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 |
|---|---|---|---|
|
Louise A Miller
3807 Friendsville Rd |
$73.98 | 12,378 | 11,525 |
|
Christina E Stout
1739 Cleveland Rd |
$21.38 | 9,713 | 5,169 |
|
Ayman H Basali
546 Winter St |
$26.80 | 9,691 | 8,541 |
|
Mark A. Dal Pra
2285 Benden Dr |
$96.07 | 9,593 | 8,748 |
|
Vera Astreika
2285 Benden Dr |
$52.17 | 7,811 | 6,695 |
|
Antoni Adamrovich
2640 Armstrong Dr |
$76.78 | 7,762 | 4,713 |
|
Amanda Marie Kruepke
3807 Friendsville Rd |
$74.20 | 7,595 | 7,043 |
|
Jillian Renee Fisher
1874 Cleveland Rd |
$41.15 | 5,957 | 5,516 |
|
Christopher T Wartmann
1749 Cleveland Rd |
$51.38 | 5,653 | 5,015 |
|
Elizabeth Harris
2285 Benden Dr |
$113.55 | 5,418 | 4,781 |
|
Maher Jeffrey S Zackary
3373 Commerce Pkwy |
$34.52 | 5,303 | 4,442 |
|
Kathy Praisler Wood
1740 Cleveland Rd |
$43.69 | 5,284 | 4,907 |
|
Christopher M Mccourt
2285 Benden Dr |
$72.55 | 5,223 | 4,619 |
|
Michelle Marie Walker
3807 Friendsville Rd |
$65.72 | 4,938 | 4,393 |
|
Julie A Joyce
3807 Friendsville Rd |
$76.03 | 4,901 | 4,448 |
|
Christine Sanborn
128 E Milltown Rd Ste 209 |
$64.31 | 4,724 | 4,394 |
|
Kevin Kumar Mathur
1749 Cleveland Rd |
$50.30 | 4,599 | 4,293 |
|
Melissa Seifried
1740 Cleveland Rd |
$48.15 | 3,865 | 3,565 |
|
Raymond Gregory Mason
128 E Milltown Rd |
$33.20 | 3,487 | 3,189 |
|
Sharon Marcanthony
1761 Beall Ave Ste 103 |
$43.25 | 3,028 | 2,312 |
|
Mark D Elderbrock
1740 Cleveland Rd |
$42.24 | 3,005 | 2,817 |
|
Rebecca M. Zarko
2285 Benden Dr |
$100.99 | 2,976 | 2,726 |
|
Tai-Chi Kwok
1761 Beall Ave |
$29.32 | 2,956 | 2,314 |
|
Kathryn O Helmuth
128 E Milltown Rd |
$67.01 | 2,802 | 2,628 |
|
Chitra Clive Ganta
1740 Cleveland Rd |
$47.95 | 2,695 | 2,558 |
|
David A Shewmon
721 E Milltown Rd |
$33.95 | 2,637 | 2,481 |
|
Adam P Keating
1740 Cleveland Rd |
$49.62 | 2,600 | 2,381 |
|
Jeffery Reynold Kontak
1740 Cleveland Rd |
$23.82 | 2,598 | 2,414 |
|
Rajyalakshmi Rambhatla
1740 Cleveland Rd |
$29.12 | 2,568 | 2,401 |
|
Arun Kumar Mathur
1749 Cleveland Rd |
$50.80 | 2,521 | 2,349 |
|
Nishi Jani Rajguru
1740 Cleveland Rd |
$36.54 | 2,519 | 2,045 |
|
John H Strong
1740 Cleveland Rd |
$49.18 | 2,515 | 2,300 |
|
Rachel Linn Denbow
1740 Cleveland Rd |
$58.64 | 2,461 | 2,124 |
|
Steven Wyles
3727 Friendsville Rd |
$33.71 | 2,381 | 2,172 |
|
Timothy M Playl
1740 Cleveland Rd |
$52.99 | 2,367 | 2,164 |
|
Rosa Ann Cleaver
1740 Cleveland Rd |
$37.95 | 2,309 | 2,088 |
|
Mark Alan Stutzman
3477 Commerce Pkwy |
$42.65 | 2,153 | 1,867 |
|
Deidre Neyhart-Mcintosh
721 E Milltown Rd |
$47.83 | 2,146 | 1,761 |
|
Melissa Marie Burgett
1740 Cleveland Rd |
$45.84 | 2,127 | 1,907 |
|
Molly S Hastings
1761 Beall Ave Fl 3 |
$39.94 | 2,126 | 1,867 |
|
Christy L Haagen
1740 Cleveland Rd |
$48.37 | 2,079 | 1,904 |
|
Emily Catherine Hostetler
2000 Noble Dr |
$80.67 | 2,067 | 1,947 |
|
Corey Alan Jackson
3373 Commerce Pkwy Ste 2 |
$33.80 | 2,036 | 1,955 |
|
Rebecca L Russell
1740 Cleveland Rd |
$49.74 | 2,034 | 1,669 |
|
John M Weeman
546 Winter St |
$52.28 | 1,983 | 1,465 |
|
Naz Hershberger
1740 Cleveland Rd |
$42.12 | 1,975 | 1,839 |
|
Mark Yoder
128 E Milltown Rd Ste 205 |
$37.43 | 1,967 | 1,770 |
|
James Thomas Miller
546 Winter St |
$39.77 | 1,949 | 1,383 |
|
Karmon Leigh James
1739 Cleveland Rd |
$47.70 | 1,948 | 1,596 |
|
Kristen Stout
1740 Cleveland Rd |
$38.64 | 1,918 | 1,746 |
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.
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 Wooster, OH
Behavioral & Mental Health Therapy
Avg $94.28
399,315 claims
Psychiatric Evaluation
Avg $75.40
209,461 claims
Home Health Visit
Avg $39.87
111,356 claims
Blood Work & Lab Tests
Avg $6.22
109,348 claims
Substance Abuse Treatment
Avg $140.80
83,793 claims
Dental Cleaning & Exam
Avg $20.34
73,004 claims
Vaccines & Immunizations
Avg $7.70
44,388 claims
Physical Therapy
Avg $35.71
40,981 claims