Average Medicaid Office Visit Payments in Greensburg, PA: $49.62
Avg. Paid
$49.62
Range
$0.00 – $83.33
Total Claims
199,249
Providers
138
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 Greensburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dennis M Hutt
1225 S Main St |
$20.33 | 12 | 12 |
|
Andrew J. Zahalsky
200 Village Dr |
$14.97 | 12 | 12 |
|
Chelsy Moore
44 S Washington Ave |
$54.86 | 12 | 12 |
|
Brooke Ellen Allen
555 W Newton St |
$11.29 | 12 | 12 |
|
Terry L Evans
200 Village Dr |
$55.26 | 13 | 12 |
|
Virginia A Hewitt
532 W Pittsburgh St |
$22.70 | 13 | 12 |
|
Miranda Jones
555 W Newton St Ste 10 |
$12.20 | 13 | 12 |
|
Robert Gordon Tymoczko
545 Rugh St. |
$30.12 | 14 | 13 |
|
Nicole Boggs Bruno
44 S Washington Ave |
$36.43 | 14 | 13 |
|
Christopher Thomas Rihn
4000 Hempfield Plaza Blvd |
$20.07 | 15 | 15 |
|
James J Longhi
530 South St |
$33.37 | 15 | 13 |
|
Rajeswari Balasubramaniam
530 South St Ste G20 |
$44.90 | 16 | 16 |
|
Aiman Nassrallah Daghestani
6321 Route 30 Ste 300 |
$71.55 | 17 | 17 |
|
Karen A. Lang
300 Cameo Ln |
$22.00 | 17 | 17 |
|
Robert H Ferguson
562 Shearer St |
$18.09 | 18 | 16 |
|
Shirley J. Byers
530 South St |
$22.98 | 18 | 13 |
|
Ronald Alan Mennow
44 S Washington Ave |
$0.00 | 19 | 19 |
|
John Thomas Sullivan
522 W Newton St Ste 300 |
$26.26 | 25 | 24 |
|
Eric F Campbell
4000 Hempfield Plaza Blvd |
$43.10 | 25 | 25 |
|
Jacob A Dicesare
438 Pellis Rd |
$28.13 | 26 | 25 |
|
James E Adisey
44 S Washington Ave |
$29.93 | 26 | 26 |
|
Christopher J Bellicini
680 Pellis Rd Ste 1 |
$22.65 | 27 | 26 |
|
Andrew M Ponterio
540 South St Ste 301 |
$7.53 | 27 | 25 |
|
Jerod Craig Smith
530 South St |
$45.64 | 28 | 28 |
|
Amy L Dillon
530 South St |
$12.91 | 28 | 25 |
|
Emily M Caldwell
530 South St Ste G20 |
$24.55 | 30 | 28 |
|
Saghir Ahmad
532 W Pittsburgh St |
$7.61 | 31 | 30 |
|
Victor Bilan
200 Village Dr |
$52.53 | 32 | 26 |
|
Mary Jo Clark
200 Village Dr |
$69.02 | 32 | 30 |
|
Coby L Hartman
1040 Towne Square Dr |
$52.32 | 38 | 38 |
|
Ragoor K Reddy
6303 Route 30 |
$32.42 | 38 | 38 |
|
Mary Beth Farina-Mazur
545 Rugh St |
$50.20 | 39 | 39 |
|
Amy B Keefe
118 Nature Park Rd |
$46.05 | 39 | 39 |
|
Lindsi Mahokey
555 W Newton St |
$19.65 | 40 | 40 |
|
Owais Rahim
545 Rugh St |
$54.05 | 41 | 41 |
|
Katherine Ringstad
118 Nature Park Rd |
$47.21 | 43 | 41 |
|
Thomas George Tomci
200 Village Dr Ste C |
$38.87 | 45 | 42 |
|
Jack D Smith
410 Pellis Rd Ste 2B |
$75.13 | 50 | 50 |
|
Kevin J Grosso
118 Nature Park Rd |
$38.27 | 59 | 55 |
|
Rishi Kad
530 South St |
$17.88 | 64 | 40 |
|
Fred George Hamaty
4731 Route 30 Ste 402 |
$29.12 | 67 | 67 |
|
Sreejata Raychaudhuri
200 Village Dr |
$41.10 | 67 | 59 |
|
Matthew R Panahandeh
4000 Hempfield Plaza Blvd |
$50.45 | 70 | 64 |
|
Douglas S. Schulman
530 South St |
$35.40 | 71 | 71 |
|
Chantal E. Trice
44 S Washington Ave |
$32.82 | 73 | 70 |
|
Robert M Zaccagnini
326 Frye Farm Rd |
$41.58 | 85 | 84 |
|
Chelsea Laura Capretti
6321 Route 30 Fl 2 |
$38.75 | 87 | 76 |
|
Ehab F Morcos
44 S Washington Ave |
$41.59 | 88 | 84 |
|
Jeffrey Allan Reyer
300 Cameo Ln |
$23.20 | 90 | 87 |
|
Lea Ann Lope
516 Pellis Rd |
$83.33 | 92 | 91 |
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 Greensburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Greensburg, PA is $49.62 per claim, based on 199,249 claims from 138 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 Greensburg, PA?
There are 138 Medicaid providers offering Office Visit related services in Greensburg, PA according to public payment data.
What is the price range for Office Visit in Greensburg, PA?
Medicaid reimbursement for Office Visit in Greensburg, PA ranges from $0.00 to $83.33 per claim, with an average of $49.62. 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 Greensburg, PA
Case Management Services
Avg $89.69
160,012 claims
X-Ray
Avg $7.31
127,162 claims
Physical Therapy
Avg $40.49
107,553 claims
Speech Therapy
Avg $28.85
93,634 claims
Emergency Room Visit
Avg $89.28
78,502 claims
Ambulance Transport
Avg $107.62
73,072 claims
Home Health Visit
Avg $40.12
57,805 claims
Blood Work & Lab Tests
Avg $5.88
55,594 claims