Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Indiana, PA: $44.54

Avg. Paid

$44.54

Range

$0.00 – $106.75

Total Claims

101,386

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 Indiana, PA

Provider	Avg. Paid	Claims	Patients
Community Guidance Center 793 Old Route 119 Hwy N	$18.75	12	12
Sarah Cordelia Guzik 640 Kolter Dr	$38.50	16	15
R L Wincek-Bateson 678 Philadelphia St	$18.21	16	15
Grant Ingalls 120 Irmc Dr Ste 100	$4.07	17	17
Ashok Chaddah 841 Hospital Rd	$9.06	17	15
Richard R Sandrowicz 1265 Wayne Ave	$0.00	17	12
Lilian Shotts 835 Hospital Rd	$15.50	22	13
Bruce M Rothschild 120 Irmc Dr	$46.80	23	15
Tracy Jo Gemmell 841 Hospital Rd Ste 2500	$34.79	28	27
Shirish A Amin 1265 Wayne Ave	$53.45	28	28
Nervana T. Mahmoud 15 S 8Th St	$39.91	39	38
Berjesh Kumar Sharda 1265 Wayne Ave Ste 104	$30.54	39	39
Leonard Eric Maliver 841 Hospital Rd	$21.43	45	45
Mark W Boyd 151 Mill Run Dr	$68.55	50	50
Wade Evans 850 Hospital Rd Ste 2200	$34.63	61	60
John S Gregg 1265 Wayne Ave Ste 306	$29.78	66	66
Thomas Mcdowell 835 Hospital Rd	$34.59	69	68
Jason Myers 1070 Wayne Ave	$58.86	73	73
Indiana Pediatric Associates, Pc 2255 Philadelphia Street	$48.14	84	73
Imran Mushtaq Bajwa 850 Hospital Rd	$41.26	93	93
Kristi Lynn Manners 850 Hospital Rd	$41.96	95	90
James A Iannazzi 850 Hospital Road	$31.13	96	96
Karissa Wess Angleson Indiana Regional Medical Center Emergency Department	$46.36	101	101
Seth Parker Worthing 835 Hospital Rd	$67.54	103	98
Gopala Ramineni 850 Hospital Rd	$34.25	104	102
Michael Vincent Suffredini 120 Irmc Dr Ste 100	$41.16	121	109
Whitney Nichole Hill 1097 Oak St Lowr Floor	$63.61	135	133
Gregory J Lynch 841 Hospital Rd Ste 2300	$31.13	142	135
Haley Lynne Kuhner 15 S 8Th St Ste 201	$53.41	170	160
Jamil Ahmed 2121 Shelly Dr	$34.36	180	166
Laura Gaines 2501 Warren Rd	$8.71	193	164
Eric Sean Bohn 120 Irmc Dr	$65.20	214	210
Ronald Paul Cramer 841 Hospital Rd Ste 3200	$106.75	278	277
Mary Anne Barnicle 1265 Wayne Ave	$34.15	342	324
Tyler William Watson 120 Irmc Dr Ste 100	$51.46	347	339
Quiniece M Hurdle 1265 Wayne Ave Ste 200	$34.87	404	357
Durre Ahmed 2121 Shelly Dr	$32.75	412	396
Maria Olivia Stiles 835 Hospital Rd Ste 3200	$40.02	421	409
Craig C Mckirgan 120 Irmc Dr	$39.42	434	413
Gary William Lewis 1265 Wayne Ave Ste 306	$28.87	463	451
Patrick Robert Shannon 835 Hospital Road	$36.86	465	444
Bonnie Cramer 841 Hospital Rd Ste 2300	$44.65	482	473
Shelby Marie Hawk 1097 Oak St	$48.87	504	491
Ronald Brandon Trale 120 Irmc Dr	$31.22	556	530
Michael Sauter 850 Hospital Rd Ste 2200	$30.62	615	604
Joseph Lamantia 1690 Saltsburg Ave	$34.30	652	567
Michael R Stever 1075 Indian Springs Road	$30.64	724	601
Debra Murdick 850 Hospital Rd Ste 1300	$35.26	757	661
Medexpress Urgent Care, Pc - Pennsylvania 2128 Oakland Ave	$55.33	759	716
Abbey Jane Chi 879 Hospital Rd	$40.64	780	744

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 Indiana, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Indiana, PA is $44.54 per claim, based on 101,386 claims from 86 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 Indiana, PA?

There are 86 Medicaid providers offering Office Visit related services in Indiana, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Indiana, PA ranges from $0.00 to $106.75 per claim, with an average of $44.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Indiana, PA: $44.54

Providers Offering Office Visit in Indiana, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Indiana, PA

Physical Therapy

Emergency Room Visit

Ambulance Transport

Speech Therapy

Blood Work & Lab Tests

Chiropractic Care

Case Management Services

Home Health Visit