Average Medicaid Office Visit Payments in Blairsville, PA: $52.75
Avg. Paid
$52.75
Range
$8.05 – $75.28
Total Claims
36,095
Providers
19
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 Blairsville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dwayne Shuhart
56 Club Ln |
$69.24 | 15,373 | 14,412 |
|
Kristy Leigh Ilgen
48 Short Dr |
$45.63 | 6,873 | 5,865 |
|
Chaitya Parikh
56 Club Lane |
$38.74 | 2,694 | 2,559 |
|
Jason P Rasefske
25 Colony Blvd |
$39.16 | 1,948 | 1,873 |
|
Eric C Heasley
25 Colony Boulevard |
$43.27 | 1,659 | 1,616 |
|
Christopher P Vaglia
25 Colony Blvd |
$37.30 | 1,622 | 1,540 |
|
Lucinda A. Fails
25 Colony Boulevard |
$33.79 | 1,118 | 1,063 |
|
Ghada Metwally Ahmed Elsayed
25 Colony Blvd Ste 109 |
$31.99 | 932 | 821 |
|
James David Bresnahan
56 Club Ln |
$28.98 | 806 | 792 |
|
Bernard C Scherer
56 Club Ln |
$31.59 | 703 | 630 |
|
Matthew N. Klain
25 Colony Boulevard |
$41.95 | 608 | 588 |
|
Alexa Marconi
56 Club Ln Ste 102 |
$35.82 | 521 | 495 |
|
Matthew L. Nettleton
25 Colony Boulevard |
$41.59 | 380 | 370 |
|
Cassandra Elizabeth Reeves
56 Club Ln Ste 102 |
$35.32 | 287 | 277 |
|
Danielle Alexis Roe
56 Club Ln |
$75.28 | 276 | 274 |
|
Allison Williams
25 Colony Boulevard |
$31.99 | 158 | 154 |
|
Melanie G. Ludwig
25 Colony Blvd |
$34.93 | 66 | 66 |
|
Ronald A. Monack
56 Club Ln Ste 102 |
$31.66 | 55 | 53 |
|
Richard L Reilly
40 E Market St |
$8.05 | 16 | 13 |
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 Blairsville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Blairsville, PA is $52.75 per claim, based on 36,095 claims from 19 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 Blairsville, PA?
There are 19 Medicaid providers offering Office Visit related services in Blairsville, PA according to public payment data.
What is the price range for Office Visit in Blairsville, PA?
Medicaid reimbursement for Office Visit in Blairsville, PA ranges from $8.05 to $75.28 per claim, with an average of $52.75. 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 Blairsville, PA
Home Health Visit
Avg $227.21
59,453 claims
Podiatry (Foot Care)
Avg $6.01
8,788 claims
Blood Work & Lab Tests
Avg $5.81
4,509 claims
Physical Therapy
Avg $25.90
3,945 claims
Hearing Test (Audiometry)
Avg $0.57
2,332 claims
Dental Cleaning & Exam
Avg $26.08
1,597 claims
Nursing Facility Care
Avg $12.38
1,486 claims
Speech Therapy
Avg $11.57
1,352 claims