Based on public Medicaid payment data.

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
Lindsay Anne Shankman 232 W 25Th St	$36.58	12	12
Sean Robert Cain 300 State St Fl 4	$39.91	12	12
Thomas J Wilkins 2620 Sigsbee St	$8.03	12	12
Frank L Reusche 3125 French St	$49.88	12	12
Lisa Simonian 2500 W 12Th St Ste C	$0.00	12	12
Wayne T Jones 232 W 25Th St Ste F01030	$28.88	12	12
Douglas Gary Stazer 4950 Buffalo Rd	$54.87	12	12
John Thomas Fischer 2203 W 38Th St	$32.08	12	12
Dominic M Sciamanda 1920 W 8Th St	$9.62	12	12
Jared D Krugh 201 State St	$32.92	12	12
Mary Katherine Lasher 1920 W 8Th St	$39.91	12	12
Erin Lois Hayton 213 E 41St St	$49.88	12	12
Lacey Elizabeth Neugebauer 4500 Pine Ave	$32.58	13	13
Jonathan Bellotte 300 State St Fl 4	$32.58	13	13
Jeffrey E Clemente 3822 Colonial Ave	$78.14	13	12
Nishant Koradia 2315 Myrtle St Ste 190	$58.76	13	13
Erik O Esper 2820 W 12Th St	$51.21	13	13
Joshua Alan Tuck 5401 Peach St	$30.57	13	13
Jean Moubarak 120 E 2Nd St Fl 2	$25.08	14	14
Lori Mae Dulabon 5401 Peach St Ste 3600	$27.97	14	14
Mohammad Karim 120 E 2Nd St Fl 2	$43.37	14	14
Gustavo Adolfo Gomez 145 W 23Rd St Ste 101	$47.03	14	14
Zane D Leicht 2315 Myrtle St Ste L90	$3.23	14	14
Julie Alane Schwab 100 Peach St	$35.75	14	14
Bernadine Bagniszewski 4401 Iroquois Ave	$59.86	14	13
Robert Lewis Maholic 120 E 2Nd St Fl 2	$16.50	14	13
Nicolette C Walsh 4247 W Ridge Rd Ste 105	$60.55	15	15
Katherine Hannah Lund 232 W 25Th St	$32.27	15	15
Tracy L Agnew 145 W 23Rd St Ste 101	$47.89	15	15
Lisa Suwanna Levine 2315 Myrtle St Ste 220	$43.75	15	15
Divya Koradia 4247 W Ridge Rd Ste 105	$3.81	15	12
Michael A Ruiz 1444 W 38Th St	$17.87	15	13
Yvonne Theresa Hoogland 5401 Peach St	$4.11	15	15
Kelsey Elizabeth Cunningham 4950 Buffalo Rd	$27.12	16	14
Wendy Louise Whetzel 5401 Peach St Ste 3300	$37.62	16	15
Children'S Community Care 3580 Peach St	$35.77	16	13
Molly Ann Tewell 4247 W Ridge Rd Ste 105	$28.96	16	15
Aaron H Kleps 201 State St Fl 8	$0.00	17	15
Katherine Foley 300 State St Fl 4	$45.66	17	14
Joseph E Rowane 204 W 26Th St	$28.27	17	16
Dynara Mirone 4247 W Ridge Rd	$37.46	18	18
Julia Anne Coleman 1700 Peach St Ste 220	$29.93	18	17
Kelly M Laskowski 100 Peach St Ste 200	$38.50	18	18
Victoria Alexis Hulse 1009 E 38Th St	$0.00	18	18
Elena Kovalevich 300 State St Ste 401	$34.65	20	20
Serena E Mott 100 Peach St Ste 200	$0.00	20	20
Thomas Fessler 100 Peach St	$21.49	24	24
Allison Marie Benacci 2640 W 38Th St	$27.05	24	24
David Strasser 120 E 2Nd St Fl 2	$36.21	25	24
Khadijat O. Okasime 145 W 23Rd St Ste 101	$59.73	25	25

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.

Average Medicaid Office Visit Payments in Erie, PA: $43.85

Providers Offering Office Visit in Erie, 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 Erie, PA

Blood Work & Lab Tests

Emergency Room Visit

Case Management Services

Urinalysis & Urine Tests

EKG / ECG (Electrocardiogram)

Physical Therapy

X-Ray

Ambulance Transport