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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gibsonia, PA: $64.39

Avg. Paid

$64.39

Range

$21.31 – $72.34

Total Claims

31,793

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 Gibsonia, PA

Provider Avg. Paid Claims Patients
David Figucia

315 Heather Hill Dr

 $72.34 17,877 17,353
Ann Menzel

5321 William Flynn Hwy

 $65.55 2,703 2,599
Valentina Dicenzo

5321 William Flynn Hwy

 $66.10 2,290 2,195
Richard D Bruehlman

5548 William Flynn Hwy

 $29.64 1,884 1,846
Brian Clista

5321 William Flynn Hwy

 $67.30 1,805 1,747
Ditte K Karlovits

201 Eagleview Ct

 $39.89 1,401 1,357
Sara M Miller

5375 William Flynn Hwy

 $45.12 1,179 793
Heidi S. Swanson

5321 William Flynn Hwy

 $66.34 689 669
Chelsey Mccauley

5476 William Flynn Hwy

 $59.34 575 447
Andrew C Fackler

5548 William Flynn Hwy

 $36.97 415 400
Barbara Ayars

6080 William Flynn Hwy

 $63.79 345 334
Joshua Lee Lester

5375 William Flynn Hwy

 $31.88 232 221
Sarah M Gilmour

5548 William Flynn Hwy

 $28.09 138 135
Allison Hartford

5375 William Flynn Hwy Ste 500

 $51.42 119 116
Gregory Edwin Dziubek

706 Bristlecone Dr

 $21.31 56 54
Mark R Fantaski

5318 Ranalli Dr

 $37.62 29 25
Kathleen E Holleran

5375 William Flynn Hwy

 $35.97 26 25
Helen R Thornton

5548 William Flynn Hwy

 $35.93 15 14
Alyssa Kalin

5830 Meridian Rd

 $42.19 15 14

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 Gibsonia, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gibsonia, PA is $64.39 per claim, based on 31,793 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 Gibsonia, PA?

There are 19 Medicaid providers offering Office Visit related services in Gibsonia, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Gibsonia, PA ranges from $21.31 to $72.34 per claim, with an average of $64.39. 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 Gibsonia, PA

Physical Therapy

Avg $56.28

66,826 claims

Speech Therapy

Avg $53.04

29,251 claims

Home Health Visit

Avg $67.43

6,945 claims

Dental Cleaning & Exam

Avg $23.28

6,566 claims

Podiatry (Foot Care)

Avg $4.78

4,195 claims

Dental Filling

Avg $56.23

2,801 claims

Tooth Extraction

Avg $71.34

1,832 claims

Psychiatric Evaluation

Avg $91.30

1,561 claims