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AN EXPLANATION OF OUR FEES

 Office visit charges are determined by the type of patient (new or established) and the type of visit. There are two categories of visits – routine and preventive. A routine visit includes such things as a visit for a specific problem or to monitor chronic illnesses and medications. An appointment for fatigue, for example, is a routine visit. Preventive visits are wellness exams that focus on health maintenance. They are often referred to as “complete physicals” or “annual wellness exams.”

  There are five types of routine visits – minimal, problem focused, expanded problem focused, detailed, and complex.

  A minimal visit usually does not require the physician’s presence. An example is a visit with the medical assistant to check blood pressure.

  A problem focused visit addresses one complain and requires the examination of one body part but no treatment or testing. An example is a visit for a mole that turns out to be an insect bite.

  An expanded problem focused visit involves one or two complaints, requires the examination of more than one body part, or requires prescription medication or diagnostic testing. An example is a visit for an ear infection or bronchitis, or to monitor blood pressure medication. A visit may also be in this category if it involves counseling or discussions of care that take 15 minutes.

  A detailed visit is one which involves a more detailed history and examination. It may be a visit for a new problem that requires a more intensive investigation, or a visit for the routine monitoring of three or more chronic medical conditions. A visit that involves counseling or discussions of care that take 30 minutes are also considered detailed.

  A comprehensive visit involves taking information about and examining almost every organ system in the body. A visit may also be detailed if it takes 40 minutes of counseling or discussion of care.

Our fees for these types of visit are listed below (the numbers in parentheses are the numerical codes assigned to these visits by insurance companies and Medicare. They may appear on your bills or Explanation of Benefits as “visit codes”):

 

New Patients

  • Minimal (99201)……………………………………………………………………...$60
  • Problem focused (99202)…………………………………………………….......$85
  • Expanded problem focused (99203)…………………………………….......$116
  • Detailed (99204)……………………………………………………………………..$177
  • Comprehensive (99205)………………………………………………………...$222

Established Patients

  • Minimal (99211)……………………………………………………………………...$21
  • Problem focused (99212)………………………………………………………....$46
  • Expanded problem focused (99213)……………………………………......$85
  • Detailed (99214)……………………………………………………………………..$120
  • Comprehensive (99215)………………………………………………………...$156

Preventative Visits

Preventative visits (sometimes called complete physicals) are categorized by patient age. Examples include well child checks, physicals for sports or job participation, well women exams (including pap smears) and other well adult exams in which the focus is on screening for and prevention of diseases.

If you scheduled for a preventive visit but ask to have an acute problem or routine problem addressed as well, you may be charged separately for the routine problem focused type of visit in addition to the preventive exam.

Our fees are as follows (the numbers in parentheses are the numerical codes assigned to these visits by insurance companies and Medicare. They may appear on your bills or Explanation of Benefits as “visit codes”):

New Patients

  • Age 0-1 years (99381)………………………………………………………………..$120
  • Age 1-4 years (99382)………………………………………………………………..$120
  • Age 5-11 years (99383)………………………………………………………………$120
  • Age 12-17 years (99384)…………………………………………………………….$120
  • Age 18-39 years (99385)…………………………………………………………….$140
  • Age 40-64 years (99386)…………………………………………………………….$150
  • Age 65+ years (99387)……………………………………………………………….$160

Established Patients

  • Age 0-1 years (99391)………………………………………………………………..$110
  • Age 1-4 years (99392)………………………………………………………………..$110
  • Age 5-11 years (99393)………………………………………………………………$110
  • Age 12-17 years (99394)…………………………………………………………….$110
  • Age 18-39 years (99395)…………………………………………………………….$130
  • Age 40-64 years (99396)…………………………………………………………….$140
  • Age 65+ years (99397)……………………………………………………………….$150

 

 

We provide a discounted rate on office visits for patients without insurance.

 

Record Copying

   There is a charge for copies of medical records. We charge a $10 fee for the past three year’s records. This includes postage for priority mailing with delivery confirmation. Requests for records that exceed three years are charged as per Ohio law as follows:

When the records go directly to the patient or his/her representative (parent, legal guardian):

Pages 1-10…………….......$3.07/page

Pages 11-50…………….....$0.64/page

Pages 51 and above……$0.26/page

Plus the cost of postage.

When the records go to a third party (new doctor, lawyer, disability/life insurance company):

Initial fee for records search…………..$18.93

First 10 pages………………………... ........$1.24/page

Pages 11-50……………………………..........$0.64/page

Pages 51 and above…………………...... $0.26/page

Plus the cost of postage.