Average Medicaid Office Visit Payments in Hermitage, PA: $42.72
Avg. Paid
$42.72
Range
$0.00 – $94.03
Total Claims
90,032
Providers
76
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 Hermitage, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cheryl Duffy
3068 Innovation Way |
$70.46 | 15,264 | 13,583 |
|
Geoffrey Lathrop Bull
850 S Hermitage Rd |
$51.03 | 11,493 | 10,823 |
|
Richard Stigliano
3140 Highland Rd |
$41.23 | 10,095 | 6,423 |
|
Rajvi Patel
449 N Hermitage Rd |
$5.44 | 7,642 | 7,065 |
|
Stephen Mccartan
2999 Presidential Blvd |
$34.78 | 5,255 | 4,880 |
|
Farooq Hassan
2500 Highland Rd |
$32.61 | 4,680 | 4,571 |
|
Bryan Phillip Hooks
1599 N Hermitage Rd |
$38.97 | 2,719 | 2,596 |
|
Edward Uberti
1599 N Hermitage Rd |
$42.20 | 2,533 | 2,447 |
|
Charles Edward D'Auria
480 N Kerrwood Dr |
$18.80 | 2,247 | 1,897 |
|
Robert Walter Piston
3120 Highland Rd |
$29.84 | 2,156 | 1,998 |
|
Adam Keith Lucich
449 N Hermitage Rd |
$43.34 | 2,021 | 1,910 |
|
Cynthia R. Paschal-Pulliam
2375 Garden Way |
$88.05 | 1,675 | 1,596 |
|
Iftikhar Ahmed Chatha
2500 Highland Rd Ste 102 |
$16.58 | 1,591 | 1,500 |
|
Kayla Milano
2425 Garden Way Ste 102 |
$49.84 | 1,313 | 1,228 |
|
Heather Joy Porter
480 N Kerrwood Dr |
$16.73 | 1,229 | 1,151 |
|
Joseph T Joseph
1466 North Hermitage Road |
$28.28 | 1,201 | 1,085 |
|
Anthony Charles Canterna
3120 Highland Rd |
$36.36 | 1,110 | 339 |
|
Peter Daloni
2400 Highland Rd |
$33.77 | 987 | 969 |
|
Deborah Oppman
449 N Hermitage Rd Ste 2 |
$55.09 | 874 | 769 |
|
Mark Gardner
1599 N Hermitage Rd |
$37.31 | 847 | 821 |
|
Mazen Alsinnawi
2400 Highland Road |
$28.84 | 766 | 738 |
|
David Eugene Wood
1623 Dutch Ln |
$94.03 | 757 | 753 |
|
James G Ryan
2999 Innovation Way |
$28.12 | 744 | 729 |
|
Jamie Marie Chlpka
401 Grove St |
$64.58 | 700 | 693 |
|
Brandon Michael Mikolich
2999 Presidential Blvd |
$33.98 | 655 | 639 |
|
Michelle Thompson
705 Brookshire Dr Ste 2 |
$47.19 | 644 | 607 |
|
Valeri Lynn Roth
2395 Garden Way |
$38.91 | 625 | 591 |
|
Jay W Porter
3150 Highland Rd |
$33.95 | 578 | 537 |
|
Laura Louise Dejulia
2395 Garden Way |
$64.10 | 564 | 547 |
|
Ricardo Goncalves Alvim
2400 Highland Road |
$31.26 | 520 | 510 |
|
Dean Petrucci
705 Brookshire Dr |
$42.08 | 494 | 479 |
|
Karl Donald Stoudt
1014 Lillian Dr |
$0.00 | 479 | 442 |
|
Diana Cantellops
480 N. Kerrwood Dr. Suite 103 |
$43.78 | 475 | 468 |
|
Sabeeh Ahmed Siddiqui
2999 Innovation Way |
$33.10 | 440 | 418 |
|
Brian D Shannon
752 Brookshire Dr |
$22.11 | 366 | 347 |
|
Daniel A Bee
3110 Highland Rd |
$47.42 | 316 | 294 |
|
Lynn Ann Colaiacovo
2501 Shenango Valley Fwy |
$37.30 | 292 | 289 |
|
William Trachtman
3150 Highland Rd |
$26.54 | 291 | 281 |
|
Joseph Randy Kalik
295 N Kerrwood Dr |
$23.58 | 280 | 257 |
|
Michael E Abdul-Malak
2151 Shenango Valley Fwy Ste A-2 |
$39.06 | 245 | 230 |
|
Mary C Dougherty
449 N Hermitage Rd |
$45.32 | 227 | 219 |
|
Alyssa Abbott
220 N Buhl Farm Dr |
$0.00 | 188 | 180 |
|
Matthew Anthony Tofani
449 N Hermitage Rd |
$53.42 | 186 | 183 |
|
Andrew D. Klugh
3120 Highland Rd |
$18.75 | 168 | 157 |
|
Alexandra Mcclurg
875 N Hermitage Rd |
$40.91 | 152 | 141 |
|
Brandi Carroll-Chechak
2395 Garden Way |
$86.57 | 149 | 148 |
|
Sheetal Nijhawan
2425 Garden Way Ste 101 |
$42.51 | 124 | 121 |
|
Nicola B Nicoloff
2999 Innovation Way |
$37.04 | 123 | 118 |
|
Melissa Lee Moss
875 N Hermitage Rd |
$36.53 | 123 | 109 |
|
Gene A Marcelli
2425 Garden Way |
$8.09 | 119 | 74 |
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 Hermitage, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hermitage, PA is $42.72 per claim, based on 90,032 claims from 76 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 Hermitage, PA?
There are 76 Medicaid providers offering Office Visit related services in Hermitage, PA according to public payment data.
What is the price range for Office Visit in Hermitage, PA?
Medicaid reimbursement for Office Visit in Hermitage, PA ranges from $0.00 to $94.03 per claim, with an average of $42.72. 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
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Las Vegas, NV
Avg $54.47
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Other Procedures in Hermitage, PA
Substance Abuse Treatment
Avg $15.67
94,125 claims
Ambulance Transport
Avg $170.07
24,575 claims
Physical Therapy
Avg $45.79
24,415 claims
Podiatry (Foot Care)
Avg $11.00
16,705 claims
Blood Work & Lab Tests
Avg $8.57
16,525 claims
Dental Cleaning & Exam
Avg $24.46
12,669 claims
Emergency Room Visit
Avg $94.17
10,340 claims
Nursing Facility Care
Avg $21.57
7,958 claims