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 |
|---|---|---|---|
|
John Anthony Camuso
1001 Belmont Ave |
$27.93 | 12 | 12 |
|
Kaitlyn E Buxman
1001 Belmont Ave |
$23.66 | 12 | 12 |
|
Gabriel Murillo Nader
2031 Belmont Ave |
$11.20 | 12 | 12 |
|
Jessica Marie Fryda
1044 Belmont Ave |
$14.67 | 12 | 12 |
|
Jena B Gustafson
4308 Belmont Ave |
$28.94 | 12 | 12 |
|
Pamela Schuster
7230 Market St |
$318.75 | 12 | 12 |
|
Rhonda Gluckner
1001 Covington St |
$18.97 | 13 | 12 |
|
Frances Nicole Mccarron
1044 Belmont Ave |
$49.65 | 13 | 13 |
|
Associates In Women'S Health Of The Mahoning Valley, Inc
1350 5Th Ave |
$42.68 | 13 | 13 |
|
Joseph M Stefko
8591 Crossroads Drive |
$31.53 | 13 | 12 |
|
Michael L Scavina
250 Debartolo Pl |
$29.30 | 14 | 13 |
|
Michael R Sippel
1001 Covington St |
$24.68 | 15 | 14 |
|
Austintown Pediatrics Inc
107 Javit Ct |
$43.61 | 15 | 15 |
|
Lisa J Cascarelli
1001 Covington St |
$11.06 | 15 | 14 |
|
Julianne Marie Matthews
7087 West Blvd Ste 3 |
$41.01 | 15 | 15 |
|
Emily Lyons
8591 Crossroads Drive |
$24.80 | 16 | 13 |
|
Thompson Enterprises Inc.
238 S Meridian Rd |
$0.00 | 17 | 16 |
|
Laurie Lee Flowers
1001 Covington St |
$10.16 | 17 | 12 |
|
Bhc Belmont Pines Hospital Inc
615 Churchill Hubbard Rd |
$0.00 | 19 | 14 |
|
Ohio North East Health Systems, Inc.
726 Wick Ave |
$12.78 | 24 | 24 |
|
Brian Scott Gruber
1001 Covington St |
$67.46 | 25 | 25 |
|
Michael Dasu
7630 Southern Blvd |
$21.30 | 26 | 25 |
|
Erin Coppock
960 Windham Ct Ste 1 |
$48.81 | 26 | 25 |
|
Douglas J Smith Behn
4308 Belmont Ave |
$44.95 | 27 | 25 |
|
Joshua K Phillips
500 Gypsy Ln |
$28.35 | 27 | 26 |
|
Alicia Lynn Agati
1Trussel Way |
$31.11 | 27 | 27 |
|
Anna-Maria Ciferno
822 E Western Reserve Rd |
$33.71 | 27 | 26 |
|
Robert Wetzel
900 Trailwood Dr |
$28.17 | 27 | 24 |
|
Susan G Woods
20 Ohltown Rd |
$30.29 | 28 | 27 |
|
City Of Youngstown Youngstown City Health District
9 W Front St |
$30.46 | 28 | 27 |
|
Pediatric Associates Of Youngstown
8580 South Ave Ste 2 |
$44.23 | 29 | 28 |
|
Carlisle Marie Tofil Cope
4694 Belmont Ave |
$44.61 | 29 | 26 |
|
Bruce Daniel Willner
3622 Belmont Ave |
$36.52 | 29 | 27 |
|
David A Hoffman
1220 Belmont Avenue |
$15.02 | 29 | 26 |
|
Barbara A Walsh
1011 Boardman Canfield Rd |
$89.30 | 31 | 24 |
|
Bhc Belmont Pines Hospital Inc
615 Churchill Hubbard Rd |
$0.37 | 32 | 12 |
|
Amy Susan Reed
1044 Belmont Ave |
$12.62 | 33 | 20 |
|
Javier E Calderon
540 Parmalee Ave |
$38.17 | 34 | 28 |
|
Sherif A Soliman
1340 Belmont Ave |
$26.22 | 35 | 33 |
|
Philip A Starr
821 Mccartney Rd |
$30.87 | 36 | 31 |
|
Adam D Rhodes
3551 Belmont Ave Ste 19B |
$1.74 | 40 | 39 |
|
Tiffany Dawn Marchand
1044 Belmont Ave |
$21.31 | 41 | 41 |
|
Chad Breznak
3551 Belmont Ave |
$6.67 | 42 | 39 |
|
Jason Richard Delatore
1044 Belmont Ave |
$22.67 | 43 | 40 |
|
Andrea Lyn Dixon-Theisler
540 Parmalee Ave |
$16.71 | 44 | 26 |
|
H Robert Gaetano
3155 Canfield Rd |
$41.83 | 44 | 40 |
|
Southwoods Anesthesia, Llc
7630 Southern Blvd |
$57.20 | 47 | 47 |
|
Scott W. Petrallo
4241 Kirk Rd |
$40.02 | 47 | 44 |
|
Meridian Healthcare
527 N Meridian Rd |
$75.79 | 48 | 47 |
|
Lauren Rainey
1044 Belmont Ave |
$30.96 | 50 | 47 |
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