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
Brandon Wong 2213 Cherry St Unit 2B	$17.39	12	12
Theresa M Nemeth 3539 Glendale Ave	$55.29	12	12
Stephanie Mary Pannell 3000 Arlington Ave Ste 2C	$131.78	12	12
Shannon Desmond 4126 N. Holland-Sylvania Rd	$50.64	12	12
Jason Andrew Metcalf 2213 Cherry St	$23.29	12	12
Gretchen E Tietjen 2130 W Central Ave Ste 201	$27.56	12	12
Aya Salahaldeen 2100 W Central Ave Ste 200	$38.70	12	12
Anas Balaa 2142 N Cove Blvd	$33.36	12	12
Judith Anne Mitchell 4235 Secor Rd	$39.74	12	12
Melinda M Hendricks-Jones 2130 W Central Ave Ste 101	$21.99	12	12
Sonalika Agarwal 2213 Cherry St	$34.12	12	12
Foiqa Asghar Chaudhry 3125 Transverse Dr	$118.12	12	12
Mariam Noor 3949 Sunforest Ct Ste 105	$82.12	12	12
Laura Isabel Wharry 2109 Hughes Dr	$35.28	12	12
Yaseen S Y Alastal 3000 Arlington Ave	$32.04	13	12
Krishna Reddy 1325 Conference Dr	$25.93	13	12
Dino J Costa 1000 Regency Ct	$15.26	13	12
Rania Hanna 2755 Shoreland Ave	$37.34	13	13
Salvador E Peron 3436 Granite Cir	$29.13	13	13
Matt D Roth 2865 N Reynolds Rd Ste 260	$33.88	13	12
Omar R Kahaly 2940 N Mccord Rd	$46.40	13	13
Hiba Ali 2109 Hughes Dr Ste 400	$0.00	13	12
Brittany Schecht Cavese 4235 Secor Rd	$32.59	13	13
Jamie L. Dargart 2142 N Cove Blvd	$39.44	13	12
Heather Lynn Chaney 2120 W Central Ave	$22.05	13	12
Muhammad Saleem Khan 2222 Cherry St Ste 1250	$49.79	13	12
Emily M Dusa 2940 N Mccord Rd	$39.50	13	13
Mouhammad Aghiad Jumaa 2130 W Central Ave Ste 101	$48.52	13	12
Erin L Stuck 4405 N Holland Sylvania Rd	$276.00	13	13
Ratika Dogra 2213 Cherry St Unit 2B	$26.15	13	13
Harbor 3909 Woodley Rd	$25.21	13	13
Lauren G Lukasik 2109 Hughes Dr # 760	$55.92	13	13
Diandra Bertok 2121 Hughes Dr	$34.43	13	12
Karim Zafar 1850 Eastgate Rd	$39.48	14	13
Holly Conover 3125 Transverse Dr	$15.89	14	13
Deana Antoinette Burrington 2477 Shoreland Ave	$0.00	14	14
Simily Padinjath 2213 Cherry St	$64.64	14	13
Mohammed Y. Ahmed 2409 Cherry St	$117.84	14	13
Susan M Federman 3425 Executive Pkwy Ste 117	$56.69	14	12
Nicole Amadio 3125 Transverse Dr	$13.20	14	14
Diane Scaife 2409 Cherry St	$106.19	14	14
Angela Kay Beil 3000 Arlington Ave	$59.53	14	14
Susan R Sommer 2142 N Cove Blvd	$58.89	14	12
Anna Elzbieta Biglin 1000 Regency Ct Ste 200	$34.40	14	13
Terra Zare 3922 Woodley Rd	$19.15	14	12
Nicole Mclennan 4345 Secor Rd	$38.78	14	13
Samantha J Ticchi-Junkins 2109 Hughes Dr	$34.30	14	14
Bachar Botrus 3000 Arlington Ave	$56.09	15	15
Ashwin Raghavan 2120 W Central Ave	$58.52	15	15
Brittany L Balusik 1325 Conference Dr Ste 2010	$28.88	15	14

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