Average Medicaid Office Visit Payments in Warren, OH: $53.11
Avg. Paid
$53.11
Range
$0.00 – $115.35
Total Claims
1,005,699
Providers
258
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 Warren, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carisa Elaine Bohnak
4060 N River Rd Ne |
$61.08 | 12 | 12 |
|
Elizabeth Deann Ghindia
5164 Craig Ave Nw |
$46.74 | 12 | 12 |
|
Patrick A Ensminger
260 Niles Cortland Rd Ne |
$11.96 | 12 | 12 |
|
Michael A. Shumaker
667 Eastland Ave Se |
$36.90 | 13 | 12 |
|
Fadi Naddour
1353 E Market St |
$4.60 | 13 | 13 |
|
Steward Trumbull Memorial Hospital, Inc.
1350 E Market St |
$97.20 | 14 | 12 |
|
Mohammed Mahboob Ahmed
1350 E Market St |
$44.74 | 15 | 15 |
|
Gerald E Dickson
8547 E Market St |
$33.94 | 16 | 14 |
|
Ohio North East Health Systems, Inc
1977 Niles Rd Se |
$43.75 | 16 | 16 |
|
Justin Paul Mikula
1615 N River Rd Ne |
$19.93 | 16 | 16 |
|
Arvind N Padubidri
1924 E Market St |
$55.61 | 16 | 16 |
|
Parkman Road Medical Associates Inc
2390 Parkman Rd Nw |
$68.12 | 20 | 16 |
|
Verodana, Inc
4681 Mahoning Ave Nw |
$13.42 | 26 | 16 |
|
James V Martuccio
302 Niles Cortland Rd |
$25.30 | 28 | 25 |
|
Cortland Obgyn Associates Inc
200 Garfield Dr |
$55.63 | 30 | 26 |
|
Nitin K Patel
461 Niles Cortland Rd |
$12.43 | 30 | 30 |
|
Robert J. Shellito Dpm, Inc.
1543 E Market St |
$24.74 | 30 | 30 |
|
Tyler Bittner
1932 Niles Cortland Rd Ne Ste C |
$44.04 | 38 | 33 |
|
Mona H Parikh
2760 Parkman Rd Nw |
$29.80 | 42 | 37 |
|
Frank A D'Apolito
3921 E Market St |
$30.80 | 42 | 40 |
|
Nicholas George Lawrence
4060 N River Rd Ne |
$31.82 | 44 | 36 |
|
Kiteria Finlayson
1296 Tod Pl Nw |
$28.31 | 53 | 49 |
|
Harish K Patel
1704 North Road Se |
$39.21 | 62 | 57 |
|
Zachary F. Veres D.O., Llc
4681 Mahoning Ave Nw |
$0.00 | 63 | 58 |
|
Christopher Francis D'Apolito
2660 E Market St |
$45.12 | 81 | 68 |
|
Chad James Douglas
302 Niles Cortland Rd Ne |
$37.06 | 89 | 72 |
|
Axess Family Services Inc
150 E Market St |
$24.14 | 91 | 90 |
|
Rachel Lynn Delost
2223 Niles Cortland Rd Se |
$67.45 | 95 | 91 |
|
Nevine T Ragheb
5901 Mahoning Ave Nw |
$51.81 | 104 | 97 |
|
Kilee Addison Bayne Kycia
1932 Niles Cortland Rd Ne |
$69.13 | 111 | 108 |
|
Mistel Stassin
1460 Tod Ave Nw |
$38.48 | 111 | 105 |
|
Thomas Raymond Neuman
349 Niles Cortland Rd Ne |
$38.31 | 111 | 101 |
|
Larry A Woods
8600 E Market St Ste 8 |
$39.82 | 113 | 105 |
|
Essam S Ragheb
5901 Mahoning Ave Nw |
$37.26 | 122 | 115 |
|
Robert G Helwig
2625 E Market St |
$34.51 | 131 | 127 |
|
4M Emergency Systems Llc
667 Eastland Ave Se |
$47.20 | 136 | 131 |
|
Brittany L. Mancini
1932 Niles Cortland Rd Ne Ste C |
$28.38 | 138 | 127 |
|
Michael Christopher Kreatsoulas
3050 Elm Rd Ne Ste 5 |
$21.38 | 146 | 129 |
|
Brittaney M Schmidt
1296 Tod Pl Nw |
$57.48 | 163 | 150 |
|
Will Beucler
667 Eastland Ave Se |
$36.64 | 163 | 159 |
|
Thomas E Gudaitis
1553 Niles Cortland Rd Se |
$23.09 | 175 | 168 |
|
The Gastroenterology Clinic & Endoscopy Center Inc
1622 E Market St |
$4.68 | 192 | 179 |
|
Kylia Alexander
1716 North Rd Se |
$102.09 | 193 | 182 |
|
Mercy Health Youngstown Llc
667 Eastland Ave Se |
$82.89 | 200 | 160 |
|
Krista Crowley
735 Niles Cortland Rd Se |
$31.15 | 206 | 170 |
|
Edward Glenn Myers
2581 North Rd Ne |
$28.56 | 208 | 174 |
|
William J Helwig
2625 E Market St |
$28.89 | 215 | 200 |
|
Alisha Lickwar
200 Garfield Dr Ne Ste 1 |
$41.54 | 220 | 180 |
|
Nicholas Miladore
1932 Niles Cortland Rd Ne Ste C |
$59.68 | 228 | 212 |
|
Asheesh Pai-Dhungat
1296 Tod Pl Nw |
$47.72 | 257 | 219 |
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 Warren, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warren, OH is $53.11 per claim, based on 1,005,699 claims from 258 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 Warren, OH?
There are 258 Medicaid providers offering Office Visit related services in Warren, OH according to public payment data.
What is the price range for Office Visit in Warren, OH?
Medicaid reimbursement for Office Visit in Warren, OH ranges from $0.00 to $115.35 per claim, with an average of $53.11. 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 Warren, OH
Blood Work & Lab Tests
Avg $6.34
419,897 claims
Substance Abuse Treatment
Avg $104.84
410,987 claims
Emergency Room Visit
Avg $90.38
374,417 claims
Physical Therapy
Avg $24.51
254,923 claims
Behavioral & Mental Health Therapy
Avg $83.68
246,802 claims
Psychiatric Evaluation
Avg $74.63
232,816 claims
Home Health Visit
Avg $52.25
139,796 claims
Urinalysis & Urine Tests
Avg $2.57
134,716 claims