Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wooster, OH: $52.06

Avg. Paid

$52.06

Range

$0.00 – $120.54

Total Claims

251,324

Providers

167

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 Wooster, OH

Provider	Avg. Paid	Claims	Patients
Counseling Center Of Wayne & Holmes Counties 2285 Benden Dr	$112.08	12	12
Lindsey Ann Atanasov 1761 Beall Ave	$32.94	13	12
Juan Miguel Proano 546 Winter St	$17.03	13	12
William J Novak 1740 Cleveland Rd	$50.82	13	13
Dale C Capela 5225 Cleveland Rd.	$26.34	15	15
Oneeighty, Inc. 104 Spink St	$0.00	16	16
Richard Guttman 721 E Milltown Rd	$26.16	17	14
Wooster Pain And Anesthesia Center Llc 3373 Commerce Pkwy	$0.00	17	14
Cyril S Ofori 1761 Beall Ave	$24.71	17	13
Carly Dulabon 1761 Beall Ave	$64.72	18	14
Sara Adene Daso 2284 Back Orrville Rd	$42.09	22	19
Dennis Helmuth 128 E Milltown Rd	$48.97	24	24
Village Network 2000 Noble Dr	$120.54	24	24
Edward W Colvin 521 Beall Ave	$28.33	27	25
Kristin Marie Wenger 1604 Wedgewood Way	$64.68	28	28
Jared Kyle Hostetler 2284 Back Orrville Rd	$48.26	29	26
Paul W Aslanides 1761 Beall Ave	$59.61	29	27
Susanne Margaret Conrad 546 Winter St	$30.79	30	30
Olivia Nicole Lust 5225 Cleveland Rd Ste B	$34.78	32	30
Brianna Alysse Knight 721 E Milltown Rd	$18.04	32	28
Robert V Sibilia 324 E Milltown Road	$50.34	33	27
Thomas Benedict Janas 3373 Commerce Pkwy	$39.38	43	39
Bloomington Medical Services Llc 1761 Beall Ave	$36.82	50	44
James W Gesler 3373 Commerce Pkwy	$29.82	60	54
Linda M Wang 128 E Milltown Rd	$46.96	64	57
Cynthia Thorpe 721 E Milltown Rd	$39.60	67	66
Jodi Ramos 1740 Cleveland Rd	$26.16	69	68
Scott Andrew Hannan 3477 Commerce Pkwy	$29.71	77	68
Maddison Courtland Taylor Bell 1685 Cleveland Rd	$57.67	81	76
Thomas C Fenzl 3519 Friendsville Rd	$36.79	84	80
Drew K Abramovich 721 E Milltown Rd # Wr10	$34.53	86	78
Nukala R Reddy 2285 Benden Dr	$51.68	89	75
Rebecca J Lauffenburger 961 Dover Rd	$63.30	93	91
Breanne Renee Pompey 3373 Commerce Pkwy	$29.88	102	88
Adriane Rose Teach 1900 Akron Rd	$24.10	118	75
Nicholas Prayson 546 Winter St # 200, Wooster, Oh 44691	$61.58	118	105
Michael Paul Suszter 3373 Commerce Pkwy	$27.75	118	114
Joseph Prah 1761 Beall Ave Ste 1	$29.36	126	107
Loren Michael Kirchner 1685 Cleveland Rd Ste 101	$44.86	129	122
Darby Elizabeth Carpenter 1740 Cleveland Rd	$26.48	131	120
Stuart I Zetzer 2285 Benden Drive	$80.95	140	131
Mansour S Isckarus 1761 Beall Ave Ste 1	$36.33	142	108
Bradley Arthur Pierce 721 E Milltown Rd	$39.34	157	148
Jaclyn Oliver 721 E Milltown Rd	$47.06	157	141
Kelly S Smith 1740 Cleveland Rd	$38.38	157	151
Derek Matthew Brown 1761 Beall Ave	$28.90	158	145
Steven A Widmer 3373 Commerce Pkwy	$31.49	165	149
Kelly Roberts 1761 Beall Ave Ste 3A	$37.46	167	149
Rachel Sue Hill 4964 W Smithville Western Rd	$18.27	192	168
Jeffrey W Perkins 3519 Friendsville Rd	$36.37	199	175

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 Wooster, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wooster, OH is $52.06 per claim, based on 251,324 claims from 167 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 Wooster, OH?

There are 167 Medicaid providers offering Office Visit related services in Wooster, OH according to public payment data.

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

Medicaid reimbursement for Office Visit in Wooster, OH ranges from $0.00 to $120.54 per claim, with an average of $52.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wooster, OH: $52.06

Providers Offering Office Visit in Wooster, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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