Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Toledo, OH: $54.00

Avg. Paid

$54.00

Range

$0.00 – $671.64

Total Claims

2,678,328

Providers

1,257

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 Toledo, OH

Provider	Avg. Paid	Claims	Patients
Promedica Central Corporation Of Michigan 100 Madison Ave	$63.58	131,997	121,893
Pingching Nick Kwan 3045 Arlington Ave	$117.09	43,645	40,021
Promedica Central Physicians 100 Madison Ave	$57.57	43,522	40,730
The Toledo Hospital 2142 N Cove Blvd	$107.96	41,197	32,428
Promedica Monroe Physicians Pllc 100 Madison Ave	$66.98	39,287	37,312
Greater Toledo Urgent Cares, Llc. 4405 N. Holland-Sylvania Road	$65.43	38,216	36,083
Karen A. Tormoehlen 430 Nebraska Ave	$22.19	25,319	10,214
Alicia Michelle Gardiner 3900 Sunforest Ct Ste 215	$41.39	24,163	20,375
Tamara Bumpus 313 Jefferson Ave	$25.23	23,136	12,367
Walid Mahmoud 3000 Arlington Ave	$56.77	19,657	17,766
Fidelis Obu 732 South Ave	$20.76	17,648	9,774
Ziad Jaara 2150 W Central Ave	$60.53	17,522	10,027
Georges T Jabaly 4405 N Holland Sylvania Rd Ste 104	$49.69	17,392	13,217
Latrice Waddell 1425 Starr Ave	$78.71	16,284	13,860
Mercy Health Physicians-North Llc 2200 Jefferson Ave	$53.41	16,107	14,909
Arshad Adil Husain 1421S Reynolds Rd	$39.99	15,731	13,833
Regina Marie Woodson 4441 Dunloe Ct	$112.00	14,975	13,709
Samrah H Al-Sayed 2150 W Central Ave	$60.20	14,295	8,294
Jaclyn M Debruyne 553 E Manhattan Blvd	$22.88	14,271	7,361
Lucia Vieira Coleman 430 Nebraska Ave	$69.55	13,134	8,938
Anthony D Atkins 2244 Collingwood Blvd	$21.46	12,829	7,057
Connie Therese Spahn 553 E Manhattan Blvd	$20.27	12,787	5,911
Patrick J Anderson 2142 N Cove Blvd	$59.67	12,726	6,711
Michelle Ann Smith 4235 Secor Rd	$19.76	12,146	5,841
Hani Haidar 2000 Regency Ct	$51.20	11,864	10,846
Carol L. Krieger 1425 Starr Ave	$84.19	11,655	10,356
Khalida Durrani 4646 Nantuckett Dr Ste C	$89.47	11,572	9,125
Christian Maduoma 3045 Arlington Ave	$56.10	11,306	5,273
Sunita Banerjee 2213 Franklin Ave	$38.25	10,565	10,073
Laura Anglim 2005 Ashland Ave	$21.69	10,395	8,828
Jane Shanthi Chikkala 3020 N Mccord Rd Ste 100	$50.97	10,317	9,214
Mikyong Suh 1425 Starr Ave	$111.60	10,188	9,611
Amanda J Sherratt 2150 W Central Ave	$60.76	10,186	5,451
Sheri Desmond 3930 Sunforest Ct	$37.26	10,109	9,076
Aroub Alayoubi 2000 Regency Ct	$46.81	9,786	8,954
Lee Ann Laroy 3900 Sunforest Ct	$43.73	9,578	8,409
Wissam K Hoteit 6605 W Central Ave	$119.43	9,561	8,845
Karina Zapiecki 4126 N Holland Sylvania Rd	$43.47	9,355	8,749
Heather Polaski 905 Nebraska Ave	$85.39	9,195	8,094
Tanvir Singh 3125 Transverse Dr Ste L	$73.71	9,168	8,161
Stanley L Tao 5085 Monroe St	$38.44	9,063	8,392
Erica Blanche Dennis 2222 Cherry St Ste 2300	$45.26	8,975	8,258
The Pediatric Center, Inc. 3900 Sunforest Court	$56.81	8,923	7,700
Ateeq Ahmed Haseeb 2222 Cherry St	$57.06	8,898	8,040
Amar Nath Goyal 3900 Sunforest Court	$35.71	8,726	7,805
Irfan Ahmed 1425 Starr Ave	$66.87	8,707	7,573
Catherine Van Hook 3125 Transverse Dr Ste M	$69.99	8,656	4,682
Nadeem Nawaz Moghal 3400 Meijer Dr	$46.86	8,506	6,457
Timothy Kaminski 1425 Starr Ave	$89.49	8,477	5,076
Vanessa Grace Panizales Penaranda 6605 W Central Ave	$96.64	8,429	7,398

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 Toledo, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Toledo, OH is $54.00 per claim, based on 2,678,328 claims from 1257 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 Toledo, OH?

There are 1257 Medicaid providers offering Office Visit related services in Toledo, OH according to public payment data.

What is the price range for Office Visit in Toledo, OH?

Medicaid reimbursement for Office Visit in Toledo, OH ranges from $0.00 to $671.64 per claim, with an average of $54.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Toledo, OH: $54.00

Providers Offering Office Visit in Toledo, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Toledo, OH

Blood Work & Lab Tests

Behavioral & Mental Health Therapy

Emergency Room Visit

Home Health Visit

Substance Abuse Treatment

Psychiatric Evaluation

Urinalysis & Urine Tests

X-Ray