Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Johnstown, PA: $48.32

Avg. Paid

$48.32

Range

$0.00 – $190.03

Total Claims

320,949

Providers

181

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 Johnstown, PA

Provider	Avg. Paid	Claims	Patients
Matthew Lee Zajdel 100 Susan Dr	$53.06	34,191	31,952
Elaine Ann Confer 323 Budfield St	$50.22	24,883	22,627
Michelle R Sredy 1322 Eisenhower Blvd	$46.31	21,232	20,245
Edward J Pawlowski 1322 Eisenhower Blvd	$50.30	20,308	19,264
Andrew A. Garbarino 1322 Eisenhower Blvd	$47.61	16,828	16,116
Regina T Kupchella 1322 Eisenhower Blvd	$50.93	15,507	14,840
Venkata R Dharbhamulla 1322 Eisenhower Blvd	$48.45	13,789	13,270
Richard Michael Kastelic 322 Warren St	$11.92	8,179	6,943
Adib Najib Khouzami 1111 Franklin St	$46.10	7,136	6,181
Sharon Marie Plank 1450 Scalp Ave Ste 1000	$41.14	6,657	6,293
Renee Jennifer Mathur 913 Menoher Blvd	$43.71	5,568	5,493
Kelly Emswiler 1322 Eisenhower Blvd	$50.13	5,474	4,706
Jihad Elias Azar 1111 Franklin St	$40.76	5,393	4,738
James Edward Mckendree 1013 Menoher Blvd	$66.36	4,272	4,173
Rubayat Hasan Qadeer 1086 Franklin St	$74.76	4,174	3,902
Joel Edward Messom 1111 Franklin St Ste 300	$44.20	3,967	3,563
Samir A Hadeed 374 Theatre Dr	$32.03	3,798	3,665
Thomas J Kozesky 1086 Franklin St	$48.88	3,610	2,916
Bradley Russell Drennen 1322 Eisenhower Blvd	$47.18	3,387	3,326
Yi Yan Hong 321 Main St	$57.77	3,185	2,983
Shantan G Reddy 337 Somerset St	$70.35	2,981	2,579
Jacob Matthew Budny 2 Celeste Dr	$54.17	2,687	2,426
David C Armstrong 348 Budfield Street	$46.60	2,623	2,570
Nicholas J Lanciano 1450 Scalp Ave	$38.46	2,620	2,582
Craig H Fockler 336 Bloomfield St Ste 201	$47.62	2,599	2,400
Krishna M Bhat 1 Tech Park Dr	$43.13	2,593	2,520
Bahige Henry Arida 1020 Franklin St Ste 300	$39.66	2,585	2,325
Jason E. Burmeister 1086 Franklin St	$44.04	2,549	2,495
Ibrahim Sbeitan 337 Somerset Street	$50.50	2,507	2,324
David Francis Lawless 551 Ferndale Ave	$42.51	2,479	2,194
Blaken Geisel 100 Susan Dr	$117.26	2,448	1,990
Hassen Omer Mohammed 348 Budfield St	$46.73	2,296	2,253
David F Holsinger 203 College Park Plz	$26.59	2,283	2,186
Samantha B Shaffer 1322 Eisenhower Blvd	$49.93	2,276	2,173
Elizabeth Evins Kline 1450 Scalp Ave	$38.84	2,243	2,221
Allison F Harbart 348 Budfield Street	$34.07	2,189	2,151
Christine Lee Santorella 1221 Scalp Ave	$61.15	2,163	2,115
Phillip Gvozden 128 Fairfield Ave	$40.02	1,945	1,866
Pediatric Care Specialists 1322 Eisenhower Blvd	$59.23	1,915	1,586
Lynn C Johnston 1086 Franklin St	$40.41	1,893	1,833
Charles Wilbur Stotler 334 Bloomfield St	$39.28	1,849	1,748
Jessica Lynn Masser 1086 Franklin St	$43.25	1,829	1,771
Lindsay Walker 1450 Scalp Ave	$39.19	1,537	1,490
Brittany Louise Walker 1450 Scalp Ave Ste 2100	$46.26	1,522	1,510
Choodamani Aryal 1086 Franklin St	$47.64	1,521	1,442
Brittany Brewer 1450 Scalp Ave Ste 2100	$46.46	1,431	1,417
Kayla Ann Beatty 348 Budfield St	$67.66	1,417	1,380
Salah Aldergash 1086 Franklin St	$46.12	1,325	1,238
Glenn Pierce Gardner 1086 Franklin St	$190.03	1,308	1,308
Alcinto Steven Guirand 1450 Scalp Ave Ste 2100	$38.27	1,308	1,281

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 Johnstown, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Johnstown, PA is $48.32 per claim, based on 320,949 claims from 181 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 Johnstown, PA?

There are 181 Medicaid providers offering Office Visit related services in Johnstown, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Johnstown, PA ranges from $0.00 to $190.03 per claim, with an average of $48.32. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Johnstown, PA: $48.32

Providers Offering Office Visit in Johnstown, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Johnstown, PA

Emergency Room Visit

Blood Work & Lab Tests

X-Ray

Physical Therapy

Ambulance Transport

Hearing Test (Audiometry)

Speech Therapy

Ultrasound