Average Medicaid Office Visit Payments in Bethel Park, PA: $45.34
Avg. Paid
$45.34
Range
$14.80 – $60.56
Total Claims
22,637
Providers
34
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 Bethel Park, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian J Deyarmin
1000 Higbee Dr |
$36.88 | 4,604 | 4,321 |
|
Michael P Mcgonigal
1000 Higbee Dr Ste D202 |
$36.05 | 4,517 | 4,212 |
|
Rebecca Bickel
88 Fort Couch Road |
$56.59 | 4,255 | 4,165 |
|
Tara Hyder
2000 Oxford Dr |
$56.03 | 3,278 | 2,962 |
|
Michael F Lupinetti
1300 Oxford Dr |
$56.53 | 1,032 | 935 |
|
Stephanie L Nicholas
1300 Oxford Dr |
$60.39 | 777 | 705 |
|
Benjamin Y. Tu
1000 Higbee Dr |
$39.67 | 770 | 748 |
|
Justin J Petrolla
2000 Oxford Dr |
$26.94 | 643 | 623 |
|
Wayne Evron
2000 Oxford Dr |
$42.91 | 464 | 451 |
|
Jeremy Dincher
3400 S Park Rd |
$45.89 | 417 | 397 |
|
Marianne R Bonidie
1000 Higbee Dr Ste D206 |
$57.12 | 284 | 242 |
|
William Konitsky
1300 Oxford Dr |
$44.38 | 204 | 198 |
|
David Helfrich
2000 Oxford Dr |
$46.73 | 160 | 158 |
|
Derrick J Fluhme
2000 Oxford Drive |
$27.76 | 146 | 144 |
|
Camille M Buonocore
2000 Oxford Dr |
$38.24 | 139 | 139 |
|
Bridget Beier
2000 Oxford Dr |
$30.60 | 123 | 123 |
|
Scott T Harrington
2000 Oxford Dr |
$35.16 | 101 | 95 |
|
Courtney Lee Killmeyer
503 Timberidge Dr |
$31.38 | 86 | 85 |
|
Lee Ann Swanson
1300 Oxford Dr |
$50.56 | 84 | 76 |
|
John Bianco
1000 Higbee Dr Ste D202 |
$49.74 | 71 | 64 |
|
Phillip William Brown
5841 Library Rd |
$14.80 | 70 | 66 |
|
Douha Safar
2000 Oxford Dr |
$41.26 | 63 | 63 |
|
Diane Marie Buchbarker
990 Higbee Dr Ste B103 |
$59.15 | 58 | 50 |
|
Carmen Anthony Petraglia
2000 Oxford Dr |
$37.30 | 54 | 50 |
|
Jenna Michelle Baer
990 Higbee Dr Ste B102 |
$49.24 | 52 | 49 |
|
Brittany L Heiskell
2000 Oxford Dr Ste 211 |
$19.25 | 38 | 37 |
|
Clarence Daniel Lin
2000 Oxford Dr Ste 216 |
$20.22 | 35 | 31 |
|
Thomas Gabriel Zelonis
2403 South Park Rd |
$35.69 | 24 | 24 |
|
Stephen F Wawrose
2000 Oxford Dr |
$60.56 | 20 | 17 |
|
Jason Ashley Hughes
5841 Library Rd |
$22.88 | 16 | 16 |
|
Jose Antonio Ramirez-Deltoro
2000 Oxford Dr Ste 211 |
$17.97 | 15 | 15 |
|
Christopher M Manning
2000 Oxford Drive |
$20.73 | 13 | 12 |
|
Robert Nevin Shogry
2000 Oxford Dr Ste 305 |
$39.00 | 12 | 12 |
|
Mark Edward Hospodar
2000 Oxford Dr Ste 405 |
$54.87 | 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 Bethel Park, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bethel Park, PA is $45.34 per claim, based on 22,637 claims from 34 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 Bethel Park, PA?
There are 34 Medicaid providers offering Office Visit related services in Bethel Park, PA according to public payment data.
What is the price range for Office Visit in Bethel Park, PA?
Medicaid reimbursement for Office Visit in Bethel Park, PA ranges from $14.80 to $60.56 per claim, with an average of $45.34. 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 Bethel Park, PA
Podiatry (Foot Care)
Avg $8.36
8,831 claims
Blood Work & Lab Tests
Avg $48.99
8,366 claims
Speech Therapy
Avg $72.80
8,051 claims
Behavioral & Mental Health Therapy
Avg $72.52
6,249 claims
EKG / ECG (Electrocardiogram)
Avg $6.15
5,566 claims
Ambulance Transport
Avg $146.33
4,584 claims
Psychiatric Evaluation
Avg $68.29
1,878 claims
Case Management Services
Avg $278.15
1,365 claims