Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Beaver Falls, PA: $24.74

Avg. Paid

$24.74

Range

$0.00 – $81.06

Total Claims

27,334

Providers

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 Beaver Falls, PA

Provider	Avg. Paid	Claims	Patients
Timothy J Goetze 1302 7Th Ave	$0.32	8,173	7,924
Alexander E Kalenak 2580 Constitution Blvd	$18.31	2,461	2,217
Ateq M Rahman 1125 7Th Ave	$76.08	1,932	1,884
Jyothi Ranga Patri 1125 7Th Ave	$0.19	1,744	1,418
Christopher Murray 2580 Constitution Blvd	$23.40	1,277	898
Christopher Joseph Palombo 2580 Constitution Blvd	$39.44	1,197	1,050
Robert F Palguta 2580 Constitution Blvd	$35.41	917	850
Kevin Clayton Dumpe 1302 7Th Ave	$1.38	908	812
Marissa Renee Bennett 2652 Darlington Rd Ste 10	$59.20	848	829
Robert L Grieco 2620 Constitution Blvd	$44.76	747	717
Primary Health Network 1302 7Th Ave	$0.00	727	686
Amber Lynn Fedin 918 3Rd Ave	$29.02	675	546
Patricia Nicholette Vigder 2620 Constitution Blvd	$39.24	660	618
Cassidy Marie Muir 2580 Constitution Blvd	$61.73	571	565
Gina Belvedere 2580 Constitution Blvd	$75.50	505	496
Ellen D. Gerace 2580 Constitution Blvd	$33.68	494	484
Carolyn Rose Murrer 1125 7Th Ave	$81.06	483	434
Bryanne Crudden 2580 Constitution Blvd	$34.19	426	419
Jason Allen Rodriguez 2580 Constitution Blvd	$40.46	345	336
Kaycee Dawn Caldrone 2580 Constitution Blvd	$33.04	275	261
Donna Shaffer 2580 Constitution Blvd	$32.82	267	264
Thomas L Slokan 2580 Constitution Blvd	$33.45	219	212
Rebecca Ann Welch 2620 Constitution Blvd	$40.65	195	155
Robert J Fadden 100 Knowlson Ave	$41.94	135	131
Shreykumar Bhatt 1125 7Th Ave	$51.87	134	133
Roberto Inglese 100 Knowlson Ave	$32.91	125	125
David W Pence 100 Knowlson Ave	$32.13	122	120
Karen M Jerome-Zapadka 100 Knowlson Ave	$45.89	102	99
Dustin Mark Wallace 100 Knowlson Ave	$31.41	101	100
April Vinopal 100 Knowlson Ave	$53.10	75	73
Michael Y De Jesus 100 Knowlson Ave	$32.25	70	68
Heritage Valley Multispecialty Group, Inc. 2580 Constitution Blvd	$29.41	70	39
Dominic Geno Ventura 100 Knowlson Avenue	$32.27	63	63
Sean A. Connelly 100 Knowlson Ave	$35.91	61	61
Samantha Skye Collins 2580 Constitution Blvd	$36.59	49	48
Samantha J Walsh 100 Knowlson Ave	$74.53	41	39
Virginia Irene Holbein 2620 Constitution Blvd	$31.88	34	34
Eric E Ehrenberg 2580 Constitution Blvd	$42.19	20	20
Jarod Paul Stragand 2580 Constitution Blvd	$18.20	16	12
Kristin M Zvonar 1307 6Th Ave	$44.15	16	14
Danielle Marie Bianco 100 Chippewa Town Ctr	$55.87	15	12
Kimberlee Brooke Hobizal 2620 Constitution Blvd Ste 104	$20.37	14	14
Sarah Ann Calve 1000 Knowlson Ave	$29.62	13	13
Nicholas Paul Puglielli 100 Knowlson Ave	$11.92	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 Beaver Falls, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Beaver Falls, PA is $24.74 per claim, based on 27,334 claims from 44 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 Beaver Falls, PA?

There are 44 Medicaid providers offering Office Visit related services in Beaver Falls, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Beaver Falls, PA ranges from $0.00 to $81.06 per claim, with an average of $24.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Beaver Falls, PA: $24.74

Providers Offering Office Visit in Beaver Falls, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Beaver Falls, PA

Case Management Services

Speech Therapy

Home Health Visit

Physical Therapy

Blood Work & Lab Tests

Emergency Room Visit

Ambulance Transport

Nursing Facility Care