Average Medicaid Office Visit Payments in Coudersport, PA: $16.40
Avg. Paid
$16.40
Range
$0.00 – $86.93
Total Claims
49,907
Providers
20
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 Coudersport, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles Cole Memorial Hospital
1001 E 2Nd St |
$0.48 | 24,035 | 21,867 |
|
Charles Cole Memorial Hopstial
1001 E 2Nd St |
$0.03 | 8,539 | 7,755 |
|
Ekta Khanna
1001 E 2Nd St |
$86.93 | 4,380 | 4,022 |
|
Joshua Jon D'Agostino
1001 E 2Nd St |
$70.53 | 2,218 | 2,136 |
|
Charles Cole Memorial Hospital
71 Elk St |
$0.00 | 1,846 | 1,792 |
|
Charles Cole Memorial Hospital
102 S Main St |
$0.01 | 1,674 | 1,565 |
|
Terrance Lee Foust
1001 E 2Nd St |
$25.80 | 1,454 | 1,393 |
|
Christian O Mcmonigal
71 Elk St |
$59.55 | 1,085 | 1,078 |
|
Kalliopi K Nestor
1001 E 2Nd St |
$57.77 | 998 | 942 |
|
Ethan Gable
1001 E 2Nd St Ste N |
$46.99 | 920 | 586 |
|
Bradley F Giannotti
1001 E 2Nd St |
$29.31 | 824 | 800 |
|
Amanda Marie Swanson
1001 E 2Nd St |
$10.35 | 502 | 452 |
|
Jason Szabo
1001 E 2Nd St |
$19.12 | 374 | 337 |
|
David Charles Brown
1001 E 2Nd St |
$14.41 | 289 | 262 |
|
Amanda Budd
1001 E 2Nd St |
$44.65 | 245 | 217 |
|
Jackie D Sprow
1001 E 2Nd St |
$13.55 | 206 | 185 |
|
Jeremy T Reed
1001 E 2Nd St Ste C |
$39.44 | 104 | 100 |
|
Mhd Said Al Zein
1001 E 2Nd St Ste E |
$22.65 | 99 | 88 |
|
Michael W Wilt
1001 E 2Nd St |
$60.47 | 88 | 78 |
|
John Paul Dresser
1001 E 2Nd St |
$13.63 | 27 | 24 |
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 Coudersport, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coudersport, PA is $16.40 per claim, based on 49,907 claims from 20 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 Coudersport, PA?
There are 20 Medicaid providers offering Office Visit related services in Coudersport, PA according to public payment data.
What is the price range for Office Visit in Coudersport, PA?
Medicaid reimbursement for Office Visit in Coudersport, PA ranges from $0.00 to $86.93 per claim, with an average of $16.40. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Coudersport, PA
Vaccines & Immunizations
Avg $9.07
10,754 claims
Blood Work & Lab Tests
Avg $10.61
7,985 claims
Emergency Room Visit
Avg $79.25
4,091 claims
Urinalysis & Urine Tests
Avg $0.70
3,938 claims
Durable Medical Equipment (DME)
Avg $60.48
3,767 claims
Hearing Test (Audiometry)
Avg $5.08
3,242 claims
Dental Cleaning & Exam
Avg $0.55
1,880 claims
Pathology & Lab Services
Avg $110.19
854 claims