Average Medicaid Office Visit Payments in Allison Park, PA: $51.35
Avg. Paid
$51.35
Range
$4.78 – $93.92
Total Claims
11,387
Providers
16
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 Allison Park, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristin Lee Disanti
4849 William Flynn Hwy |
$55.63 | 3,331 | 2,849 |
|
Paul David Seiferth
3012 Sturbridge Ct |
$47.09 | 3,111 | 1,752 |
|
Shannon Bridget Fitzgerald
4849 William Flynn Hwy |
$55.93 | 2,715 | 2,426 |
|
Gerard N Danosos
4490 Mount Royal Blvd Ste 3100 |
$58.85 | 617 | 605 |
|
Thomas David Culley
4849 William Flynn Hwy |
$75.39 | 421 | 414 |
|
Dana Ann Cappello
4849 William Flynn Hwy |
$4.78 | 381 | 308 |
|
Kimberly A Rau
4290 Route 8 |
$28.53 | 209 | 200 |
|
Gary Bergman
3402 William Flynn Hwy |
$35.85 | 181 | 171 |
|
Philippe A Knapp
4490 Mount Royal Blvd |
$52.75 | 95 | 87 |
|
Christopher Thomas Edwards
2907 Claridge Drive |
$31.07 | 94 | 88 |
|
Rick Ferris
3402 William Flynn Hwy |
$35.94 | 70 | 69 |
|
Aaron Linn
4490 Mount Royal Blvd Ste 1000 |
$50.26 | 58 | 56 |
|
Alyssa Sharon Baker
4490 Mount Royal Blvd |
$35.30 | 39 | 38 |
|
Ashley Hall
4490 Mount Royal Blvd |
$49.41 | 36 | 36 |
|
Children'S Community Care
4490 Mount Royal Blvd Ste 3300 |
$93.92 | 17 | 14 |
|
Daniel Buhlinger
4490 Mount Royal Blvd |
$57.45 | 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 Allison Park, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Allison Park, PA is $51.35 per claim, based on 11,387 claims from 16 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 Allison Park, PA?
There are 16 Medicaid providers offering Office Visit related services in Allison Park, PA according to public payment data.
What is the price range for Office Visit in Allison Park, PA?
Medicaid reimbursement for Office Visit in Allison Park, PA ranges from $4.78 to $93.92 per claim, with an average of $51.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Avg $24.20
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Avg $30.31
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Avg $47.53
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Avg $54.47
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