Average Medicaid Office Visit Payments in Greenville, PA: $45.32
Avg. Paid
$45.32
Range
$0.00 – $86.50
Total Claims
51,731
Providers
26
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 Greenville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lynne Mccrillis
90 Shenango St |
$64.72 | 9,271 | 8,407 |
|
Susan S Jackson
110 N Main St |
$86.50 | 8,328 | 8,111 |
|
Michael J Jurenovich
59 W Main St Ste B |
$35.43 | 5,380 | 4,895 |
|
Francisco J Cano
59 W Main St |
$41.01 | 4,792 | 4,616 |
|
Angela P Hogue
348 Main Street |
$1.06 | 4,409 | 4,227 |
|
Jeremy James Mashburn
348 Main St |
$30.98 | 2,356 | 2,127 |
|
Marlene A Bednar
Upmc Depart Of Neurology Horizon |
$58.28 | 1,859 | 1,805 |
|
Scott J Joyce
348 Main St |
$0.07 | 1,839 | 1,810 |
|
Lynne M Johnson
348 Main St |
$0.23 | 1,811 | 1,721 |
|
Barbara Lynn Varga
59 W Main St |
$36.08 | 1,460 | 1,301 |
|
Brandon Patrick Staub
110 N Main St Ste 103 |
$50.58 | 1,455 | 1,389 |
|
Christina Wong
90 Shenango St |
$39.57 | 1,429 | 1,347 |
|
Taimur Akram
90 Shenango St |
$61.10 | 1,304 | 1,257 |
|
Todd Jones
90 Shenango St |
$49.24 | 1,235 | 1,168 |
|
Alicia Baker
90 Shenango St |
$44.71 | 1,009 | 963 |
|
Kristen Kae Prezioso
348 S Main Street |
$0.00 | 866 | 849 |
|
Troy A Jones
90 Shenango St |
$41.19 | 829 | 787 |
|
James L Liszewski
90 Shenango St |
$38.24 | 569 | 539 |
|
Sharon S Blauser
41 Babcock Rd |
$1.07 | 504 | 486 |
|
Lindsay Louise Graham
90 Shenango St Ste 5 |
$44.75 | 348 | 340 |
|
Tulio Q Estrada-Quintero
428 S Main St |
$26.03 | 323 | 320 |
|
Primary Health Network
348 Main St |
$0.00 | 135 | 119 |
|
Gabriel O Te
11 Leech Rd |
$2.52 | 122 | 122 |
|
Jessica Steele
348 Main St |
$0.00 | 65 | 65 |
|
Ciara Ray
90 Shenango St Ste 5 |
$32.73 | 20 | 18 |
|
James Perry
90 Shenango St |
$46.05 | 13 | 13 |
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 Greenville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Greenville, PA is $45.32 per claim, based on 51,731 claims from 26 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 Greenville, PA?
There are 26 Medicaid providers offering Office Visit related services in Greenville, PA according to public payment data.
What is the price range for Office Visit in Greenville, PA?
Medicaid reimbursement for Office Visit in Greenville, PA ranges from $0.00 to $86.50 per claim, with an average of $45.32. 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 Greenville, PA
X-Ray
Avg $7.44
13,101 claims
EKG / ECG (Electrocardiogram)
Avg $6.39
10,071 claims
Speech Therapy
Avg $11.49
8,248 claims
Physical Therapy
Avg $36.37
6,695 claims
Blood Work & Lab Tests
Avg $4.86
5,928 claims
Chiropractic Care
Avg $1.09
4,540 claims
CT Scan (Computed Tomography)
Avg $48.89
4,371 claims
Hearing Test (Audiometry)
Avg $1.22
3,142 claims