Average Medicaid Office Visit Payments in Bradford, PA: $30.29
Avg. Paid
$30.29
Range
$0.00 – $139.61
Total Claims
31,577
Providers
40
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 Bradford, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kylie L Morris
1001 E Main St # 320B |
$49.88 | 4,644 | 4,125 |
|
Joseph H Goro
116 Interstate Pkwy |
$5.09 | 3,832 | 3,475 |
|
Jakub Tomasz Wojcik
116 Interstate Pkwy Ste 41 |
$30.90 | 3,213 | 3,062 |
|
Lakshmi Rao Polavarapu
116 Interstate Pkwy |
$0.36 | 3,142 | 2,561 |
|
Banafsheh Lotfi Moghaddas
24 W Washington St |
$51.09 | 2,161 | 2,078 |
|
Stephanie Lynn Martuccio
6 N Center St |
$62.19 | 2,125 | 2,067 |
|
Nicole Marker-Zewe
116 Interstate Pkwy |
$52.61 | 2,092 | 1,969 |
|
Nicholle Renee Aiello
159 Interstate Pkwy |
$16.56 | 1,785 | 1,215 |
|
Rebecca Miller
116 Interstate Pkwy |
$4.71 | 1,550 | 1,478 |
|
Steven Clarke Herrmann
116 Interstate Pkwy |
$26.08 | 1,211 | 1,183 |
|
Filane Renee Godding Crumrine
1001 E Main St # 320B |
$0.34 | 585 | 565 |
|
Jonathan David Lechner
195 Pleasant St Unit 5 |
$55.98 | 527 | 508 |
|
Danielle P Gregoire
6 N Center St |
$28.98 | 462 | 447 |
|
Venkateswara Rao Nadella
6 North Center Street |
$16.14 | 425 | 407 |
|
Becky Mckeirnan-Seefeldt
116 Interstate Pkwy |
$8.35 | 402 | 382 |
|
Peter Vaccaro
24 W Washington St |
$66.31 | 346 | 331 |
|
Robert Tahara
900 Chestnut Street Ext |
$22.28 | 334 | 314 |
|
Jill M. Owens
14 N 3Rd St |
$37.79 | 326 | 317 |
|
Luis Carlos Gonzalez
181 Interstate Pkwy |
$47.55 | 274 | 267 |
|
Janel Lynn Weber Wilcox
723 E Main St |
$57.41 | 265 | 51 |
|
Deanann Farris
110 Campus Dr |
$0.00 | 235 | 212 |
|
Tracy Lynn Andrus
116 Interstate Pkwy |
$31.93 | 232 | 217 |
|
Shabir Bhayani
116 Interstate Pkwy Ste 32 |
$43.80 | 217 | 199 |
|
Abbey Paulsen
116 Interstate Pkwy |
$25.62 | 171 | 162 |
|
Anil Pradhan
116 Interstate Parkway |
$4.18 | 165 | 139 |
|
Dilbagh Singh
6 North Center Street |
$17.03 | 146 | 135 |
|
Muhammad Javed Akhtar
195 Pleasant St |
$139.61 | 121 | 120 |
|
Nathaniel Lars Graham
116 Interstate Pkwy |
$41.00 | 110 | 107 |
|
David Godfrey
51 Boylston St |
$17.44 | 68 | 67 |
|
Olean General Hospital
116 Interstate Pkwy |
$57.54 | 56 | 41 |
|
Paul Bruce Kirsch
2 N Center St |
$26.46 | 54 | 52 |
|
Asim Makhdom
195 Pleasant Street, Suite 5 |
$31.17 | 49 | 44 |
|
Delia Landy
20 Main Street |
$31.65 | 42 | 39 |
|
Aris Gredzens
159 Interstate Pkwy |
$0.00 | 41 | 41 |
|
Kimberly Ann Ditz
800 E Main St |
$2.25 | 37 | 35 |
|
Monica Crawford
1001 E Main St # 320B |
$1.26 | 37 | 37 |
|
Dale Jeanne Lacroix
159 Interstate Pkwy |
$72.99 | 30 | 24 |
|
Kamran Saleh
24 W Washington St |
$35.60 | 27 | 25 |
|
Fayez Roumani
199 Pleasant St |
$25.06 | 25 | 25 |
|
Dustin Michael Taylor
116 Interstate Pkwy |
$84.38 | 13 | 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 Bradford, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bradford, PA is $30.29 per claim, based on 31,577 claims from 40 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 Bradford, PA?
There are 40 Medicaid providers offering Office Visit related services in Bradford, PA according to public payment data.
What is the price range for Office Visit in Bradford, PA?
Medicaid reimbursement for Office Visit in Bradford, PA ranges from $0.00 to $139.61 per claim, with an average of $30.29. 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 Bradford, PA
Speech Therapy
Avg $61.21
19,851 claims
Dental Cleaning & Exam
Avg $13.07
19,208 claims
Physical Therapy
Avg $58.85
11,706 claims
Case Management Services
Avg $76.16
11,314 claims
Emergency Room Visit
Avg $103.73
10,791 claims
Blood Work & Lab Tests
Avg $11.45
10,438 claims
Nursing Facility Care
Avg $7.90
7,553 claims
Eye Exam
Avg $21.34
6,283 claims