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Based on public Medicaid payment data.

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
Ronnie John Mignella

4429 Whippoorwill Dr

$40.34 15 15
Angela G Rosie

3120 Highland Rd

$53.12 19 19
Emmy Burkett

705 Brookshire Dr

$51.50 20 19
Primary Health Network

220 N Buhl Farm Dr

$0.00 22 13
Robert Brown

875 N Hermitage Rd

$19.78 24 24
Christopher John Joseph

2151 Shenango Valley Fwy Ste C-5

$51.12 25 24
Colby L Cox

2025 E State St

$14.97 25 25
Mary Honard

1005 Campus Cir

$84.12 28 28
Brittany Gladysz

875 N Hermitage Rd Ste 1

$40.53 30 28
Brian Szabo

2501 Shenango Valley Fwy

$20.40 30 30
Sandra Livingston

1075 N Hermitage Rd

$32.60 35 35
Janet Sara Robb

875 N Hermitage Rd Ste 3

$31.60 36 36
Amanda Pinter

449 N Hermitage Rd

$38.50 36 36
Sharon L Miller

752 Brookshire Dr

$61.62 39 39
Alfred J Joseph

2151 Shenango Valley Fwy

$36.06 46 40
Katarina Lavelle Lewis

449 N Hermitage Rd

$46.27 50 50
Ravindra K Sachdeva

2425 Garden Way

$16.61 55 30
Joseph Elias Abdul-Malak

2151 Shenango Valley Fwy Ste A-2

$71.60 59 48
Rebekah Lynn Johnston

Medexpress Urgent Care

$49.50 59 56
Tonya Lynn Telesz

1075 N Hermitage Rd

$33.62 62 62
Jessica Jones

2999 Innovation Way

$28.61 85 84
James J Marcin

752 Brookshire Dr

$49.08 95 92
Angela Currens

2213 Shenango Valley Fwy

$33.79 96 89
Childen'S Community Care

3068 Innovation Way

$86.28 98 74
Chinedu Angela Ebere Igwe

2999 Innovation Way

$34.93 107 105
Tera S Frydrych

875 N Hermitage Rd

$43.09 114 113
Gene A Marcelli

2425 Garden Way

$8.09 119 74
Nicola B Nicoloff

2999 Innovation Way

$37.04 123 118
Melissa Lee Moss

875 N Hermitage Rd

$36.53 123 109
Sheetal Nijhawan

2425 Garden Way Ste 101

$42.51 124 121
Brandi Carroll-Chechak

2395 Garden Way

$86.57 149 148
Alexandra Mcclurg

875 N Hermitage Rd

$40.91 152 141
Andrew D. Klugh

3120 Highland Rd

$18.75 168 157
Matthew Anthony Tofani

449 N Hermitage Rd

$53.42 186 183
Alyssa Abbott

220 N Buhl Farm Dr

$0.00 188 180
Mary C Dougherty

449 N Hermitage Rd

$45.32 227 219
Michael E Abdul-Malak

2151 Shenango Valley Fwy Ste A-2

$39.06 245 230
Joseph Randy Kalik

295 N Kerrwood Dr

$23.58 280 257
William Trachtman

3150 Highland Rd

$26.54 291 281
Lynn Ann Colaiacovo

2501 Shenango Valley Fwy

$37.30 292 289
Daniel A Bee

3110 Highland Rd

$47.42 316 294
Brian D Shannon

752 Brookshire Dr

$22.11 366 347
Sabeeh Ahmed Siddiqui

2999 Innovation Way

$33.10 440 418
Diana Cantellops

480 N. Kerrwood Dr. Suite 103

$43.78 475 468
Karl Donald Stoudt

1014 Lillian Dr

$0.00 479 442
Dean Petrucci

705 Brookshire Dr

$42.08 494 479
Ricardo Goncalves Alvim

2400 Highland Road

$31.26 520 510
Laura Louise Dejulia

2395 Garden Way

$64.10 564 547
Jay W Porter

3150 Highland Rd

$33.95 578 537
Valeri Lynn Roth

2395 Garden Way

$38.91 625 591

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

Other Procedures in Hermitage, PA