Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Clairton, PA: $52.63

Avg. Paid

$52.63

Range

$0.74 – $89.97

Total Claims

16,427

Providers

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 Clairton, PA

Provider	Avg. Paid	Claims	Patients
Hollynn Paige Knight 1200 Brooks Ln Ste 110	$29.93	12	12
Bruno Casile 1200 Brooks Ln Ste 110	$59.86	12	12
Thomas R. Powell 1200 Brooks Ln Ste 285	$40.54	15	15
Stephanie Leigh Ehland 575 Coal Valley Rd Ste 209	$85.86	29	26
Ashley Mueller 1200 Brooks Ln	$33.28	32	30
Edward D. Poon 1200 Brooks Ln	$44.66	38	38
Kristen Sue Cunic 1200 Brooks Ln Ste 285	$40.81	44	43
Pradeep Dhakarwal 575 Coal Valley Rd Ste 264	$36.12	68	65
Jessica L Culbertson 575 Coal Valley Rd Ste 300	$42.76	71	66
Alfonso Barbati 1200 Brooks Ln	$25.08	75	72
Stephanie Bungo 575 Coal Valley Rd Ste 300	$43.47	81	69
Autumn Rae Mrosko 575 Coal Valley Rd Ste 300	$58.45	85	71
Brandon Z Bell 575 Coal Valley Rd Ste 300	$89.97	107	91
Aubrey Rose Kendig 575 Coal Valley Rd Ste 209	$39.97	144	136
Syeda R Shergill 559 Miller Ave	$0.74	148	139
Valerie M Winter 1200 Brooks Ln	$17.56	166	161
Mihaela Mihaescu Nowak 575 Coal Valley Rd Ste 464	$39.78	177	172
Melissa L Monack 575 Coal Valley Rd Ste 300	$33.45	181	173
David A. Logan 575 Coal Valley Rd Ste 300	$67.92	229	206
Riyaj Anil Kasekar 575 Coal Valley Rd Ste 204	$22.00	241	237
Devon Jennings 575 Coal Valley Rd Ste 209	$54.24	287	262
Melissa L Poot 575 Coal Valley Rd Ste 300	$64.86	298	273
Pedro J Aguilar 575 Coal Valley Rd Ste 464	$34.46	630	618
Kelly P Martin 1200 Brooks Ln Ste 260	$70.35	676	651
Matthew Gary Walton 1200 Brooks Ln Ste 110	$39.54	729	699
Thomas D Baer 1200 Brooks Ln	$22.37	982	775
Erica B Smith 575 Coal Valley Rd Ste 300	$35.40	1,155	921
Brent Walker Bowman 575 Coal Valley Rd Ste 300	$60.36	1,626	1,407
Emily N Farkas 575 Coal Valley Rd Ste 300	$46.51	2,177	1,746
Elizabeth Cutrell 1200 Brooks Ln Ste 270	$66.37	5,912	5,694

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 Clairton, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clairton, PA is $52.63 per claim, based on 16,427 claims from 30 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 Clairton, PA?

There are 30 Medicaid providers offering Office Visit related services in Clairton, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Clairton, PA ranges from $0.74 to $89.97 per claim, with an average of $52.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Clairton, PA: $52.63

Providers Offering Office Visit in Clairton, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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