Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Altoona, PA: $43.28

Avg. Paid

$43.28

Range

$0.00 – $125.21

Total Claims

277,649

Providers

198

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 Altoona, PA

Provider	Avg. Paid	Claims	Patients
Rakesh K Chopra 1224 7Th Ave	$51.65	39,663	35,348
Nader Younes 615 6Th Avenue	$44.05	17,573	16,523
Andy Mulhollen 1414 9Th Ave	$39.61	15,995	15,051
Sathya N Aswathappa 615 6Th Avenue	$43.09	14,902	14,149
Adnan M Youssef 615 6Th Avenue	$42.92	14,695	13,927
Robert T Bechtel 600 E. Pleasant Valley Blvd	$52.51	7,652	7,573
Jill S Blescia 1414 9Th Ave	$49.52	5,942	5,696
George Jabbour 1414 9Th Ave	$53.34	5,914	5,799
Kornel Lukacs 312 Union Ave	$31.88	5,785	5,576
Dawn M Mcmahon 336 Pinecroft Ave	$0.10	4,921	4,797
Andrea Michelle Santarelli 501 Howard Ave	$44.11	4,250	3,969
Lance B Joseph 1304 7Th St	$42.42	4,108	3,647
Grace Lee Magaha 1224 7Th Ave	$46.00	3,833	3,737
Donald Beckstead 501 Howard Ave	$37.46	3,754	3,689
Rebecca L Delbaggio 615 6Th Ave	$47.47	3,718	3,566
Haleh Haerian 1414 9Th Ave	$43.48	3,691	3,598
Terry S Ruhl 501 Howard Ave	$76.53	3,560	2,438
Michael Pedone 1400 9Th Ave	$35.21	3,307	3,071
Punam Chauhan 221 27Th Ave	$88.50	3,097	1,916
Sheela Kerstetter 1414 9Th Ave	$43.06	3,036	2,990
Robert Jason Caughey 3341 Beale Ave	$44.88	2,925	2,822
Ziad Khoury 1915 Valley View Blvd	$44.00	2,854	2,581
Catherine Ann Lambert 1402 9Th Ave	$44.02	2,841	2,461
Mehrdad Ghaffari 1414 Ninth Ave	$44.03	2,756	2,683
Jeffrey Brandon Armstrong 1400 9Th Ave	$19.06	2,738	2,646
Richard Charles Howells 3341 Beale Ave	$49.65	2,631	2,565
Zane H Gates 501 Howard Ave	$17.71	2,594	2,541
Jane Rowe 1414 9Th Ave	$32.40	2,273	2,230
Janaye Schwartz 1400 9Th Ave	$47.84	2,260	2,137
Corey Schutt 1505 9Th Ave	$36.55	2,200	2,031
Mary Angelynne Garcia Esquivel 1414 9Th Ave	$45.80	2,051	1,991
Harold R Partsch 3000 Ivyside Park	$37.68	1,908	1,903
Michael James Drass 1402 9Th Ave	$24.61	1,902	1,845
Nathan Figart 615 6Th Ave	$61.92	1,832	1,762
Chelsea M Buchanan 810 Valley View Blvd	$41.03	1,636	1,524
Ryan J. Zlupko 1701 12Th Ave	$78.58	1,634	1,122
Hany Shanoudy 1321 11Th Ave	$32.90	1,599	1,571
Regino J. Flores 1414 9Th Ave	$33.66	1,568	1,441
William Andrew Tyndall 3000 Fairway Dr	$41.87	1,550	1,472
Mark E Lipitz 1414 9Th Ave	$44.09	1,482	1,431
Jennifer Lynn Murnyack-Garner 1414 9Th Ave	$39.19	1,482	1,379
Jonathan Paul Van Kleunen 3000 Fairway Dr	$32.41	1,398	1,337
Anan H Said 810 Valley View Blvd	$51.12	1,381	1,360
Sara Mcconnell 300 E Plank Rd	$62.56	1,340	1,320
Alan Joseph Kanouff 800 Chestnut Ave	$37.18	1,326	1,300
Robert Joseph Bailey 810 Valley View Blvd	$46.51	1,291	1,275
Laura Himes 300 E Plank Rd	$62.19	1,237	1,208
Jessica Destefano 501 Howard Ave	$42.70	1,203	1,124
Amy Gardner 620 Howard Ave	$29.17	1,203	1,027
Rajih A. Alkhafaji 810 Valley View Blvd	$38.13	1,184	1,172

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 Altoona, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Altoona, PA is $43.28 per claim, based on 277,649 claims from 198 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 Altoona, PA?

There are 198 Medicaid providers offering Office Visit related services in Altoona, PA according to public payment data.

What is the price range for Office Visit in Altoona, PA?

Medicaid reimbursement for Office Visit in Altoona, PA ranges from $0.00 to $125.21 per claim, with an average of $43.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Altoona, PA: $43.28

Providers Offering Office Visit in Altoona, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Altoona, PA

Home Health Visit

Physical Therapy

Speech Therapy

Emergency Room Visit

Ambulance Transport

Case Management Services

Blood Work & Lab Tests

X-Ray