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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Belle Vernon, PA: $46.72

Avg. Paid

$46.72

Range

$13.74 – $67.96

Total Claims

12,690

Providers

25

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 Belle Vernon, PA

Provider Avg. Paid Claims Patients
Leanna Marie Wilson

800 Plaza Dr

 $50.20 3,221 2,223
Shane Patrick Hennessy

800 Plaza Dr Ste 400

 $41.91 1,852 1,730
Anthony A Cuneo

800 Plaza Dr Ste 140

 $52.69 1,540 1,495
Shobha Asthana

100 Peasant Village Ln

 $50.46 1,322 1,277
Allan Henry Tissenbaum

800 Plaza Drive

 $36.41 721 696
Charles Patrick Gennaula

100 Peasant Village Ln

 $40.64 604 573
Samantha L Robinson

800 Plaza Dr Ste 290

 $40.71 585 577
Matthew Jacob Keller

860 Rostraver Rd

 $67.96 584 579
Rajesh Chandrakant Shah

515 Broad Ave

 $56.04 485 474
Jocelyn Eaglehouse

860 Rostraver Rd

 $65.23 364 363
Morgan Leigh Shields

Clinic #4077 975 Rostraver Rd

 $24.66 304 297
Mark H Hofbauer

800 Plaza Dr

 $26.07 273 253
M. Elizabeth Miller

728 Broad Ave

 $33.80 181 169
L. Douglas Pepper

728 Broad Ave

 $38.98 120 89
Melissa Aguas Malepati

975 Rostraver Rd

 $14.01 104 66
Mallory Anne Boscan

800 Plaza Drive

 $35.72 101 97
Marnie Nicklow

860 Rostraver Rd

 $20.75 65 64
James C Solava

1533 Broad Ave

 $36.67 52 50
William Thomas Decarbo

800 Plaza Dr

 $25.45 46 43
Ashok K Jain

515 Broad Ave

 $52.76 44 44
Dana Rae Anden

193 Finley Rd

 $13.74 43 43
Joanna R Swauger

800 Plaza Dr

 $34.75 30 30
Richard Joseph Mitchell

800 Plaza Dr

 $27.42 19 17
Sean Morgan

800 Plaza Dr

 $33.69 16 16
Kimberly Evans Behana

1645 Rostraver Rd

 $46.24 14 14

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 Belle Vernon, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Belle Vernon, PA is $46.72 per claim, based on 12,690 claims from 25 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 Belle Vernon, PA?

There are 25 Medicaid providers offering Office Visit related services in Belle Vernon, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Belle Vernon, PA ranges from $13.74 to $67.96 per claim, with an average of $46.72. 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 Belle Vernon, PA

Ambulance Transport

Avg $104.51

18,494 claims

Physical Therapy

Avg $15.79

17,979 claims

Speech Therapy

Avg $11.22

7,640 claims

Home Health Visit

Avg $25.30

6,714 claims

Chiropractic Care

Avg $15.25

6,003 claims

Tooth Extraction

Avg $58.57

495 claims

Eye Exam

Avg $39.19

409 claims

Blood Work & Lab Tests

Avg $12.77

370 claims