Average Medicaid Office Visit Payments in Wadsworth, OH: $55.56
Avg. Paid
$55.56
Range
$2.38 – $80.04
Total Claims
101,025
Providers
50
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 Wadsworth, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Allen Archinal
323 High St Ste A |
$71.14 | 14,425 | 13,591 |
|
Regis P Burlas
1026 Williams Reserve Blvd |
$64.39 | 12,052 | 9,300 |
|
Melissa Huang
323 High St Ste A |
$73.60 | 9,137 | 8,356 |
|
Erin Thompson
300 Weatherstone Dr # 187 |
$22.98 | 7,568 | 6,080 |
|
Joy Frye
1 Park Centre Dr |
$36.54 | 5,734 | 5,398 |
|
Dipti Sekhsaria
323 High St |
$73.17 | 5,697 | 5,384 |
|
Family Statcare Of Northeast Ohio, Llc
175 Great Oaks Trl |
$62.48 | 5,290 | 5,113 |
|
Christina M Peters
1 Park Center Dr Ste 304 |
$54.37 | 4,336 | 4,016 |
|
Aricka Kesic-Sellers
273 Main St Ste 300 |
$46.64 | 4,206 | 3,282 |
|
Diana Lishnevski
1 Park Center Dr Ste 304 |
$53.47 | 3,708 | 3,451 |
|
David R Karas
323 High St |
$70.58 | 3,239 | 3,065 |
|
Tamara L Bowling
230 Quadral Dr |
$80.04 | 3,220 | 1,772 |
|
Nicholas King-Smith
665 Briarthorn Crescent Dr |
$53.47 | 2,082 | 1,827 |
|
Michael J. Boyer
119 Broad St |
$16.13 | 2,070 | 1,559 |
|
Mark Steven Brigham
195 Wadsworth Rd |
$38.56 | 1,932 | 1,805 |
|
Sabrina Ben-Zion
323 High St |
$69.61 | 1,825 | 1,739 |
|
Laura M. Distel
185 Wadsworth Rd |
$35.69 | 1,701 | 1,598 |
|
Kimberly A Blair
1225 High Street |
$39.37 | 1,502 | 1,407 |
|
Shelli Irene Reed
1225 High St |
$34.05 | 1,417 | 1,313 |
|
Thomas Alexander Bouscher
222 E Smokerise Dr |
$48.72 | 1,354 | 1,273 |
|
William Fredrick Oehlenschlager
1225 High St |
$35.89 | 1,093 | 995 |
|
Summer T Holmes Mason
1197 High St Ste 102 |
$49.07 | 1,021 | 761 |
|
Katherine Lee Stell
175 Great Oaks Trl |
$26.74 | 886 | 841 |
|
Julie A Reynolds
1225 High St |
$35.80 | 653 | 613 |
|
Spencer Jeffrey Gasser
1225 High St |
$33.34 | 640 | 612 |
|
Melanie Fetter
1 Park Centre Dr Ste 304 |
$25.77 | 568 | 494 |
|
Jyoti S Deoras
180 High Street |
$43.18 | 521 | 422 |
|
Robert Leslie Kleinman
323 High St |
$38.37 | 500 | 455 |
|
Rachel N Patel
860 Broad St |
$34.60 | 445 | 359 |
|
Jackolyn Casanova
230 Quadral Dr Ste B |
$2.38 | 423 | 348 |
|
Michael A Bianco
185 Wadsworth Rd |
$59.14 | 308 | 282 |
|
Karen L Bouscher
222 E Smokerise Dr |
$47.33 | 258 | 243 |
|
Karen R Fosbrink
860 Broad St |
$40.34 | 208 | 190 |
|
Suresh D Mendpara
5133 Ridge Rd Ste 5 |
$37.28 | 177 | 142 |
|
Traveling Nurse Practitioner, Llc
200 Smokerise Dr |
$55.83 | 139 | 98 |
|
Stephanie Mesko
5133 Ridge Rd Ste 1 |
$37.40 | 124 | 118 |
|
Husein Yusuf Husein
119 Broad St |
$28.53 | 109 | 101 |
|
Neeraj Mahajan
5133 Ridge Rd Ste 5 |
$24.85 | 88 | 77 |
|
Toni D Mcdougald
1392 High St |
$31.81 | 74 | 63 |
|
Lois J Teston
5133 Ridge Rd Ste 5 |
$56.59 | 73 | 67 |
|
Margarita Lassaletta
185 Wadsworth Rd |
$72.41 | 44 | 39 |
|
Lawrence Joseph Spoljaric
251 Leatherman Rd |
$58.27 | 42 | 42 |
|
Natalie Ann Topp
195 Wadsworth Rd Ste 401 |
$28.47 | 38 | 34 |
|
Leslie Lynn Youmans
195 Wadsworth Rd Ste 402 |
$24.15 | 19 | 14 |
|
Jonathan Andrew Kase
323 High St Ste C |
$11.92 | 16 | 12 |
|
Sarah E Cawley
1348 Sharon Copley Rd |
$34.01 | 13 | 12 |
|
Sandra V Hazra
5133 Ridge Rd Ste 5 |
$47.90 | 13 | 13 |
|
Saad A Sanyurah
185 Wadsworth Rd |
$42.10 | 13 | 12 |
|
Nancy L Kranek
230 Quadral Dr |
$58.70 | 12 | 12 |
|
Nicholas H Papas
185 Wadsworth Road |
$37.31 | 12 | 12 |
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 Wadsworth, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wadsworth, OH is $55.56 per claim, based on 101,025 claims from 50 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 Wadsworth, OH?
There are 50 Medicaid providers offering Office Visit related services in Wadsworth, OH according to public payment data.
What is the price range for Office Visit in Wadsworth, OH?
Medicaid reimbursement for Office Visit in Wadsworth, OH ranges from $2.38 to $80.04 per claim, with an average of $55.56. 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 Wadsworth, OH
Home Health Visit
Avg $54.33
107,380 claims
Blood Work & Lab Tests
Avg $11.00
44,046 claims
Emergency Room Visit
Avg $80.00
43,477 claims
Eye Exam
Avg $29.84
41,446 claims
Nursing Facility Care
Avg $13.78
29,775 claims
Speech Therapy
Avg $32.74
21,146 claims
Psychiatric Evaluation
Avg $72.56
20,096 claims
Physical Therapy
Avg $21.72
17,981 claims