Average Medicaid Office Visit Payments in Mc Connellsburg, PA: $17.62
Avg. Paid
$17.62
Range
$1.33 – $63.62
Total Claims
24,535
Providers
14
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 Mc Connellsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stephen Anthony Hoffman
525 Fulton Dr |
$1.33 | 14,530 | 13,002 |
|
Douglas D Stern
214 Peach Orchard Rd |
$33.09 | 3,696 | 3,448 |
|
Gregory Franko
214 Peach Orchard Rd |
$63.62 | 2,913 | 2,871 |
|
Philip W Caterbone
214 Peach Orchard Rd |
$34.63 | 1,600 | 1,506 |
|
Anna R Kent
214 Peach Orchard Rd |
$29.03 | 581 | 533 |
|
William L Milroth
318 N 1St St |
$13.25 | 336 | 319 |
|
Devin Scott Welsh
214 Peach Orchard Rd |
$35.73 | 284 | 266 |
|
Fulton County Medical Center
214 Peach Orchard Rd |
$42.13 | 160 | 112 |
|
Megan Lynne Barnett
214 Peach Orchard Rd |
$21.27 | 121 | 112 |
|
Jeffrey S Mandak
214 Peach Orchard Rd |
$24.37 | 114 | 112 |
|
Rita Dawn Sipes
214 Peach Orchard Rd |
$27.07 | 91 | 75 |
|
Gerald T Celestine
214 Peach Orchard Rd |
$39.69 | 81 | 79 |
|
Amber L Thomas
214 Peach Orchard Rd |
$30.02 | 14 | 12 |
|
Louie A Myers
214 Peach Orchard Rd |
$16.07 | 14 | 14 |
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 Mc Connellsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mc Connellsburg, PA is $17.62 per claim, based on 24,535 claims from 14 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 Mc Connellsburg, PA?
There are 14 Medicaid providers offering Office Visit related services in Mc Connellsburg, PA according to public payment data.
What is the price range for Office Visit in Mc Connellsburg, PA?
Medicaid reimbursement for Office Visit in Mc Connellsburg, PA ranges from $1.33 to $63.62 per claim, with an average of $17.62. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Mc Connellsburg, PA
Emergency Room Visit
Avg $80.75
10,035 claims
Blood Work & Lab Tests
Avg $8.35
7,346 claims
Physical Therapy
Avg $22.16
4,782 claims
Speech Therapy
Avg $5.80
4,032 claims
EKG / ECG (Electrocardiogram)
Avg $7.61
2,494 claims
Durable Medical Equipment (DME)
Avg $34.00
2,342 claims
Vaccines & Immunizations
Avg $0.04
1,584 claims
Ambulance Transport
Avg $19.94
801 claims