Average Medicaid Office Visit Payments in Cranberry Twp, PA: $47.37
Avg. Paid
$47.37
Range
$5.84 – $67.48
Total Claims
31,818
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 Cranberry Twp, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles Luke
150 Oakview Dr |
$47.69 | 14,557 | 12,605 |
|
Jane Hughes
124 Graham Park Dr Ste 300 |
$56.49 | 2,948 | 2,834 |
|
Eric A Pennock
124 Graham Park Dr. |
$63.42 | 2,858 | 2,775 |
|
Eva Toth
20421 Route 19 Ste 320 |
$49.21 | 2,648 | 2,605 |
|
Joseph Edward Huwe
8001 Rowan Rd |
$39.58 | 2,497 | 2,116 |
|
Gordon Gold
3104 Unionville Rd |
$34.72 | 1,519 | 1,404 |
|
Erica Lenzner
1181 Freedom Rd |
$5.84 | 1,393 | 1,250 |
|
Amber Connors
20630 Route 19 Unit 101 |
$67.48 | 1,007 | 992 |
|
Angela Mary Stupi
144 Emeryville Dr Ste 220 |
$40.51 | 677 | 665 |
|
Philip Iozzi
20630 Route 19 |
$47.37 | 495 | 463 |
|
Shahnaz Jagiello
20399 Route 19 |
$39.83 | 400 | 370 |
|
Jessica Langston
8000 Cranberry Springs Dr Ste 100 |
$56.30 | 227 | 225 |
|
Dean Eric Wolz
2001 Ehrman Rd |
$53.26 | 184 | 177 |
|
David Lee Sharp
101 Smith Dr |
$36.18 | 161 | 137 |
|
Kamran Khan
3104 Unionville Rd Ste 180 |
$50.88 | 134 | 133 |
|
Karen Marie Kavanagh
20397 Route 19 |
$45.71 | 73 | 71 |
|
Barbara Ellen Fardo
213 Executive Dr |
$59.86 | 16 | 15 |
|
Antoinette Alonzo Beaman
8000 Cranberry Springs Dr Fl 1 |
$36.90 | 12 | 12 |
|
Rutaba Tajammal
20130 Route 19 Ste 1000 |
$48.81 | 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 Cranberry Twp, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cranberry Twp, PA is $47.37 per claim, based on 31,818 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 Cranberry Twp, PA?
There are 19 Medicaid providers offering Office Visit related services in Cranberry Twp, PA according to public payment data.
What is the price range for Office Visit in Cranberry Twp, PA?
Medicaid reimbursement for Office Visit in Cranberry Twp, PA ranges from $5.84 to $67.48 per claim, with an average of $47.37. 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 Cranberry Twp, PA
Dental Cleaning & Exam
Avg $20.46
18,097 claims
Case Management Services
Avg $258.93
8,575 claims
Eye Exam
Avg $15.61
8,278 claims
Physical Therapy
Avg $65.24
5,827 claims
Dental Filling
Avg $54.36
4,382 claims
Tooth Extraction
Avg $50.28
3,414 claims
Blood Work & Lab Tests
Avg $12.05
3,382 claims
Psychiatric Evaluation
Avg $10.54
2,197 claims