Average Medicaid Office Visit Payments in Ebensburg, PA: $21.21
Avg. Paid
$21.21
Range
$0.00 – $51.39
Total Claims
7,577
Providers
14
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 Ebensburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erin M Yesenosky
152 Zeman Dr Ste 301 |
$0.00 | 3,050 | 2,844 |
|
Enrique Koh
1100 W High St |
$42.16 | 2,030 | 1,931 |
|
Basma Khalil
236 Jamesway Rd |
$10.93 | 777 | 755 |
|
Harpreet Mahal
861 Hills Plz Ste 140 |
$43.54 | 391 | 350 |
|
Nicole L Rossman-Clapper
188 Industrial Park Rd |
$49.13 | 245 | 235 |
|
Molly B Trostle
881 Hills Plz |
$51.39 | 228 | 218 |
|
Dr. Molly B. Trostle, Do, Internal Medicine, Inc.
881 Hills Plz |
$51.23 | 205 | 186 |
|
Juancarlos Barra
3133 New Germany Rd |
$14.31 | 202 | 192 |
|
Cynthia Cunningham
425 Manor Dr |
$10.90 | 110 | 110 |
|
Eliza Mae Rono Poareo
861 Hills Plz Ste 140 |
$43.18 | 100 | 93 |
|
Only One Hub
100 W High St |
$12.58 | 81 | 45 |
|
Julie Anne Reitnauer
1100 W High St |
$41.82 | 75 | 73 |
|
Stephanie S Young
171 Lovell Ave Ste 102 |
$37.44 | 71 | 67 |
|
Maureen M Ratchford
3133 New Germany Rd |
$12.80 | 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 Ebensburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ebensburg, PA is $21.21 per claim, based on 7,577 claims from 14 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 Ebensburg, PA?
There are 14 Medicaid providers offering Office Visit related services in Ebensburg, PA according to public payment data.
What is the price range for Office Visit in Ebensburg, PA?
Medicaid reimbursement for Office Visit in Ebensburg, PA ranges from $0.00 to $51.39 per claim, with an average of $21.21. 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 Ebensburg, PA
Physical Therapy
Avg $44.25
7,925 claims
Emergency Room Visit
Avg $77.55
6,570 claims
Eye Exam
Avg $35.27
6,505 claims
Speech Therapy
Avg $16.01
3,646 claims
Blood Work & Lab Tests
Avg $7.26
3,413 claims
Nursing Facility Care
Avg $25.68
2,503 claims
Ambulance Transport
Avg $160.04
1,971 claims
Chiropractic Care
Avg $12.98
1,623 claims