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
Debra Pike 501 Howard Ave	$88.35	12	12
Natalie Aikens 615 6Th Ave	$3.54	12	12
Renee L Jones 600 E. Pleasant Valley Blvd	$43.56	12	12
Joanna L Blattenberger 914 S 12Th St	$0.00	13	12
Matthew E Newlin 1701 12Th Ave	$29.62	13	13
Lori Verostick 620 Howard Ave	$33.92	13	12
Michael Joseph Sabatini 1321 11Th Ave	$30.25	13	13
Sarah Lynn Gallardy 5800 6Th Ave	$2.96	13	12
Jill Marie Murphy 1414 9Th Ave	$29.62	13	12
Nora Conway 600 E Pleasant Valley Blvd	$39.24	14	13
Kusum R Kansal 714 6Th Ave	$54.74	14	12
Theodore Belis 1414 9Th Ave	$51.15	14	14
Allison Clark 501 Howard Ave Ste F2	$56.34	17	15
Mohamad Moussa 615 6Th Avenue	$50.67	21	14
Abigail Rose Hook 2525 9Th Ave Ste 2A	$43.53	22	17
Brianna Olson 1414 9Th Ave	$2.60	26	24
Cory Allen Kutruff 1414 9Th Ave	$33.48	26	24
Katrina Pipetti 620 Howard Ave	$7.72	28	28
Neil Kaneshiki 2525 9Th Ave	$32.60	29	26
Liang R. Bartkowiak 1701 12Th Ave	$85.86	36	28
Kara E. Kimberly 3341 Beale Ave	$53.68	38	37
Kathleen Elizabeth Woods 501 Howard Ave Ste F2	$37.38	39	38
Karen R. Lemme 613 Valley View Blvd	$51.71	42	42
Alyssa Marie Martyak 801 Valley View Blvd	$46.57	43	43
Fred K Khalouf 3000 Fairway Dr	$40.81	44	44
Megan Beth Mesaros 620 Howard Ave	$36.16	46	40
Manickam Sankaran 901 Valley View Blvd	$35.21	51	51
David Ho 1414 9Th Ave	$32.14	51	51
Shaun Sheehan 620 Howard Ave	$0.49	54	54
Pawan K Gupta 122 E Chestnut Ave	$27.46	54	53
Lauren Michina 810 Valley View Blvd	$43.68	55	55
Sharon L Roscia 2229 Broad Ave	$41.16	55	46
Jordan Coho Blair Nephrology Associates Inc	$29.39	55	53
Breanne Nicole Hileman 1701 12Th Ave Ste A	$44.33	58	58
Lucas L Warton Altoona Family Physicians	$55.20	60	57
Muhammad G Naji 1400 Logan Blvd	$27.73	64	62
Gorgi Kozeski 1321 11Th Ave	$40.29	64	64
Kathleen Sweeney 501 Howard Ave	$12.20	69	68
Kara Topka 810 Valley View Blvd	$16.72	70	70
Mark Christopher Campbell 615 Howard Ave	$16.77	76	75
Michele Renee Stahl 2907 Pleasant Valley Blvd	$35.37	86	84
Lisa Reasbeck 620 Howard Ave	$19.98	87	85
Joshua R Greenleaf 3000 Fairway Dr	$49.03	89	85
Todd A Sponsler 600 E. Pleasant Valley Blvd	$34.12	91	91
Angel Q Raposas 501 Howard Avenue	$54.13	92	89
Kaitlyn Marks 810 Valley View Blvd	$41.43	97	97
Shawna Koehle 620 Howard Ave	$25.58	99	96
Duminda S Siripala 312 Chestnut Avenue	$33.47	105	104
Ciceron L Opida 310 Chestnut Ave	$67.41	107	103
Mohammad Omar Bukhari Altoona Family Physicians 501 Howard Avenue	$47.17	111	100

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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New York, NY

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Bronx, NY

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Houston, TX

Las Vegas, NV

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