Average Medicaid Office Visit Payments in Youngstown, OH: $47.74
Avg. Paid
$47.74
Range
$0.00 – $318.75
Total Claims
1,110,251
Providers
441
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 Youngstown, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Theodore R Cubbison
726 Wick Ave |
$36.93 | 27,424 | 16,263 |
|
Somer Wallace
726 Wick Ave |
$23.07 | 26,581 | 13,304 |
|
Christopher Matthew Broderick
726 Wick Ave |
$22.85 | 26,494 | 13,650 |
|
John Michael Jerome
726 Wick Ave |
$20.65 | 25,525 | 12,778 |
|
Rodney Earl Hill
1350 Fifth Ave |
$49.24 | 25,359 | 18,966 |
|
Rajendra Prasad Koirala
725 Boardman Canfield Rd Ste L1 |
$59.59 | 24,796 | 20,050 |
|
Tracy L Neuendorf
1011 Boardman Canfield Rd |
$74.70 | 21,277 | 10,807 |
|
Quick Med Urgent Care Llc
3499 Belmont Ave |
$40.72 | 21,018 | 19,797 |
|
Stephanie Lynn Huston
726 Wick Ave |
$24.17 | 20,749 | 10,995 |
|
Justin Daniel Pykare
726 Wick Ave |
$28.96 | 18,278 | 14,552 |
|
Szymon Marek Krzyzanowski
500 Gypsy Ln |
$54.17 | 17,455 | 15,955 |
|
Joseph James Gallo
2010 E Midlothian Blvd |
$35.83 | 15,325 | 13,443 |
|
Apurva Padubidri
20 Ohltown Road |
$50.78 | 14,674 | 13,348 |
|
Doreen R Allison
77 E Midlothian Blvd |
$100.05 | 13,305 | 11,234 |
|
Constantine G Economus
7641 Market St |
$33.45 | 12,897 | 9,825 |
|
Alberta S Kemper
107 Javit Ct |
$38.36 | 12,782 | 11,455 |
|
Nancy Ann Keslar
4308 Belmont Ave |
$60.68 | 12,733 | 11,930 |
|
Khalid A Habo
8580 South Ave Ste 2 |
$43.49 | 12,500 | 11,005 |
|
Paul A Rich
5170 Belmont Ave |
$54.15 | 12,433 | 10,520 |
|
Steven King
1044 Belmont Ave |
$74.12 | 12,270 | 10,931 |
|
Krishna Devulapalli
615 Churchill Hubbard Rd |
$73.84 | 10,907 | 10,340 |
|
Steven Joseph Humansky
1011 Boardman Canfield Rd |
$57.37 | 10,890 | 8,598 |
|
James E Leonelli
1040 South Commons Place |
$46.62 | 10,803 | 7,171 |
|
Brenda Kaye Ritz
2980 Belmont Ave |
$61.99 | 10,794 | 10,179 |
|
Madison Ivy Taylor
611 Belmont Ave |
$100.40 | 10,589 | 9,925 |
|
Anthony Peter Koulianos
935 Trailwood Dr Ste A |
$44.87 | 10,241 | 7,316 |
|
Priscilla E Briguglio
7067 Tiffany Blvd |
$20.02 | 10,217 | 9,476 |
|
Daniel Dawson
833 Boardman Canfield Rd |
$75.99 | 10,213 | 9,184 |
|
Planned Parenthood Of Greater Ohio
77 East Midlothian Boulevard |
$46.90 | 10,127 | 9,646 |
|
Russell Allan Morrison
Midlothian Medical Center |
$39.02 | 9,571 | 8,120 |
|
Frank A Luckino
8175 Market St |
$35.89 | 9,557 | 8,426 |
|
Babitha Nalluri
7067 Tiffany Blvd |
$44.66 | 9,471 | 7,640 |
|
Ayan Sanyal
500 Gypsy Ln |
$54.14 | 9,409 | 8,570 |
|
Giovanna Vinci-Khoury
4970 Belmont Ave |
$94.22 | 9,065 | 8,655 |
|
Luis E Villaplana
527 N Meridian Rd |
$92.97 | 8,938 | 7,352 |
|
Vida S Kaniecki
6505 Market St Bldg A1 |
$81.08 | 8,807 | 8,419 |
|
James Phillip D'Apolito
4531 Belmont Ave |
$45.15 | 8,744 | 7,918 |
|
Abigale L Benson
711 Belmont Ave |
$82.68 | 8,426 | 7,695 |
|
Michael Haggerty
5533 Mahoning Ave |
$44.31 | 7,772 | 6,082 |
|
John W Babyak
7227 Glenwood Ave |
$35.39 | 7,709 | 7,226 |
|
Miquita C Hosey
725 Boardman Canfield Rd Ste L1 |
$77.63 | 7,631 | 6,747 |
|
Terri Mccaughtry
935 Trailwood Dr |
$74.18 | 7,350 | 6,985 |
|
Joseph Williams
250 Debartolo Pl |
$35.62 | 7,327 | 6,890 |
|
Heather Ashley Dawson
527 N Meridian Rd |
$89.33 | 7,093 | 6,334 |
|
Karen Marie Ditchey
527 N Meridian Rd |
$82.61 | 6,564 | 5,822 |
|
Mark Gorospe
1044 Belmont Ave |
$49.51 | 6,530 | 6,247 |
|
Consuelo A Mendez
2955 Canfield Rd |
$41.62 | 6,476 | 5,866 |
|
Paul W Watanakunakorn
20 Ohltown Rd |
$48.58 | 6,469 | 5,314 |
|
Eugene L Potesta
7227 Glenwood Ave |
$30.19 | 6,114 | 5,796 |
|
Andrew Dawson
883 Boardman Canfield Rd Ste 105 |
$53.06 | 5,949 | 5,337 |
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 Youngstown, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Youngstown, OH is $47.74 per claim, based on 1,110,251 claims from 441 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 Youngstown, OH?
There are 441 Medicaid providers offering Office Visit related services in Youngstown, OH according to public payment data.
What is the price range for Office Visit in Youngstown, OH?
Medicaid reimbursement for Office Visit in Youngstown, OH ranges from $0.00 to $318.75 per claim, with an average of $47.74. 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 Youngstown, OH
Substance Abuse Treatment
Avg $58.61
1,171,423 claims
Blood Work & Lab Tests
Avg $5.95
710,334 claims
Behavioral & Mental Health Therapy
Avg $69.05
684,751 claims
Psychiatric Evaluation
Avg $73.39
422,998 claims
Home Health Visit
Avg $70.90
405,626 claims
Emergency Room Visit
Avg $89.51
335,642 claims
Physical Therapy
Avg $21.78
302,795 claims
X-Ray
Avg $7.47
237,954 claims