Average Medicaid Office Visit Payments in Mc Kees Rocks, PA: $39.06
Avg. Paid
$39.06
Range
$0.00 – $53.27
Total Claims
24,937
Providers
22
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 Kees Rocks, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nadereh Tafreshi-Darabi
133 Church Hill Rd |
$38.53 | 8,058 | 7,567 |
|
Wayne Charles Chen
6000 Steubenville Pike |
$42.98 | 6,189 | 5,420 |
|
Mary Jo Cerepani
1001 Fiddleback Dr |
$44.88 | 3,617 | 3,197 |
|
Stacie Mcknight
27 Heckel Rd |
$35.27 | 1,995 | 1,903 |
|
Amber Elway
27 Heckel Rd |
$38.02 | 1,328 | 1,286 |
|
Huwaida El-Hillal Mansour
27 Heckel Rd |
$44.57 | 949 | 909 |
|
Sto-Rox Neighborhood Health Council, Inc.
710 Thompson Ave |
$0.00 | 512 | 490 |
|
Roberta Bashore
1800 Pine Hollow Rd |
$47.58 | 473 | 458 |
|
Syed Tahir Ali
710 Thompson Ave |
$1.75 | 420 | 377 |
|
Nabanita Dutta
133 Church Hill Rd |
$53.27 | 303 | 292 |
|
Elena Georgievskaya
27 Heckel Rd Ste 200 |
$40.94 | 264 | 257 |
|
Danny Palmieri
133 Church Hill Rd |
$37.58 | 217 | 204 |
|
Rodney M Kosanovich
5676 Steubenville Pike |
$21.96 | 177 | 169 |
|
Monica I Chopra
596 Pine Hollow Rd |
$42.42 | 149 | 142 |
|
Sara B Silvestri
710 Thompson Ave |
$0.00 | 70 | 65 |
|
Jessica J Wilson
710 Thompson Ave |
$0.00 | 59 | 57 |
|
Camille Andrea Christensen
5676 Steubenville Pike |
$19.29 | 47 | 47 |
|
Daniel Bubenheim
133 Church Hill Rd |
$38.81 | 35 | 33 |
|
Lauren Ashline
5703 Steubenville Pike |
$12.24 | 35 | 35 |
|
Vibha Chikani
27 Heckel Rd Ste 101 |
$38.50 | 14 | 12 |
|
Philip G Georgevich
27 Heckel Rd |
$17.82 | 14 | 12 |
|
Brandon J Wentzel
1229 Silver Ln |
$0.00 | 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 Mc Kees Rocks, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mc Kees Rocks, PA is $39.06 per claim, based on 24,937 claims from 22 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 Kees Rocks, PA?
There are 22 Medicaid providers offering Office Visit related services in Mc Kees Rocks, PA according to public payment data.
What is the price range for Office Visit in Mc Kees Rocks, PA?
Medicaid reimbursement for Office Visit in Mc Kees Rocks, PA ranges from $0.00 to $53.27 per claim, with an average of $39.06. 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
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Las Vegas, NV
Avg $54.47
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Other Procedures in Mc Kees Rocks, PA
Ambulance Transport
Avg $172.53
28,281 claims
Emergency Room Visit
Avg $81.92
10,697 claims
Physical Therapy
Avg $25.95
4,988 claims
EKG / ECG (Electrocardiogram)
Avg $6.18
4,395 claims
Case Management Services
Avg $249.97
3,214 claims
Blood Work & Lab Tests
Avg $1.54
3,047 claims
Hearing Test (Audiometry)
Avg $2.70
2,888 claims
Dental Cleaning & Exam
Avg $19.16
1,387 claims