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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Connellsville, PA: $33.25

Avg. Paid

$33.25

Range

$0.00 – $127.23

Total Claims

91,800

Providers

30

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 Connellsville, PA

Provider Avg. Paid Claims Patients
Nishant Ashok Gandhi

2614 Memorial Blvd Ste A

 $31.59 26,831 25,310
Bchara Janadri

2618 C Memorial Blvd

 $30.89 11,533 9,608
Greg William Hites

2614 Memorial Blvd

 $28.84 11,444 10,826
Jennifer Haky Sterbutzel

2614A Memorial Blvd

 $30.19 7,871 7,587
Jeremiah J Altman

2614 Memorial Blvd Ste A

 $23.51 5,615 5,285
Mouhanad Al-Fakih

261 E Crawford Ave

 $41.34 5,552 5,026
Cherie Dolan

204 Memorial Blvd

 $37.68 4,249 4,124
William J Kozak

2620 Memorial Blvd

 $36.40 3,360 3,184
Tiffany Dawn French

208 S Arch St

 $44.23 3,000 2,597
Jeffry Travis Gee

401 E Murphy Ave

 $32.80 1,689 1,367
Sarah Lumley

204 Memorial Blvd

 $33.33 1,567 1,525
James Miller Oppy

201 N Pittsburgh St

 $37.59 1,258 1,189
Rasa Beatrice Vaicenas

600 N Penn St

 $30.48 1,083 1,052
Richard A Tiberio

1064 Morrell Ave

 $37.80 1,056 1,003
Gina Lynn Canada

2618 Memorial Blvd Ste B-1

 $36.83 1,031 983
Joel Jonathan Charles Hassell

401 E Murphy Ave

 $127.23 797 668
Charlene Rae Saloom

208 S. Arch Street

 $39.11 778 720
Katrina Renee Spangler

854 Vanderbilt Rd Ste 1

 $40.32 678 623
Tracy L Popey

401 E Murphy Ave

 $29.69 639 574
Bchara Janadri, Md

2618 Memorial Blvd Ste C

 $30.41 482 393
Jessie Milliken

854 Vanderbilt Rd Ste 1

 $33.72 368 349
Kimberlee Suter

401 E Murphy Ave

 $37.32 241 227
Ali Mahdi

601 S Arch St

 $0.00 226 206
Connellsville Counseling & Psychological Services, Llc

416 S Pittsburgh St

 $66.85 191 176
Ashley Tucholski

814 Vanderbilt Rd

 $44.89 82 74
Nadene B Copeland

2618 Memorial Blvd Ste B

 $36.24 68 62
Richard A Conn

2616 Memorial Blvd Ste B

 $47.20 52 50
Edward J Pohodich

2616 Memorial Blvd Ste B

 $58.15 35 35
James Raymond Hurley

2620 Memorial Blvd

 $14.30 12 12
Barry D. Russell

1450 Morrell Ave

 $38.21 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 Connellsville, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Connellsville, PA is $33.25 per claim, based on 91,800 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 Connellsville, PA?

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

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

Medicaid reimbursement for Office Visit in Connellsville, PA ranges from $0.00 to $127.23 per claim, with an average of $33.25. 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 Connellsville, PA

Ambulance Transport

Avg $161.93

43,874 claims

Speech Therapy

Avg $4.93

38,649 claims

Home Health Visit

Avg $33.63

25,268 claims

Physical Therapy

Avg $17.01

12,782 claims

Blood Work & Lab Tests

Avg $6.51

10,710 claims

Chiropractic Care

Avg $12.75

7,310 claims

Emergency Room Visit

Avg $83.45

6,785 claims

Durable Medical Equipment (DME)

Avg $75.70

3,909 claims