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 |
|---|---|---|---|
|
Raul Martin Bosio
5700 Monroe St Unit 106 |
$49.41 | 12 | 12 |
|
Robert H Hartwig
6444 Monroe St |
$43.80 | 12 | 12 |
|
Lauren M Cassavar
5700 Monroe St Unit 308 |
$36.27 | 13 | 13 |
|
Andrew J. Rosko
5700 Monroe Street |
$29.34 | 13 | 12 |
|
Megan Michelle Hewson
5200 Harroun Rd |
$37.65 | 13 | 12 |
|
David Mallory
5700 Monroe St Unit 206 |
$33.88 | 13 | 13 |
|
Adam Peckinpaugh
5200 Harroun Rd |
$26.90 | 14 | 14 |
|
Ahmad Alratroot
5700 Monroe St Unit 308 |
$49.76 | 14 | 13 |
|
Linda M Klein
7640 Sylvania Ave |
$28.35 | 14 | 14 |
|
Nicholas Joseph Horton
5700 Monroe St Unit 103 |
$69.83 | 14 | 14 |
|
Jennifer Madasz
8146 Timothy Ln |
$50.82 | 14 | 13 |
|
Jennifer Simmons
5308 Harroun Rd Ste 160 |
$35.96 | 15 | 15 |
|
Monica L Vasquez
5308 Harroun Rd Ste 55 |
$48.92 | 15 | 14 |
|
Kristoffer Bradley Sugg
5308 Harroun Rd Ste 280 |
$51.91 | 15 | 15 |
|
Andrea Tabbert
5300 Harroun Rd Ste 201 |
$14.26 | 15 | 12 |
|
Danine T Lajiness-Polosky
5800 Monroe St Bldg G |
$41.42 | 21 | 16 |
|
Amala Reddy Ambati
5700 Monroe St Unit 202 |
$59.86 | 24 | 24 |
|
Tarik Zuhier Alhmoud
5700 Monroe St Unit 103 |
$87.37 | 24 | 24 |
|
Syed Shafae Hasan
5700 Monroe St Unit 103 |
$77.93 | 27 | 27 |
|
Thomas Mcalear
5700 Monroe St Unit 209 |
$37.20 | 29 | 25 |
|
Peter F Klein
5700 Monroe St Unit 210 |
$29.71 | 31 | 27 |
|
Mirra Jean Ulmer
5609 Harris Hawk Ln |
$19.60 | 39 | 37 |
|
Jessica Anne Lockhart
5525 Harroun Rd |
$0.00 | 39 | 27 |
|
Joseph Ryne Wolf
4913 Harroun Rd |
$35.04 | 41 | 27 |
|
Lindsey Heilman
5700 Monroe St Unit 201 |
$57.96 | 41 | 40 |
|
Erin Losey
5320 Harroun Rd |
$50.02 | 41 | 38 |
|
Lisa L Burke
5700 Monroe St Unit 203 |
$52.44 | 41 | 37 |
|
Nichole Miller
5700 Monroe St Unit 308 |
$25.46 | 42 | 38 |
|
Nasser Hajar
5700 Monroe St Unit 103 |
$46.84 | 42 | 42 |
|
Adam C Walter
5308 Harroun Rd |
$46.68 | 47 | 39 |
|
Jaydutt B. Patel
7640 Sylvania Ave Ste G |
$34.01 | 48 | 46 |
|
Shelby Lane
5200 Harroun Rd |
$47.89 | 51 | 41 |
|
Abbey Elizabeth Dunn
5700 Monroe St Unit 308 |
$39.69 | 55 | 55 |
|
Sameh Bashar Almadani
5700 Monroe St Unit 103 |
$59.46 | 58 | 57 |
|
James J Bomer
5700 Monroe St Unit 206 |
$38.68 | 77 | 73 |
|
Rehab Talat
5700 Monroe St Unit 310 |
$59.75 | 82 | 79 |
|
Abhijit B Saste
5308 Harroun Rd Ste 55 |
$46.61 | 89 | 80 |
|
Katherine Louise Ball
5700 Monroe St Unit 211A |
$14.58 | 99 | 74 |
|
Thomas J Colturi
5700 Monroe St Unit 103 |
$39.03 | 107 | 105 |
|
Jackie Vannuyen
5300 Harroun Rd |
$44.78 | 107 | 88 |
|
John B Stengle
5800 Monroe St |
$50.74 | 118 | 112 |
|
Lara Jamal-Ghandour
5700 Monroe St Unit 301 |
$45.41 | 119 | 116 |
|
Dominique Lash
5800 Monroe St Bldg A |
$58.41 | 120 | 113 |
|
Christopher A Sherman
7640 Sylvania Ave |
$43.52 | 122 | 111 |
|
Sarah S Puckett
5308 Harroun Rd |
$45.45 | 127 | 91 |
|
Mackenzie Nicole Schrinel
5700 Monroe St Unit 103 |
$47.22 | 135 | 126 |
|
Arun Deepak Mathur
5300 Harroun Rd |
$42.59 | 138 | 117 |
|
Maria Alejandra Chandler
5700 Monroe St Unit 103 |
$46.73 | 138 | 124 |
|
Margaret E. Ball
5700 Monroe St Unit 103 |
$40.95 | 139 | 137 |
|
Kristen Bodine-Zeller
5700 Monroe St Unit 203 |
$49.67 | 140 | 134 |
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