Average Medicaid Office Visit Payments in Erie, PA: $43.85
Avg. Paid
$43.85
Range
$0.00 – $207.19
Total Claims
611,163
Providers
475
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 Erie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Health Net
1202 State St |
$0.02 | 16,432 | 15,618 |
|
Robert Burns
300 State St Ste 301 |
$55.89 | 14,507 | 13,777 |
|
Cynthia Weibel
3580 Peach St |
$61.27 | 13,901 | 12,832 |
|
Luis Felipe Aparicio
240 W 11Th St |
$34.81 | 11,715 | 11,420 |
|
Bryant E Bojewski
2820 W 12Th St |
$39.48 | 11,575 | 9,685 |
|
Anthony R Ignocheck
1202 State St |
$0.19 | 11,493 | 10,793 |
|
Khoa D Tran
232 W 25Th St # 3R |
$22.60 | 10,465 | 6,171 |
|
Melissa L Greene
1202 State St |
$41.96 | 10,391 | 8,718 |
|
Philip Cacchione
3535 Pine Ave |
$49.55 | 9,995 | 9,866 |
|
Robert Wilson
1330 W 26Th St |
$40.81 | 9,534 | 7,036 |
|
Danielle Gyorgak
300 State St Ste 301 |
$63.06 | 9,366 | 8,995 |
|
Ravi Kumar Chekka
1611 Peach St Ste 300 |
$44.65 | 9,213 | 8,638 |
|
Kathy S Foltz
1843 East 18Th Street |
$46.66 | 8,941 | 7,673 |
|
Pamela Beck
510 Cranberry St |
$56.20 | 8,664 | 8,249 |
|
Robert Geiger
3535 Pine Ave |
$48.72 | 8,367 | 8,254 |
|
Michael Webster
300 State St |
$62.92 | 8,161 | 7,876 |
|
Ronald Paul Leemhuis
227 W 22Nd St |
$36.61 | 8,031 | 6,865 |
|
Ann R Schlimm
213 E 41St St |
$42.86 | 7,965 | 6,978 |
|
Shannon Moore
300 State St |
$65.04 | 7,564 | 7,327 |
|
Matthew Heitzenrater
300 State St Ste 401 |
$57.27 | 6,995 | 6,798 |
|
Nicholas Sala
128 W 12Th St |
$48.61 | 6,282 | 6,231 |
|
Maria Irma Santos Leonard
4022 Zuck Rd |
$207.19 | 6,213 | 5,825 |
|
Daniel Barbero
3330 Peach St Ste 106B |
$50.49 | 5,915 | 5,694 |
|
Alaaeldin A Omar
1611 Peach St |
$36.36 | 5,839 | 5,624 |
|
Raymond Mcallister
5035 Peach St |
$37.57 | 5,670 | 5,451 |
|
Gene A Groenendaal
2861 W 26Th St Ste 2 |
$68.59 | 5,574 | 5,459 |
|
Christine Marie Agnello
1700 Peach St Ste 200 |
$47.87 | 5,320 | 5,014 |
|
Amanda Lynn Pochedly
100 Peach St Ste 200 |
$111.29 | 5,133 | 3,490 |
|
Jose Luis Boggio
903 Long Point Dr |
$17.12 | 5,014 | 4,623 |
|
Heather L Szymczak
2374 Village Common Dr Ste 100 |
$55.99 | 4,897 | 4,795 |
|
Matthew Adam Testrake
120 E 2Nd St |
$36.27 | 4,565 | 4,142 |
|
Jack Bryant Anon
1645 W 8Th St |
$42.82 | 4,437 | 4,299 |
|
Kevin Joseph Mikielski
4002 Schaper Avenue |
$29.56 | 4,365 | 4,257 |
|
Alberto M Cabantog
240 W 11Th St Ste 103 |
$33.95 | 4,073 | 3,863 |
|
Alan Kidon
5401 Peach St Ste 3400 |
$35.17 | 3,982 | 3,452 |
|
Justine Schober
300 State St Ste 301B |
$67.52 | 3,866 | 3,818 |
|
Rebbecca Hertel
1700 Peach St Ste 200 |
$45.09 | 3,778 | 3,549 |
|
David Hutzel
300 State St Ste 103A |
$49.34 | 3,752 | 3,607 |
|
Dana Albrecht
1611 Peach St |
$47.78 | 3,725 | 2,843 |
|
David E Overare
2828 Sterrettania Rd |
$35.27 | 3,709 | 3,614 |
|
Zahida Bhatti
1202 State Street |
$6.26 | 3,666 | 3,469 |
|
Scott Dakan
5515 Peach St |
$45.46 | 3,646 | 3,429 |
|
Wendy L Ripple
3822 Colonial Ave Ste C |
$46.98 | 3,623 | 3,530 |
|
Christopher Robert Buzas
4000 Sterrettania Rd Lowr Level |
$43.03 | 3,606 | 3,483 |
|
Douglas B Grisier
537 W 18Th St |
$23.88 | 3,469 | 3,332 |
|
Christopher Yonko
4247 W Ridge Rd Ste 101 |
$37.72 | 3,408 | 3,348 |
|
Michael A Scutella
100 Peach St |
$44.59 | 3,400 | 3,178 |
|
Luxmi Gahlot
5401 Peach St Ste 3300 |
$27.12 | 3,397 | 3,271 |
|
Anthony Colonna
3330 Peach St |
$20.35 | 3,375 | 3,252 |
|
Sarah Renna
2315 Myrtle St Ste G30 |
$67.21 | 3,331 | 2,002 |
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 Erie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Erie, PA is $43.85 per claim, based on 611,163 claims from 475 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 Erie, PA?
There are 475 Medicaid providers offering Office Visit related services in Erie, PA according to public payment data.
What is the price range for Office Visit in Erie, PA?
Medicaid reimbursement for Office Visit in Erie, PA ranges from $0.00 to $207.19 per claim, with an average of $43.85. 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 Erie, PA
Blood Work & Lab Tests
Avg $9.83
855,307 claims
Emergency Room Visit
Avg $80.44
582,207 claims
Case Management Services
Avg $120.40
236,326 claims
Urinalysis & Urine Tests
Avg $4.44
180,798 claims
EKG / ECG (Electrocardiogram)
Avg $6.90
152,614 claims
Physical Therapy
Avg $56.32
146,678 claims
X-Ray
Avg $9.19
101,434 claims
Ambulance Transport
Avg $171.37
84,178 claims