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
Tracey Ann Eckenrod 136 Jaycee Dr	$36.46	12	12
Tim Arlow 938 Eisenhower Blvd	$36.46	12	12
Kathryn O Giroux 1086 Franklin St	$80.38	12	12
Samuel L Glass 120 Main St	$20.33	12	12
Erica Korin Wentz 1086 Franklin St	$68.68	12	12
Hannah Nicole Kopach 1 Tech Park Dr	$50.86	13	13
Nelly Giselly Tepper 1743 Goucher St	$48.14	13	13
Ashley Danielle Pollino 1086 Franklin St	$41.03	13	12
Donald M Leckey 2750 William Penn Ave	$41.44	13	13
Jill Brant 1111 Franklin St	$46.05	13	12
Emily Jill Satkovich 1086 Franklin St	$42.96	13	13
John J Brozetti 120 Main St	$34.21	14	12
Meaghan M Marley 1086 Franklin St	$45.50	14	13
Brian M Mccue 1086 Franklin St	$21.33	17	12
Paul G. Meade 1086 Franklin St	$60.80	18	18
Sara Selinsky 1086 Franklin St	$80.32	19	18
Gary F Risko 350 Southmont Blvd	$24.27	25	25
Jamie Eckenrod 16 Rose Street	$38.09	26	26
Safouh Malhis 100 Susan Dr	$57.58	28	28
Daphne Bree Gallucci 1111 Franklin St Ste 140	$49.92	29	29
Brooke Heiple 16 Rose Street	$13.97	30	28
Icare Medical 100 Susan Dr	$97.57	30	27
Johnnie Wilson Barto 323 Budfield St	$81.37	37	35
Elizabeth Witmer Dunmore 1086 Franklin St	$50.66	38	38
Richard M Kastelic Md & Assoc Pc 322 Warren St	$56.87	39	31
Shriram P Sirsikar 1 Tech Park Dr	$39.48	39	37
Cyril Nathaniel 1015 Franklin St	$36.91	39	39
Brittany N Skedel 241 Schoolhouse Rd Ste 201	$45.91	40	40
Cody Andersen 1086 Franklin St	$27.40	40	40
Gebran Abboud 1086 Franklin St	$26.98	43	43
Fredrick William Munzer 411 Theatre Dr	$38.60	43	40
Richard Paul Goodrich 2 Celeste Dr	$64.22	44	43
Mikki Sapkota 1450 Scalp Ave Ste 2100	$67.00	49	49
James Cutcliffe 1086 Franklin St	$49.78	59	53
Patrice Janice Wilson 1086 Franklin St Fl 7	$98.31	62	57
Anton Y Verbine 350 Budfield St	$29.47	64	49
Michael John Yuhas 132 Market St	$32.53	65	62
Kevin M Jones 1086 Franklin St	$44.03	70	63
Erika George 516 Indiana St	$33.51	70	69
Charles J Oschwald 1123 Franklin St	$24.59	72	70
Cortney Lynn Langerholc 203 College Park Plz	$0.00	75	64
Paul Trimeloni 1086 Franklin St	$32.93	76	69
Richard W Pidutti 1111 Franklin St	$27.09	78	76
Bonny Bautista 1086 Franklin St	$57.86	80	75
Rory Barrett Milcarek 1086 Franklin St	$59.83	85	77
Dexter Hatchett 1086 Franklin St	$57.32	88	87
Lisa M Cordek 323 Budfield St	$50.18	90	69
Travis Rearick 1450 Scalp Ave # 3B	$45.27	102	100
Anusha Edara 1450 Scalp Ave Ste 2100	$35.91	110	110
Marissa Dudeck 1086 Franklin St	$50.70	112	102

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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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Johnstown, PA

Emergency Room Visit

Blood Work & Lab Tests

X-Ray

Physical Therapy

Ambulance Transport

Hearing Test (Audiometry)

Speech Therapy

Ultrasound