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
Haralambos Robert Papas 102 Technology Dr Ste 120	$28.88	12	12
Peter J Molloy 104 Technology Dr	$23.37	12	12
Tonya Nicole Kozminski 250B Butler Cmns	$0.00	12	12
Grant Gibb 1 Hospital Way	$47.22	12	12
C Thomas Yost 901 E Brady St	$54.87	12	12
Thippeswamy T. Channapati 342 North Main Street	$16.04	12	12
Joseph William Kusick 127 Oneida Valley Rd	$23.44	13	13
Dennis Demby 1022B N Main St	$42.76	14	14
Surbhi Agarwal 911 E Brady St	$62.03	14	12
Jonathan David Summers 389 New Castle Rd	$36.46	17	15
Louis James Lazzara 216 N Washington St	$50.25	18	14
Mahmoud W Sallah 1 Hospital Way	$12.27	21	16
Terrance Shelton 250B Butler Cmns	$84.17	23	23
Amith Roy Shamir 111 Woody Dr	$21.33	26	26
Daniel D Kim 1 Hospital Way	$178.16	26	25
Bhs Faster Care Pllc 250B Butler Cmns	$74.25	27	25
William Johnathan Streiff 129 Oneida Valley Rd Ste 111	$40.22	39	38
Bushra Haq 160 Hollywood Dr Fl 2	$57.34	41	39
Anthony David Dimatteo 104 Technology Dr Ste 204	$16.60	42	40
Thomas G Shetter 480 E Jefferson St	$39.91	42	42
Laxman Prajapat 1 Hospital Way	$27.62	43	41
Way Chiang 353 N Duffy Rd	$0.00	45	45
Mariya H Apostolova 160 Hollywood Dr Fl 2	$47.19	48	44
Spyridon I Marinis 901 E Brady St Ste 100	$53.23	53	52
Philip Dunbar Nicol 127 Oneida Valley Rd	$29.61	54	53
Krysia Lynne Zancosky 104 Technology Dr	$25.06	54	54
Rekha Pinto 127 Oneida Valley Rd	$27.01	56	55
Daniel J. Gagne 129 Oneida Valley Rd	$66.07	59	59
Michaele A Crawford 164 Point Plz	$33.45	62	56
Abdallah Naddaf 1 Hospital Way	$38.53	63	54
Matthew Goldinger 480 E Jefferson St	$34.61	64	64
Amy Ray Mitch 901 E Brady St Ste 101	$28.80	66	57
Deborah Ann Gentile 200 Renaissance Dr Ste 105	$75.10	68	68
Joseph J Gribik 124 Evans Rd	$9.97	70	54
Raheela Pirzada 389 New Castle Rd	$35.64	71	70
Michael E Fiorina 109 Technology Drive	$26.62	80	78
William Carroll Dicuccio 480 E Jefferson St	$53.21	90	89
Lela Evelyn Dougherty 116 Woody Dr	$70.47	91	90
Paul Donegan 107 Bonnie Dr	$59.35	92	52
Lauren Hertel 102 Technology Dr Ste 250	$33.68	94	91
Maura Kathleen Mineo 200 Renaissance Dr Ste 105	$33.19	95	88
Arshad Mahmood 127 Oneida Valley Rd	$19.44	95	95
Donald Arthur Walters 104 Technology Dr	$33.31	107	107
Kiran A Patil 1 Hospital Way	$42.51	150	150
Kylie Laughery 250B Butler Cmns	$53.49	155	153
Fozia Chatta 315 N Main St	$36.76	156	149
Janice Lynn D'Ambrosi 206 S Duffy Rd	$53.30	160	156
Meng-G Martin Lee 480 E Jefferson St	$47.61	179	176
Nikita Krishnaraj Urval 1 Hospital Way	$38.61	206	205
Shripal Shrishrimal 389 New Castle Rd	$32.93	225	224

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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Las Vegas, NV

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