Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Grove City, PA: $55.77

Avg. Paid

$55.77

Range

$6.34 – $79.10

Total Claims

48,154

Providers

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 Grove City, PA

Provider	Avg. Paid	Claims	Patients
David W. Hefner 675 N Broad Street Ext	$70.77	21,839	19,436
Ji Hye Chung Charlton 631 N Broad Street Ext	$20.54	3,605	2,221
Ashley Lynn Adams 201 Erie St Ste C	$47.62	3,048	2,613
Christopher Sprando 420 Hillcrest Ave	$41.41	2,269	2,133
Francis J Bassani 647 N Broad Street Ext	$49.92	2,258	1,992
Heather Mourtacos 631 N Broad Street Ext	$58.29	1,983	1,380
Jennifer Rhea Lash 715 Liberty Street Ext	$43.22	1,924	1,776
Anna K Bires 647 N Broad Street Ext Ste 106	$56.17	1,531	1,412
Nicole Lynn Carlson 631 N Broad Street Ext	$79.10	1,200	845
Troy G Anderson 631 N Broad Street Ext	$59.49	1,047	806
Dawn Yvonne Stein 647 North Broad Street Ext	$17.08	951	815
Edward Smith 420 Hillcrest Ave	$34.25	814	768
Nicholas Adam Bonazza 450 Hillcrest Ave	$68.21	758	731
Veronica Santee 647 N Broad Street Ext Ste 106	$34.90	757	725
Brittany Hamilton 450 Hillcrest Ave	$45.14	597	555
Amanda Irene Johnson 647 N Broad Street Ext Ste 204	$16.92	561	523
Timothy J. Lilly 432 Hillcrest Ave	$39.98	376	365
John P Powers 647 N Broad Street Ext Ste 204	$34.24	358	332
Katie J Stemmerich 420 Hillcrest Ave	$43.32	351	328
Lindsey Aaron Smith 201 Erie St	$49.66	350	346
William Calvin Dundore 647 North Broad Street Ext	$39.45	282	222
Benna Marguarita Click 220 N Broad St	$13.94	246	241
Jared Matthew Ramsey 647 N Broad Street Ext Ste 107	$56.90	196	185
Childen'S Community Care 1424 W Main St Ste 3A	$59.36	191	151
Joshua Wayne Click 220 N Broad St	$6.34	166	166
Sarah Elizabeth Miller 647 N Broad Street Ext Ste 106	$29.90	157	152
Marc J Butcher 647 N Broad Street Ext Ste 204	$20.09	116	111
Andrew Richard Batchelet 1743 S Center St Ext	$28.67	71	67
Leah Alta Mcdowell 420 Hillcrest Ave	$48.14	48	45
Joshua Buchholz 647 N Broad Street Ext Ste 107	$48.77	27	26
Casey R Sansom 420 Hillcrest Ave	$27.50	21	19
Nicole L Norris 647 N Broad Street Ext Ste 106	$45.78	17	16
Travis Eugene Denny 647 North Broad Street Extention	$51.31	14	14
Anne Leali 420 Hillcrest Ave	$26.65	13	13
Linette R Hilliard 675 N Broad Street Ext Ste 4	$37.93	12	12

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 Grove City, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grove City, PA is $55.77 per claim, based on 48,154 claims from 35 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 Grove City, PA?

There are 35 Medicaid providers offering Office Visit related services in Grove City, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Grove City, PA ranges from $6.34 to $79.10 per claim, with an average of $55.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Grove City, PA: $55.77

Providers Offering Office Visit in Grove City, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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