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
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 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