Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Butler, PA: $51.28

Avg. Paid

$51.28

Range

$0.00 – $178.16

Total Claims

125,896

Providers

110

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 Butler, PA

Provider	Avg. Paid	Claims	Patients
James Minshull 911 E Brady St	$62.30	20,698	19,569
Jeanine M Wigton 250B Butler Cmns	$60.17	9,577	9,033
Mrunali Luke 116 Woody Dr	$40.91	7,391	6,355
Richard Thomas Filiaggi 1 Hospital Way	$45.53	7,352	6,671
Dhinesh J Samuel 131 E Cunningham St	$39.02	5,580	5,172
Carolyn Gregorio Yap 250B Butler Cmns	$64.67	5,468	5,417
Rainee D Hawkins 1 Hospital Way	$58.04	5,041	4,952
Andrew Howard Lee 250 B Butler Commons	$47.50	4,994	4,742
George Thomas Lloyd 117 S Mckean St	$75.16	3,503	1,881
Emily Curtin 901 E Brady St	$50.87	3,232	2,825
Peter Matthew Sylves 116 Woody Dr	$39.35	3,084	2,981
Emily Rachael Martin 127 Oneida Valley Rd	$41.54	3,035	3,013
Gregory Pletz 250B Butler Cmns	$58.85	2,931	2,912
Kim M Pierce 102 Technology Dr Ste 110A	$40.08	2,662	2,521
Hugh Shearer 1022B N Main St	$34.96	2,656	2,502
Katherine Elizabeth Meso 250B Butler Cmns	$56.69	2,476	2,443
Darren Machak 1022B N Main Street	$37.95	2,450	2,336
M. Denice Leonard 129 Oneida Valley Rd	$39.10	1,926	1,682
Kevin Leighton 1022B N Main St	$30.78	1,862	1,728
Paula Schmidt 103 Technology Dr	$58.28	1,621	1,604
Marydonna Ravasio 901 E Brady St	$50.96	1,589	1,418
Gloria Terase Minella 129 Oneida Valley Rd Ste 311	$31.55	1,461	1,363
Magdalena Jennings 200 Renaissance Dr	$73.05	1,308	1,290
Next Generation Pediatrics Llc 100 Technology Dr	$60.09	1,088	1,007
Anne M. Dobrzynski 129 Oneida Valley Rd	$59.75	1,084	960
Beth A Bash 206 S Duffy Rd	$51.49	1,026	1,021
Ashley Washington 250 Butler Cmns	$52.31	1,018	1,002
Tricia Leight 1 Hospital Way	$68.22	841	838
Destiny Lynn Cambio 102 Technology Dr Ste 230	$30.48	815	756
Elaine C Dischman 256 New Castle Rd	$112.00	763	752
David A Cowan 102 Technology Dr	$38.63	758	758
Katelyn R Soldner 389 New Castle Rd	$56.08	705	703
Denise Lynn Shearer 901 East Brady Street	$48.39	703	656
Dennis A Dobrzynski 129 Oneida Valley Rd	$45.95	691	678
Brittany Nicole Bielewicz 1022B N Main Street Ext	$41.65	687	653
Chandra Dee Diebold 901 E Brady St	$0.00	685	655
Jessica Marie Buriak 480 E Jefferson St	$46.09	650	614
Matthew Raymond Blumer 220 S Main St Ste A	$48.42	559	467
Larry L Kniess 389 New Castle Rd	$79.28	557	552
Sheena M Santoro 102 Technology Dr Ste 250	$49.63	553	538
Sanjay Balwant Dixit 127 Oneida Valley Rd	$37.67	544	544
Nichole Tiche 127 Oneida Valley Rd Ste 202	$67.09	532	528
Cynthia Walter 323 Sunset Drive	$25.69	518	512
Keith B Welker 901 E Brady St	$39.34	485	480
Mark Anthony Provenzano 389 New Castle Rd	$29.36	459	457
Richard John Begg 127 Oneida Valley Rd Ste 400	$24.92	429	378
Mary E Defelice 1 Hospital Way	$45.83	420	418
John R Rocchi 480 E Jefferson St	$56.44	396	372
Stephen E Sargent 480 E Jefferson St	$40.79	379	361
Luke Zigrossi 1 Hospital Way	$35.74	351	304

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 Butler, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Butler, PA is $51.28 per claim, based on 125,896 claims from 110 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 Butler, PA?

There are 110 Medicaid providers offering Office Visit related services in Butler, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Butler, PA ranges from $0.00 to $178.16 per claim, with an average of $51.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Butler, PA: $51.28

Providers Offering Office Visit in Butler, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Butler, PA

Case Management Services

Blood Work & Lab Tests

Physical Therapy

Ambulance Transport

Speech Therapy

EKG / ECG (Electrocardiogram)

Emergency Room Visit

Dental Cleaning & Exam