Average Medicaid Office Visit Payments in Willoughby, OH: $54.97
Avg. Paid
$54.97
Range
$6.31 – $345.00
Total Claims
256,444
Providers
134
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 Willoughby, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lake Hospital System Inc
36000 Euclid Ave |
$119.12 | 40,617 | 33,136 |
|
Jenna Crockett
38882 Mentor Ave |
$20.01 | 21,126 | 12,635 |
|
Signature Health Inc.
38882 Mentor Ave |
$21.46 | 18,942 | 11,411 |
|
Amanda Prince
38882 Mentor Ave |
$20.39 | 14,244 | 7,871 |
|
Morris W Levinsohn
4212 State Route 306 |
$47.01 | 8,510 | 8,162 |
|
Winston Ho
38429 Lake Shore Blvd |
$41.73 | 7,325 | 6,447 |
|
Nicholas James Zielinski
5105 Som Center Road |
$50.37 | 7,246 | 6,666 |
|
Iola Pustelnik
36001 Euclid Ave Ste C7 |
$65.69 | 6,698 | 5,539 |
|
Dian Nutter
36000 Euclid Ave |
$49.34 | 5,935 | 5,773 |
|
Nicole Denise Nickens
30841 Euclid Ave Ste 103 |
$92.75 | 5,104 | 3,944 |
|
Ashley King
1601 Arbor Dr |
$69.40 | 4,525 | 2,694 |
|
Christine M Slotta
4176 State Route 306 |
$76.36 | 4,315 | 3,027 |
|
Cynthia R Boes
4176 State Route 306 |
$69.94 | 4,299 | 2,978 |
|
Rebecca Elizabeth Crockett
5105 Som Center Road |
$62.45 | 4,235 | 3,401 |
|
Teymour Sepahbodi
35900 Euclid Ave |
$81.22 | 4,094 | 3,153 |
|
Janie M Zart
4176 State Route 306 |
$72.40 | 4,011 | 3,014 |
|
Kimberly Ann Svec
5105 Som Center Rd |
$54.30 | 3,588 | 3,273 |
|
Mihaela Donca
4176 State Route 306 |
$55.56 | 3,484 | 3,209 |
|
Marinela L Turc
36100 Euclid Ave Ste 290 |
$56.56 | 3,389 | 2,698 |
|
Elise D. Leone
5105 Som Center Road |
$18.18 | 3,224 | 3,006 |
|
Thomesha Marie Barton
4176 State Route 306 |
$63.13 | 3,148 | 2,337 |
|
Shannon Charisse Gilham
4176 State Route 306 |
$64.91 | 3,015 | 2,330 |
|
Linda S Orosz
35010 Chardon Rd |
$43.88 | 2,930 | 2,715 |
|
Renee Diane Parisi
4040 Erie St |
$6.75 | 2,913 | 2,415 |
|
Dail Ann Ciani
36100 Euclid Avenue |
$29.49 | 2,606 | 2,424 |
|
Ranjit B Tamaskar
36100 Euclid Ave Ste 350 |
$25.93 | 2,576 | 2,284 |
|
Heather E Arnett
35010 Chardon Rd |
$44.89 | 2,533 | 2,372 |
|
Patrick J Mcintyre
5105 Som Center Road |
$48.47 | 2,463 | 2,309 |
|
Brian Edward Burtch
5105 Som Center Rd Ste 106 |
$38.78 | 2,427 | 2,298 |
|
Constance M Judge
35010 Chardon Rd |
$44.80 | 2,345 | 2,183 |
|
Roseline E Okon
35900 Euclid Ave |
$87.39 | 2,214 | 1,936 |
|
Henry Emil Vucetic
5105 Som Center Road |
$55.77 | 1,978 | 1,867 |
|
Tam Pham Mclean
5105 Som Center Rd |
$58.55 | 1,764 | 1,630 |
|
James Mandelik
38429 Lake Shore Blvd |
$27.51 | 1,712 | 1,595 |
|
Tyler James Popil
36100 Euclid Ave Ste 240 |
$30.78 | 1,634 | 1,558 |
|
Sandra Wolfe Lavelle
36100 Euclid Ave Ste 350 |
$38.66 | 1,622 | 1,374 |
|
Tawana Cunningham
38429 Lake Shore Blvd |
$46.14 | 1,598 | 1,358 |
|
Libbie Louise Stansifer
38882 Mentor Ave |
$22.01 | 1,577 | 805 |
|
John Alfred Salamone
5105 Som Center Rd |
$18.06 | 1,528 | 1,427 |
|
Richard Robert Row
36000 Euclid Ave |
$52.52 | 1,443 | 1,398 |
|
Patrick A Tessman
35040 Chardon Rd |
$54.84 | 1,414 | 1,358 |
|
Russell Allen Blair
36001 Euclid Ave |
$36.82 | 1,412 | 1,268 |
|
Kim Anne Delisio
36000 Euclid Ave |
$21.22 | 1,334 | 1,012 |
|
Barbara Rowane
4212 State Route 306 Ste 304 |
$42.98 | 1,306 | 1,176 |
|
Patrick G. Convery
36060 Euclid Ave Ste 203 |
$74.72 | 1,289 | 1,213 |
|
Christopher C James
35000 Chardon Rd |
$42.03 | 1,167 | 1,073 |
|
Mary Grace Purisima
5105 Som Center Rd |
$28.09 | 1,136 | 1,089 |
|
Harbhajan S Parmar
36100 Euclid Ave |
$31.05 | 1,122 | 1,000 |
|
Joshua J Sunshine
35040 Chardon Rd |
$65.18 | 1,085 | 1,026 |
|
David Anthony Demangone
6025 Commerce Cir |
$6.46 | 1,062 | 864 |
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 Willoughby, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Willoughby, OH is $54.97 per claim, based on 256,444 claims from 134 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 Willoughby, OH?
There are 134 Medicaid providers offering Office Visit related services in Willoughby, OH according to public payment data.
What is the price range for Office Visit in Willoughby, OH?
Medicaid reimbursement for Office Visit in Willoughby, OH ranges from $6.31 to $345.00 per claim, with an average of $54.97. 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 Willoughby, OH
Behavioral & Mental Health Therapy
Avg $65.22
296,594 claims
Psychiatric Evaluation
Avg $32.54
233,889 claims
Blood Work & Lab Tests
Avg $7.57
159,046 claims
Emergency Room Visit
Avg $99.42
90,158 claims
Non-Emergency Medical Transportation
Avg $10.18
80,872 claims
Dental Cleaning & Exam
Avg $24.25
78,523 claims
Home Health Visit
Avg $71.00
57,403 claims
Urinalysis & Urine Tests
Avg $2.92
55,478 claims