for Office Visit in Sheffield Village, OH ranges from $17.29 to $103.25 per claim, with an average of $52.64. 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 Sheffield Village, OH
Physical Therapy
Avg $37.79
22,477 claims
X-Ray
Avg $13.52
20,049 claims
Blood Work & Lab Tests
Avg $4.39
15,038 claims
Speech Therapy
Avg $30.65
10,557 claims
Behavioral & Mental Health Therapy
Avg $62.84
10,446 claims
Prescription Medications
Avg $17.11
9,501 claims
Psychiatric Evaluation
Avg $64.36
9,168 claims
Dental Filling
Avg $78.62
8,432 claims