Average Medicaid Office Visit Payments in Canonsburg, PA: $46.56
Avg. Paid
$46.56
Range
$20.38 – $98.80
Total Claims
22,105
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 Canonsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Edgar Rhody
36 E Pike St |
$32.45 | 10,104 | 6,934 |
|
Theresa Ann Griffin Martin
110 Hidden Valley Rd |
$51.58 | 3,242 | 2,830 |
|
Nancy Doris Frezza Batts
370 Southpointe Blvd, Suite 100 |
$78.77 | 2,956 | 2,919 |
|
Ryan Jonathan Muschick
1016 5Th St |
$71.44 | 1,376 | 1,339 |
|
Martin Alejandro Fermin Violago
400 Southpointe Blvd Ste 235 |
$52.20 | 1,126 | 1,065 |
|
Walter P Slomiany
67 E Pike St |
$35.37 | 1,091 | 1,069 |
|
Gayatri Jaiswal
1900 Waterdam Plaza Dr Ste 2 |
$47.06 | 787 | 749 |
|
Danielle Burchfield
100 Medical Blvd |
$56.34 | 309 | 259 |
|
Amber M Young
380 Southpointe Blvd Ste 115 |
$20.38 | 253 | 224 |
|
Meredith Caroline Liddle
100 Medical Blvd |
$78.08 | 240 | 226 |
|
Wesley James Schettler
100 S Central Ave |
$36.85 | 217 | 212 |
|
Michael Grimes
1900 Waterdam Plaza Dr Ste 2 |
$47.01 | 104 | 98 |
|
Jennifer Rittenhouse-Puhak
100 Medical Blvd |
$39.13 | 100 | 99 |
|
Marco Antonio Alcala
2476 Washington Rd |
$50.03 | 81 | 76 |
|
John F Smith
161 Waterdam Rd Apt 120 |
$39.64 | 50 | 50 |
|
Michael Jonathan Tranovich
100 Medical Blvd |
$98.80 | 29 | 29 |
|
Mary Margarette Naguit
400 Southpointe Blvd Ste 235 |
$27.50 | 14 | 13 |
|
Irina C Pritchard
400 Southpointe Blvd Ste 235 |
$66.47 | 14 | 14 |
|
Brittany Dubois
3055 Washington Rd Ste 203 |
$23.64 | 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 Canonsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canonsburg, PA is $46.56 per claim, based on 22,105 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 Canonsburg, PA?
There are 19 Medicaid providers offering Office Visit related services in Canonsburg, PA according to public payment data.
What is the price range for Office Visit in Canonsburg, PA?
Medicaid reimbursement for Office Visit in Canonsburg, PA ranges from $20.38 to $98.80 per claim, with an average of $46.56. 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 Canonsburg, PA
Speech Therapy
Avg $7.06
24,029 claims
Physical Therapy
Avg $34.78
22,975 claims
Emergency Room Visit
Avg $89.13
11,060 claims
Tooth Extraction
Avg $74.10
7,687 claims
Home Health Visit
Avg $175.14
7,121 claims
Blood Work & Lab Tests
Avg $4.87
6,338 claims
Dental Cleaning & Exam
Avg $27.00
4,184 claims
Nursing Facility Care
Avg $20.33
3,525 claims