Average Medicaid Office Visit Payments in Aliquippa, PA: $50.97
Avg. Paid
$50.97
Range
$0.00 – $102.79
Total Claims
62,222
Providers
32
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 Aliquippa, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bryan P Negrini
2360 Hospital Drive Lower Level |
$45.70 | 31,097 | 26,044 |
|
Sanjit Kaur Dhaliwal
1 Hospital Dr |
$102.79 | 9,402 | 7,847 |
|
James K Tatum
2299 Brodhead Rd |
$37.08 | 7,193 | 6,901 |
|
Michael Duffy
99 Autumn St |
$0.22 | 3,180 | 2,997 |
|
Marsha Elizabeth Hudson
2360 Hospital Dr |
$57.07 | 2,613 | 2,220 |
|
Holly Ann Tice
1 Hospital Dr Bldg 2600 |
$40.32 | 1,055 | 1,016 |
|
Christopher Gehrlein
2360 Hospital Dr |
$34.24 | 1,038 | 1,005 |
|
Rebecca D Heim
2360 Hospital Dr Lowr Level |
$58.81 | 980 | 845 |
|
Mary Ann Kopec
99 Autumn St |
$56.67 | 951 | 772 |
|
Ashwini Gandhe
2360 Hospital Dr |
$37.55 | 497 | 477 |
|
Kelsey Elaine Mollura
3113 Green Garden Rd |
$41.82 | 492 | 455 |
|
Caitlin Walker
2719 Brodhead Rd |
$35.36 | 480 | 472 |
|
Karen Boggs Mayo
2360 Hospital Dr |
$37.47 | 448 | 441 |
|
Corinne C Conte
103 Pleasant Dr |
$24.21 | 438 | 416 |
|
James N Priola
99 Buss Rd |
$37.89 | 438 | 423 |
|
Charlene Dziamniski
2719 Brodhead Rd |
$34.99 | 329 | 326 |
|
Amanda Efinger
1 Hospital Dr |
$54.84 | 321 | 312 |
|
Apeksha Patel
99 Buss Rd |
$49.16 | 179 | 177 |
|
Lara Porter Trushel
3113 Green Garden Rd |
$36.26 | 165 | 162 |
|
Derik James Hansen
2719 Brodhead Rd Ste 190 |
$34.18 | 158 | 157 |
|
Janet Lynn Piggott
One Hospital Drive |
$41.49 | 149 | 145 |
|
Lindsey Chappel
99 Autumn St |
$62.33 | 145 | 145 |
|
Joseph P Dejonckheere
99 Buss Rd |
$28.64 | 121 | 119 |
|
Amar J Singh
1 Hospital Dr |
$31.23 | 91 | 87 |
|
Primary Health Network
99 Autumn St |
$0.00 | 62 | 60 |
|
Andrea Ashley Davis
2719 Brodhead Rd Ste 190 |
$33.64 | 58 | 58 |
|
Ganapathi Rao Moka
2450 Mill St |
$35.31 | 45 | 38 |
|
Jenna Kristen Haaf
1 Hospital Dr |
$30.84 | 32 | 32 |
|
Linda Eileen Lombard-Ash
1 Hospital Dr |
$29.35 | 26 | 26 |
|
Annisce Ramanna
2424 Mill St |
$35.42 | 15 | 14 |
|
Rebecca A Rudd
99 Autumn St |
$21.00 | 12 | 12 |
|
Brooke Louise Mastarone
2304 Brodhead Rd |
$52.48 | 12 | 12 |
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 Aliquippa, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Aliquippa, PA is $50.97 per claim, based on 62,222 claims from 32 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 Aliquippa, PA?
There are 32 Medicaid providers offering Office Visit related services in Aliquippa, PA according to public payment data.
What is the price range for Office Visit in Aliquippa, PA?
Medicaid reimbursement for Office Visit in Aliquippa, PA ranges from $0.00 to $102.79 per claim, with an average of $50.97. 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 Aliquippa, PA
Blood Work & Lab Tests
Avg $13.00
42,504 claims
Substance Abuse Treatment
Avg $136.60
33,754 claims
Speech Therapy
Avg $19.30
17,189 claims
Nursing Facility Care
Avg $26.54
16,558 claims
Vaccines & Immunizations
Avg $22.04
8,465 claims
Physical Therapy
Avg $41.72
7,467 claims
Emergency Room Visit
Avg $94.47
4,600 claims
Urinalysis & Urine Tests
Avg $4.01
3,684 claims