Average Medicaid Office Visit Payments in Brookville, PA: $30.41
Avg. Paid
$30.41
Range
$0.00 – $39.83
Total Claims
14,312
Providers
13
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 Brookville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Dominic Sneeringer
477 Route 28 |
$38.49 | 5,666 | 5,301 |
|
Amanda M Chamberlin
477 Rt 28 |
$39.83 | 5,027 | 4,649 |
|
Donald Root
22 Industrial Park Rd |
$0.00 | 1,574 | 1,473 |
|
Heather D Calhoun
477 Route 28 |
$0.02 | 1,309 | 1,251 |
|
Timothy Paul Pendleton
111 Summit Street |
$30.21 | 366 | 349 |
|
Dubois Regional Medical Center
22 Industrial Park Rd |
$0.00 | 130 | 117 |
|
Randy J Kerr
50 Waterford Pike |
$22.28 | 73 | 67 |
|
Daniel L Amsler
50 Waterford Pike |
$22.10 | 73 | 68 |
|
Andrew Mclaughlin
50 Waterford Pike |
$25.10 | 31 | 26 |
|
Austin Donn Davis
50 Waterford Pike |
$36.23 | 27 | 26 |
|
Joel A Bezek
50 Waterford Pike |
$12.33 | 12 | 12 |
|
Michael Thomas Zatorsky
50 Waterford Pike |
$25.67 | 12 | 12 |
|
Jeffrey L Bezier
50 Waterford Pike |
$31.95 | 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 Brookville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Brookville, PA is $30.41 per claim, based on 14,312 claims from 13 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 Brookville, PA?
There are 13 Medicaid providers offering Office Visit related services in Brookville, PA according to public payment data.
What is the price range for Office Visit in Brookville, PA?
Medicaid reimbursement for Office Visit in Brookville, PA ranges from $0.00 to $39.83 per claim, with an average of $30.41. 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 Brookville, PA
Physical Therapy
Avg $67.18
4,933 claims
Chiropractic Care
Avg $10.92
3,757 claims
Speech Therapy
Avg $24.01
2,870 claims
X-Ray
Avg $7.04
2,566 claims
Eye Exam
Avg $23.78
1,610 claims
Ambulance Transport
Avg $25.14
1,555 claims
Home Health Visit
Avg $40.53
1,102 claims
Hearing Test (Audiometry)
Avg $5.08
707 claims