Average Medicaid Office Visit Payments in Sylvania, OH: $45.33
Avg. Paid
$45.33
Range
$0.00 – $112.38
Total Claims
200,405
Providers
170
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 Sylvania, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Craig G Burkhart
5600 Monroe St |
$42.62 | 10,582 | 9,860 |
|
Jeffrey M Judis
5700 Monroe St |
$47.53 | 6,891 | 4,821 |
|
Stephen L Przynosch
5700 Monroe St Unit 201 |
$44.87 | 6,588 | 6,125 |
|
Brenda M Hartley
5700 Monroe St Unit 301 |
$43.54 | 6,546 | 6,013 |
|
Mohammad Ghali
5700 Monroe Street |
$40.96 | 5,953 | 5,500 |
|
Christine D Ellis
4525 Holt Rd |
$84.70 | 5,795 | 4,342 |
|
Michelle Mirna Ariss
5700 Monroe St Unit 211 |
$53.32 | 5,384 | 4,880 |
|
Crystal J Luke
7135 Sylvania Ave |
$48.42 | 5,110 | 4,437 |
|
Naeem A Lughmani
7135 Sylvania Ave Ste 2 |
$41.60 | 4,975 | 4,606 |
|
Robert T. Derosa
5700 Monroe St |
$46.67 | 4,587 | 3,232 |
|
Melanie Rose Miller
5308 Harroun Rd |
$44.72 | 4,512 | 3,270 |
|
Holly L Smith
5700 Monroe St Unit 111 |
$45.32 | 4,477 | 4,116 |
|
Cuneyd A Tolek
5700 Monroe St |
$54.66 | 3,921 | 3,364 |
|
Amanda Jo Mcdole
5600 Monroe Street |
$35.72 | 3,835 | 3,398 |
|
Preston G. Linley
5700 Monroe St |
$42.01 | 3,735 | 3,298 |
|
Sohil Patel
5308 Harroun Rd |
$45.33 | 3,617 | 3,416 |
|
Monica Marie Barnum
5700 Monroe St Unit 209 |
$44.99 | 3,573 | 3,148 |
|
Khader Mustafa
5700 Monroe St Unit 202 |
$49.36 | 3,028 | 2,908 |
|
Stacie Kregel
5700 Monroe St Unit 308 |
$34.57 | 2,974 | 2,878 |
|
Joanna F Shaw
5308 Harroun Rd |
$44.37 | 2,865 | 2,683 |
|
Kenneth Adler
4913 Harroun Rd |
$38.44 | 2,695 | 2,471 |
|
Matthew M Reiner
5300 Harroun Rd Ste 201 |
$35.68 | 2,487 | 2,157 |
|
Tayler Lauren Pilmore
5308 Harroun Rd # 285 |
$61.54 | 2,335 | 2,196 |
|
Amber Rychener
5700 Monroe St |
$35.58 | 2,280 | 2,140 |
|
James L North
5700 Monroe St Unit 201 |
$40.57 | 2,227 | 2,124 |
|
Shazeeda Bakhsh
6075 Barkwood Ln |
$47.04 | 2,220 | 1,991 |
|
Barbara Bauer
6013 Eaglewood Dr |
$41.84 | 2,177 | 1,987 |
|
Todd P Francis
5700 Monroe St Unit 203 |
$41.08 | 2,160 | 1,986 |
|
Rick A Cherry
6600 Sylvani Ave |
$38.28 | 2,150 | 2,060 |
|
Stephanie Kastel
5300 Harroun Rd Ste 201 |
$31.45 | 2,113 | 1,795 |
|
Gregory A Black
4913 Harroun Rd |
$32.35 | 2,056 | 1,820 |
|
David Wayne Jackson
5300 Harroun Rd |
$46.12 | 2,019 | 1,330 |
|
Katherine Lyn Samberg
5700 Monroe St Unit 207 |
$41.33 | 2,017 | 1,885 |
|
William A Johnson
5300 Harroun Rd |
$49.04 | 1,959 | 1,788 |
|
Chang Xia
5308 Harroun Rd |
$32.45 | 1,859 | 1,677 |
|
Ali Mehmood Raufi
5308 Harroun Rd Ste 55 |
$35.77 | 1,858 | 1,635 |
|
Matthew Allan Eifrid
5800 Monroe St Bldg G |
$84.59 | 1,837 | 1,328 |
|
Allan M Rubin
5300 Harroun Rd |
$35.10 | 1,828 | 1,714 |
|
Fuad Elhusain Elnegres
5700 Monroe St |
$41.24 | 1,784 | 1,696 |
|
Paris L Malin
5300 Harroun Rd Ste 201 |
$36.42 | 1,781 | 1,637 |
|
Jaclyn Lachmiller
5300 Harroun Rd Ste 304 |
$47.72 | 1,770 | 1,672 |
|
David J Witt
5300 Harroun Rd Ste 201 |
$34.64 | 1,736 | 1,626 |
|
Alan B Sundheimer
5700 Monroe St Unit 207 |
$44.67 | 1,653 | 1,564 |
|
Danielle M Pietraszak
5700 Monroe St |
$55.78 | 1,575 | 1,488 |
|
John C Zona
5300 Harroun Rd Ste 304 |
$50.50 | 1,565 | 1,039 |
|
Rachel Parker Colby
5700 Monroe St |
$50.46 | 1,548 | 1,445 |
|
Judith Anne Furlong
5300 Harroun Rd |
$41.00 | 1,531 | 1,384 |
|
Willis M Morse
5700 Monroe St Unit 201 |
$40.46 | 1,493 | 1,427 |
|
Hana J Awada-Mitchell
5308 Harroun Rd Ste 165 |
$46.24 | 1,471 | 1,088 |
|
David Macari
5308 Harroun Rd Ste 55 |
$46.19 | 1,434 | 1,199 |
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 Sylvania, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sylvania, OH is $45.33 per claim, based on 200,405 claims from 170 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 Sylvania, OH?
There are 170 Medicaid providers offering Office Visit related services in Sylvania, OH according to public payment data.
What is the price range for Office Visit in Sylvania, OH?
Medicaid reimbursement for Office Visit in Sylvania, OH ranges from $0.00 to $112.38 per claim, with an average of $45.33. 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 Sylvania, OH
Substance Abuse Treatment
Avg $143.68
60,068 claims
Eye Exam
Avg $24.16
50,038 claims
Blood Work & Lab Tests
Avg $6.68
49,979 claims
Home Health Visit
Avg $41.43
47,813 claims
Emergency Room Visit
Avg $78.43
38,693 claims
Speech Therapy
Avg $23.00
37,276 claims
Physical Therapy
Avg $16.20
27,074 claims
Behavioral & Mental Health Therapy
Avg $139.59
25,491 claims