Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Irwin, PA: $56.01

Avg. Paid

$56.01

Range

$18.55 – $88.68

Total Claims

49,977

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 Irwin, PA

Provider	Avg. Paid	Claims	Patients
Jad Sallit 905 Spruce St	$39.91	12	12
Madison Lomicka 27 N Thompson Ln	$18.55	12	12
Julie Seifert 4044 Route 130 Ste 240	$20.99	14	13
David Howard Rich 8791 Barnes Lake Rd	$72.81	15	15
Chung-Yen Philip Hsu 4044 Route 130 Ste 200	$21.46	24	13
Rebecca Lynn Kunkle 8775 Norwin Ave Ste 108	$53.92	26	25
Heather A Dryer 7546 Route 30	$48.97	31	30
Devon Granny 4044 Route 130 Ste 200	$57.88	41	40
Stephanie Maestre 8775 Norwin Ave Ste A	$34.36	45	42
Daniel Jose Sanchez 7546 Route 30 Ste 1	$29.77	69	67
Steven L Romiti 4044 Route 130	$35.51	95	89
Robert A Crossey 4044 Route 130	$58.18	111	104
Femabelle Bautista 8791 Barnes Lake Rd	$32.89	116	115
Bridget Rose Joreitz 8775 Norwin Ave Ste D	$31.32	127	120
Julie Nelson 4044 Route 130	$52.21	133	129
Lauren Blaszkowski 610 Pettigrew Rd	$47.05	152	152
Ruba Nicola 905 Spruce St Ste 201	$32.66	160	156
Ashley M Sanchez 8775 Norwin Ave Ste D	$34.57	183	175
Katelyn Marie Macik 4044 Route 130 Ste 200	$48.68	228	218
Alepix Behavioral Clinic Professional Corporation 25 N Thompson Ln Ste E	$88.68	288	270
Megan Kathryn Wright 8955 Lincoln Hwy E	$62.82	323	305
Scott Nellis 8775 Norwin Ave	$45.51	334	319
Stacy Lee Lemmon 3520 Route 130	$28.56	406	392
Tiffany Kay Romantino 8775 Norwin Ave Ste 108	$46.10	648	637
Laryn Rajkarnikar 8958 Hill Dr	$35.62	740	692
Lucas Heller 8775 Norwin Ave Ste 100	$38.74	807	799
Roy R Clark 8800 Barnes Lake Rd	$77.67	929	725
Valerie E Cole 4044 Route 130 Ste 240	$72.59	1,077	1,062
Michael P Hahalyak 7546 Route 30	$32.61	1,200	1,160
Mark C Gottron 905 Spruce St	$33.77	1,431	1,239
Stephanie Ford 905 Spruce St Ste 201	$34.03	1,449	1,352
Tyler Reinthaler 3520 Route 130	$53.68	1,589	1,489
Jawdat A Nikoula 905 Spruce St Ste 201	$35.21	1,644	1,573
Justin Ray Wentworth 8775 Norwin Ave	$44.23	1,902	1,832
Karim Khalil 9173 Route 30	$44.74	3,221	2,814
Katherine Patterson Neely 4044 Route 130	$76.20	4,472	4,383
Jodi Jackson 8791 Barnes Lake Rd	$72.98	4,681	4,396
Kristen M Hanley 8791 Barnes Lake Rd	$73.60	5,759	5,392
Rana Ziadeh 8791 Barnes Lake Rd	$72.34	6,584	6,185
James Y. Lim 905 Spruce St	$37.32	8,899	7,398

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 Irwin, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Irwin, PA is $56.01 per claim, based on 49,977 claims from 40 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 Irwin, PA?

There are 40 Medicaid providers offering Office Visit related services in Irwin, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Irwin, PA ranges from $18.55 to $88.68 per claim, with an average of $56.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Irwin, PA: $56.01

Providers Offering Office Visit in Irwin, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Irwin, PA

Home Health Visit

Ambulance Transport

Physical Therapy

Blood Work & Lab Tests

Speech Therapy

Case Management Services

Hearing Test (Audiometry)

Behavioral & Mental Health Therapy