Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Clarion, PA: $50.21

Avg. Paid

$50.21

Range

$0.01 – $104.25

Total Claims

84,155

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 Clarion, PA

Provider	Avg. Paid	Claims	Patients
John-Matthew Swords 24 Doctors Ln Ste 202	$43.96	14	13
University Of Pittsburgh Physicians 18 Sportsman Dr	$104.25	28	25
Derek Fritz 24 Doctors Ln Ste 202	$44.14	32	31
Cathy Keefer 22681 Route 68	$46.77	32	30
Robert C Luderer 150 Doctors Ln	$42.80	53	52
Emily Ruth Carbaugh 1008 S 5Th Ave Ste 203	$84.30	55	39
Khadija Jackson 24 Doctors Ln Ste 202	$61.46	59	45
Brianna Regney 22681 Route 68	$26.76	107	103
Heidi Faller 30 Pinnacle Dr Ste 301	$34.80	112	103
Timothy J. Scott 22905 Route 68	$13.67	149	132
Primary Health Network 30 Pinnacle Dr	$1.48	170	152
Michael Stephen Pollock 24 Doctors Ln	$30.49	256	243
David Joseph Smith 24 Doctors Ln Ste 200	$28.19	266	240
Eleanor Mae Sharp Dorrion 30 Pinnacle Dr	$93.03	302	293
Deborah Lynn Hotchkiss 18 Sportsman Dr	$50.49	414	403
Paul D Hamm 180 Greenville Ave	$34.73	434	389
Bethann Hamm 180 Greenville Ave	$33.40	691	635
Bryan Scott Doverspike 24 Doctors Ln Ste 304	$30.72	692	613
Bart Matson 1008 S 5Th Ave	$54.52	713	583
John Michael Brooks 180 Greenville Avenue	$33.59	752	691
Timothy S Brooks 180 Greenville Ave	$37.81	793	711
Kyle Shilk 18 Sportsman Dr Ste 20	$49.82	944	932
John H Myers 1008 S 5Th Ave	$45.53	1,031	850
Dustin Michael Defrancisis 22681 Route 68	$0.01	1,285	1,259
Cheryl Bowersox 30 Pinnacle Dr	$0.70	1,418	1,383
Jennifer Lee Cain 18 Sportsman Dr	$86.76	1,551	1,013
Brandon Doverspike 24 Doctors Ln	$19.97	1,813	1,770
Anie G Perard 24 Doctors Ln	$40.10	2,302	2,014
Janice Semeyn 121 Doctors Ln	$26.47	2,598	2,514
Mohieddin Kebab 24 Doctors Ln Ste 202	$41.92	3,268	2,778
Linda Haynes 30 Pinnacle Dr	$67.91	3,920	3,831
Randy M Kreider 22681 Route 68	$48.50	4,730	4,435
David Michael Zlotnicki 22681 Route 68	$40.61	6,209	5,884
Paula R Scalise 30 Pinnacle Dr	$0.02	6,263	5,678
Erin Rae Minich 18 Sportsman Dr	$65.60	40,699	38,968

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 Clarion, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clarion, PA is $50.21 per claim, based on 84,155 claims from 35 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 Clarion, PA?

There are 35 Medicaid providers offering Office Visit related services in Clarion, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Clarion, PA ranges from $0.01 to $104.25 per claim, with an average of $50.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Clarion, PA: $50.21

Providers Offering Office Visit in Clarion, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Clarion, PA

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Home Health Visit

X-Ray

Blood Work & Lab Tests

Emergency Room Visit

Urinalysis & Urine Tests

Ambulance Transport