Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Du Bois, PA: $40.55

Avg. Paid

$40.55

Range

$0.00 – $116.99

Total Claims

127,708

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 Du Bois, PA

Provider	Avg. Paid	Claims	Patients
Nico D Roscoe 33 Beaver Dr	$42.10	14,434	7,469
Sanjay Mohan Ramchandani 145 Hospital Ave	$34.86	13,250	9,324
Brandon M Roscoe 33 Beaver Dr	$31.06	11,244	10,234
Gregory James Roscoe 871 Beaver Dr	$34.82	9,730	9,463
Lori Schaffer 529 Sunflower Dr	$36.63	6,313	5,704
Naehal Patel Marra 135B Midway Dr	$72.59	6,067	5,667
Marcy A. Hartle 865 Beaver Dr	$43.32	5,031	4,612
Tuesdae Stainbrook 135 Midway Dr Ste B	$33.83	4,084	3,762
Desiree M. Webb 529 Sunflower Dr	$87.13	3,980	3,797
Cydnee Sankey-Deemer 135 Midway Dr Ste B	$54.56	3,856	3,129
Mark Adam Theodore Molckovsky 33 Beaver Dr Ste 1	$0.23	3,201	2,985
Deborah Lynn Rummel 33 Beaver Dr	$35.38	3,139	2,928
Ashley M Kentoski 90 Beaver Dr Ste 215D	$36.59	3,046	2,761
Michael M Hall 145 Hospital Ave	$30.98	2,871	2,246
Htar Su Hlaing 123 Hospital Avenue	$32.21	2,861	2,711
Jeri Bell 33 Beaver Dr Ste 1	$35.95	2,486	2,231
James E O'Bryon 898 Beaver Dr	$30.89	2,291	2,075
Bohdan N Hrecznyj 635 Maple Ave	$81.00	2,080	1,947
Jayaseelan Ambrose 145 Hospital Ave	$27.18	2,048	1,983
Lauren Renee Bohley 33 Beaver Dr	$35.67	1,971	1,872
Eric P. Peck 90 Beaver Dr	$45.58	1,765	1,688
Michael D. Kacsmar 529 Sunflower Dr	$35.90	1,559	1,523
Kara Kozloski 145 Hospital Ave	$2.26	1,505	1,431
Nicholas Paul Cunningham 621 S Main St	$73.04	1,409	1,379
Prasad D Gupta 145 Hospital Ave	$27.73	1,368	1,332
Laun Hallstrom 89 Beaver Dr	$34.59	1,064	1,032
Matthew Timmins Stainbrook 190 W Park Ave	$50.97	1,045	1,036
Margaret A Swanson 20 Industrial Dr	$58.40	953	931
Rachel L Wicks 145 Hospital Ave	$36.16	945	909
Steven Michael Sprankle 145 Hospital Ave	$31.64	880	861
Spring Marie Mccann 100 Hospital Ave	$37.74	878	833
Betty Lou Schau 1218 Treasure Lk	$61.20	863	829
Melissa R Powell 33 Beaver Dr	$41.22	720	693
Vanessa Kathrin Bair 100 Hospital Ave	$38.68	675	522
Kristina Flora Brown 190 W Park Ave Ste 9	$47.06	670	632
Leah Christine Binsell 33 Beaver Dr Ste 1	$36.04	613	569
Brent Aaron Barnes 145 Hospital Ave	$27.05	594	577
Dubois Regional Medical Center 621 S Main St	$74.43	587	496
Cassandra Swatsworth 100 Hospital Ave	$85.51	520	514
Bridget Conklin 529 Sunflower Dr	$36.82	517	504
Priscilla G Delp 145 Hospital Ave	$54.15	429	392
Kristy Bowman Stephens 145 Hospital Ave Ste 101	$54.37	413	331
Sandeep Bansal 100 Hospital Ave	$26.33	383	371
Amy M Powell 135 Midway Dr	$28.82	342	326
Grant W Schirmer 145 Hospital Ave Ste 315	$15.69	312	305
Grace M Wenzel 145 Hospital Ave Ste 113	$26.07	250	250
Palmer Casteel 110 N Main St	$13.63	238	234
Karrie L. Kiskaddon 100 Meadow Ln	$32.92	218	216
Nicole Ignatius 90 Beaver Dr Ste 121D	$31.12	203	183
Jeffrey Ryan Rice 90 Beaver Dr	$51.07	151	144

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 Du Bois, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Du Bois, PA is $40.55 per claim, based on 127,708 claims from 79 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 Du Bois, PA?

There are 79 Medicaid providers offering Office Visit related services in Du Bois, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Du Bois, PA ranges from $0.00 to $116.99 per claim, with an average of $40.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Du Bois, PA: $40.55

Providers Offering Office Visit in Du Bois, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Du Bois, PA

Emergency Room Visit

Home Health Visit

Blood Work & Lab Tests

Speech Therapy

Chiropractic Care

EKG / ECG (Electrocardiogram)

Physical Therapy

Nursing Facility Care