Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Jefferson Hills, PA: $38.67

Avg. Paid

$38.67

Range

$0.48 – $83.16

Total Claims

35,455

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 Jefferson Hills, PA

Provider	Avg. Paid	Claims	Patients
Riaz Riza Rahman 575 Coal Valley Rd Ste 570	$42.36	9,245	8,227
Rachel Sparinga 565 Coal Valley Rd	$62.86	3,568	3,503
Aleksandr Vladimirovich Mikhaylovskiy 575 Coal Valley Rd	$20.29	3,477	3,407
Lee Ann Johns 575 Coal Valley Rd Ste 277	$36.94	2,992	2,743
Pushpa Kumari 1200 Brooks Ln	$41.00	2,919	2,826
Darcy Billisits Giger 565 Coal Valley Rd	$41.04	1,382	1,337
Kelly Anne Johnson 565 Coal Valley Rd	$7.12	1,310	1,179
Virginia Barney 565 Coal Valley Rd Fl 2	$35.40	1,011	980
Marcie A Lauzon 575 Coal Valley Rd Ste 277	$21.16	828	802
Patience Ngozi Agbodzie 565 Coal Valley Rd Fl 2	$34.06	825	802
Rajesh Mehta 575 Coal Valley Rd	$21.81	781	720
Jill Brandtonies 565 Coal Valley Rd Fl 2	$37.33	723	695
Jan Marie Pesci 565 Coal Valley Rd Fl 2	$34.76	690	657
Shannon Marie Riccobelli 565 Coal Valley Rd	$83.16	518	510
Derrico Vincent Quattrone 1633 Route 51 Ste 201	$15.02	515	479
Nicole L Terling 565 Coal Valley Rd Fl 2	$34.75	439	421
Tobi Lynn Shuman 1200 Brooks Lane	$33.60	411	406
Ziad Ismael 1200 Brooks Ln	$30.83	393	390
Kayli Deckert 565 Coal Valley Rd	$62.80	369	351
Mildred Duvet 575 Coal Valley Rd Ste 300	$71.21	335	288
David Connell 565 Coal Valley Rd	$58.49	322	316
Christopher A Radkowski 1200 Brooks Ln Ste G20	$22.46	272	264
Cassandra N Demarco 565 Coal Valley Rd Fl 2	$66.16	270	267
Whitney Thompson 565 Coal Valley Rd Fl 2	$33.70	266	260
Amy J Stakeley 1633 Route 51 Ste 105	$0.48	260	253
Amish M Mehta 575 Coal Valley Rd Ste 570	$24.82	239	228
Adam L Dore 575 Coal Valley Rd Ste 573	$57.43	199	197
Brian Michael Thomas 575 Coal Valley Rd	$44.70	160	140
April Renee Pavlina 565 Coal Valley Rd Fl 2	$33.46	99	92
Jordan Luke Allen 1200 Brooks Ln Ste 220	$30.43	76	73
Rachel L Raymond 1200 Brooks Ln Ste 130	$31.16	64	61
Zachary Walsh Sisko 1200 Brooks Ln Ste G20	$21.22	63	60
Joyce Petruzzi Marasco 565 Coal Valley Rd Fl 2	$37.68	47	47
Daniel W Pituch 575 Coal Valley Rd	$35.35	39	39
Daniel Rubin 575 Coal Valley Rd	$13.64	36	35
Brian W Horgan 575 Coal Valley Rd Ste 573	$29.81	31	30
Shashank Reddy Musku 1200 Brooks Ln Ste G20	$77.57	28	26
Michael S. Nathanson 1633 Route 51	$40.18	28	28
Kristen M Mcnally 565 Coal Valley Rd Fl 2	$37.68	27	24
Nupur Dashottar 1200 Brooks Ln	$24.40	27	24
James F Shanahan 575 Coal Valley Rd	$42.87	26	26
Charles Michael Brown 1633 Route 51	$22.44	26	25
Carly Thompson 1200 Brooks Ln Ste 290	$24.60	25	24
Phyllis Terese Law 1200 Brooks Ln	$35.36	24	24
Ryan Larry Mcmillen 1200 Brooks Ln	$16.00	17	17
Maricel Del Carmen Castaner 575 Coal Valley Rd	$55.55	14	13
Natalie Jo Osiecki 1200 Brooks Ln Ste 130	$21.38	14	14
Alexandra Marie Ellwood 575 Coal Valley Rd Ste 277	$14.81	13	13
Melissa Carrie Albert 1200 Brooks Ln	$23.85	12	12

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 Jefferson Hills, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jefferson Hills, PA is $38.67 per claim, based on 35,455 claims from 49 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 Jefferson Hills, PA?

There are 49 Medicaid providers offering Office Visit related services in Jefferson Hills, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Jefferson Hills, PA ranges from $0.48 to $83.16 per claim, with an average of $38.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Jefferson Hills, PA: $38.67

Providers Offering Office Visit in Jefferson Hills, 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 Jefferson Hills, PA

Emergency Room Visit

EKG / ECG (Electrocardiogram)

Ambulance Transport

Blood Work & Lab Tests

Nursing Facility Care

Speech Therapy

Urinalysis & Urine Tests

Physical Therapy