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
49
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 |
|---|---|---|---|
|
Melissa Carrie Albert
1200 Brooks Ln |
$23.85 | 12 | 12 |
|
Alexandra Marie Ellwood
575 Coal Valley Rd Ste 277 |
$14.81 | 13 | 13 |
|
Maricel Del Carmen Castaner
575 Coal Valley Rd |
$55.55 | 14 | 13 |
|
Natalie Jo Osiecki
1200 Brooks Ln Ste 130 |
$21.38 | 14 | 14 |
|
Ryan Larry Mcmillen
1200 Brooks Ln |
$16.00 | 17 | 17 |
|
Phyllis Terese Law
1200 Brooks Ln |
$35.36 | 24 | 24 |
|
Carly Thompson
1200 Brooks Ln Ste 290 |
$24.60 | 25 | 24 |
|
James F Shanahan
575 Coal Valley Rd |
$42.87 | 26 | 26 |
|
Charles Michael Brown
1633 Route 51 |
$22.44 | 26 | 25 |
|
Kristen M Mcnally
565 Coal Valley Rd Fl 2 |
$37.68 | 27 | 24 |
|
Nupur Dashottar
1200 Brooks Ln |
$24.40 | 27 | 24 |
|
Shashank Reddy Musku
1200 Brooks Ln Ste G20 |
$77.57 | 28 | 26 |
|
Michael S. Nathanson
1633 Route 51 |
$40.18 | 28 | 28 |
|
Brian W Horgan
575 Coal Valley Rd Ste 573 |
$29.81 | 31 | 30 |
|
Daniel Rubin
575 Coal Valley Rd |
$13.64 | 36 | 35 |
|
Daniel W Pituch
575 Coal Valley Rd |
$35.35 | 39 | 39 |
|
Joyce Petruzzi Marasco
565 Coal Valley Rd Fl 2 |
$37.68 | 47 | 47 |
|
Zachary Walsh Sisko
1200 Brooks Ln Ste G20 |
$21.22 | 63 | 60 |
|
Rachel L Raymond
1200 Brooks Ln Ste 130 |
$31.16 | 64 | 61 |
|
Jordan Luke Allen
1200 Brooks Ln Ste 220 |
$30.43 | 76 | 73 |
|
April Renee Pavlina
565 Coal Valley Rd Fl 2 |
$33.46 | 99 | 92 |
|
Brian Michael Thomas
575 Coal Valley Rd |
$44.70 | 160 | 140 |
|
Adam L Dore
575 Coal Valley Rd Ste 573 |
$57.43 | 199 | 197 |
|
Amish M Mehta
575 Coal Valley Rd Ste 570 |
$24.82 | 239 | 228 |
|
Amy J Stakeley
1633 Route 51 Ste 105 |
$0.48 | 260 | 253 |
|
Whitney Thompson
565 Coal Valley Rd Fl 2 |
$33.70 | 266 | 260 |
|
Cassandra N Demarco
565 Coal Valley Rd Fl 2 |
$66.16 | 270 | 267 |
|
Christopher A Radkowski
1200 Brooks Ln Ste G20 |
$22.46 | 272 | 264 |
|
David Connell
565 Coal Valley Rd |
$58.49 | 322 | 316 |
|
Mildred Duvet
575 Coal Valley Rd Ste 300 |
$71.21 | 335 | 288 |
|
Kayli Deckert
565 Coal Valley Rd |
$62.80 | 369 | 351 |
|
Ziad Ismael
1200 Brooks Ln |
$30.83 | 393 | 390 |
|
Tobi Lynn Shuman
1200 Brooks Lane |
$33.60 | 411 | 406 |
|
Nicole L Terling
565 Coal Valley Rd Fl 2 |
$34.75 | 439 | 421 |
|
Derrico Vincent Quattrone
1633 Route 51 Ste 201 |
$15.02 | 515 | 479 |
|
Shannon Marie Riccobelli
565 Coal Valley Rd |
$83.16 | 518 | 510 |
|
Jan Marie Pesci
565 Coal Valley Rd Fl 2 |
$34.76 | 690 | 657 |
|
Jill Brandtonies
565 Coal Valley Rd Fl 2 |
$37.33 | 723 | 695 |
|
Rajesh Mehta
575 Coal Valley Rd |
$21.81 | 781 | 720 |
|
Patience Ngozi Agbodzie
565 Coal Valley Rd Fl 2 |
$34.06 | 825 | 802 |
|
Marcie A Lauzon
575 Coal Valley Rd Ste 277 |
$21.16 | 828 | 802 |
|
Virginia Barney
565 Coal Valley Rd Fl 2 |
$35.40 | 1,011 | 980 |
|
Kelly Anne Johnson
565 Coal Valley Rd |
$7.12 | 1,310 | 1,179 |
|
Darcy Billisits Giger
565 Coal Valley Rd |
$41.04 | 1,382 | 1,337 |
|
Pushpa Kumari
1200 Brooks Ln |
$41.00 | 2,919 | 2,826 |
|
Lee Ann Johns
575 Coal Valley Rd Ste 277 |
$36.94 | 2,992 | 2,743 |
|
Aleksandr Vladimirovich Mikhaylovskiy
575 Coal Valley Rd |
$20.29 | 3,477 | 3,407 |
|
Rachel Sparinga
565 Coal Valley Rd |
$62.86 | 3,568 | 3,503 |
|
Riaz Riza Rahman
575 Coal Valley Rd Ste 570 |
$42.36 | 9,245 | 8,227 |
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.
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 Jefferson Hills, PA
Emergency Room Visit
Avg $93.15
35,728 claims
EKG / ECG (Electrocardiogram)
Avg $6.93
25,482 claims
Ambulance Transport
Avg $142.81
16,804 claims
Blood Work & Lab Tests
Avg $5.09
16,711 claims
Nursing Facility Care
Avg $16.80
5,300 claims
Speech Therapy
Avg $69.46
5,227 claims
Urinalysis & Urine Tests
Avg $2.52
4,197 claims
Physical Therapy
Avg $13.82
3,656 claims