Average Medicaid Office Visit Payments in Beaver, PA: $42.57
Avg. Paid
$42.57
Range
$0.00 – $115.00
Total Claims
42,571
Providers
52
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, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James P. Scibilia
250 College Ave |
$44.44 | 6,399 | 6,090 |
|
Robert E. Deacon
250 College Ave |
$41.01 | 5,140 | 4,938 |
|
Hilary S.M. Jones
250 College Ave |
$43.80 | 5,032 | 4,816 |
|
Andrew C. Wisler
250 College Ave |
$42.46 | 4,959 | 4,804 |
|
Moon Fenton
1030 Beaner Hollow Rd |
$45.69 | 2,816 | 2,201 |
|
David Jansma
1000 Dutch Ridge Rd |
$34.48 | 1,929 | 1,803 |
|
Paul F. Dubner
250 College Ave |
$38.98 | 1,805 | 1,754 |
|
Sarah L Bahr
250 College Ave |
$46.08 | 1,801 | 1,725 |
|
Soha Chikh Nassar
250 College Ave |
$39.12 | 1,417 | 1,375 |
|
Joseph J Ciocca
1200 Sharon Rd |
$57.36 | 1,370 | 1,164 |
|
Heritage Valley Pediatrics, Inc.
250 College Ave |
$51.05 | 1,278 | 1,040 |
|
Alpa Arora
250 College Ave |
$36.74 | 1,181 | 1,146 |
|
Yehuda Lebowicz
1030 Beaner Hollow Rd |
$41.01 | 1,042 | 758 |
|
Teresa Elizabeth Rose Pokita
250 College Ave |
$38.21 | 694 | 652 |
|
Lauren Wolfe
250 College Ave |
$34.02 | 584 | 577 |
|
Carolyn S Maromonte
250 College Ave |
$47.53 | 484 | 475 |
|
Robert C Knapp
701 Sharon Rd |
$44.29 | 480 | 474 |
|
Brian G Everhart
500 Sharon Rd |
$39.99 | 411 | 393 |
|
Prasad Balkrishna Bichu
1000 Dutch Ridge Rd |
$56.29 | 402 | 358 |
|
Michel V Nicol
1000 Dutch Ridge Rd |
$55.31 | 402 | 397 |
|
Andrew S Kaye
1030 Beaner Hollow Rd |
$32.32 | 364 | 332 |
|
Tara Lakshmi Magge
1030 Beaner Hollow Rd |
$48.30 | 356 | 341 |
|
Kendra Lyn Valdez
1030 Beaner Hollow Rd |
$25.54 | 236 | 215 |
|
Amy Vanlalthlamuani
314 Western Ave |
$35.28 | 213 | 211 |
|
Jenefer L Barry
250 College Ave |
$34.62 | 196 | 195 |
|
Christina Teimouri
500 Market St |
$43.94 | 170 | 164 |
|
Heritage Valley Multispecialty Group, Inc.
500 Sharon Rd |
$25.84 | 163 | 132 |
|
Dylan Welborn Mchaffie
500 Market St Ste 101 |
$50.74 | 157 | 145 |
|
Alexis Engle Pilato
1030 Beaner Hollow Rd |
$27.82 | 157 | 145 |
|
Michael S Heinle
1211 3Rd St |
$36.10 | 145 | 140 |
|
John D Lehman
1030 Beaner Hollow Rd |
$27.84 | 110 | 103 |
|
Kristin E Harper
336 College Ave |
$14.97 | 81 | 71 |
|
Lukas Johnson
298 E End Ave |
$7.32 | 80 | 73 |
|
Lori Tharp
350 3Rd St |
$4.87 | 73 | 66 |
|
Cathy Lynn Saunders
4 Peartree Way |
$42.59 | 62 | 51 |
|
Tresa Lynne Wize
1030 Beaner Hollow Rd |
$16.39 | 53 | 50 |
|
Stephen Joseph Dauria
605 Sharon Rd |
$35.63 | 46 | 45 |
|
Samuel Jeffrey Yakish
605 Sharon Rd |
$35.97 | 38 | 38 |
|
Gauravkumar Sureshbhai Patel
605 Sharon Rd |
$35.56 | 37 | 37 |
|
Stephen Robert Arbuckle
298 E End Ave |
$3.75 | 28 | 24 |
|
Michael P O'Brien
93 Boundry Ln |
$115.00 | 26 | 26 |
|
Matthew Eliot Woodske
1000 Dutch Ridge Rd |
$34.53 | 26 | 25 |
|
Christopher M Morgan
605 Sharon Rd |
$27.07 | 14 | 13 |
|
Brian Nolen
1000 Dutch Ridge Rd |
$59.86 | 14 | 12 |
|
Grace Tarabay
605 Sharon Rd |
$33.13 | 13 | 13 |
|
Stephanie Lynne Stragand
628 River Rd |
$41.44 | 13 | 13 |
|
Carolyn Pavlinch Engle
1030 Beaner Hollow Rd |
$46.90 | 13 | 13 |
|
Michelle D Williams
350 3Rd St |
$0.00 | 13 | 13 |
|
Barry R Reznick
1200 Sharon Rd Ste 201 |
$35.53 | 12 | 12 |
|
Wendy Robison
1000 Dutch Ridge Rd |
$41.48 | 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 Beaver, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Beaver, PA is $42.57 per claim, based on 42,571 claims from 52 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, PA?
There are 52 Medicaid providers offering Office Visit related services in Beaver, PA according to public payment data.
What is the price range for Office Visit in Beaver, PA?
Medicaid reimbursement for Office Visit in Beaver, PA ranges from $0.00 to $115.00 per claim, with an average of $42.57. 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 Beaver, PA
Speech Therapy
Avg $14.17
50,423 claims
Physical Therapy
Avg $28.73
40,033 claims
Dental Cleaning & Exam
Avg $23.00
37,025 claims
Blood Work & Lab Tests
Avg $4.39
32,718 claims
Emergency Room Visit
Avg $83.57
26,781 claims
Ambulance Transport
Avg $204.77
26,706 claims
X-Ray
Avg $8.65
20,011 claims
Home Health Visit
Avg $29.44
18,123 claims