Average Medicaid Office Visit Payments in Mc Murray, PA: $51.30
Avg. Paid
$51.30
Range
$6.57 – $93.86
Total Claims
18,263
Providers
32
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 Murray, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
New Directions Mental Health, Pc
110 Hidden Valley Rd |
$6.57 | 14 | 13 |
|
Arunkumar Sanjeevi
160 Gallery Dr |
$41.58 | 14 | 13 |
|
Susan G. Gibson
3928 Washington Rd Ste 220 |
$33.69 | 16 | 16 |
|
Charles E Silverstein
159 Waterdam Rd |
$50.65 | 25 | 25 |
|
Vanessa Antonia Kitchen
1000 Waterdam Plaza Dr Ste 240 |
$14.49 | 30 | 29 |
|
Ellen Saridakis Phillippi
1001 Waterdam Plaza Dr |
$33.60 | 30 | 30 |
|
Ryan J Cooper
1000 Waterdam Plaza Dr Ste 240 |
$50.43 | 41 | 40 |
|
Michael A Magiske
112 Jones Dr |
$23.96 | 45 | 38 |
|
Matthew Shane Petrie
3055 Washington Rd |
$28.88 | 48 | 48 |
|
Robert W Koschik
1001 Waterdam Plaza Dr |
$32.90 | 56 | 52 |
|
Colleen Krajewski
122 Gallery Dr |
$41.59 | 70 | 68 |
|
Michael David Patterson
161 Waterdam Rd Apt 220 |
$24.48 | 73 | 69 |
|
Cassidy Moore
3840 Washington Rd Ste 300 |
$56.51 | 82 | 82 |
|
Kurt W. King
455 Valley Brook Rd Ste 300 |
$41.59 | 100 | 98 |
|
Michelle Harvison
3928 Washington Rd |
$45.96 | 111 | 108 |
|
Supritha A Shetty
3928 Washington Rd Ste 220 |
$45.89 | 179 | 168 |
|
Matthew Diiulio
1001 Waterdam Plaza Dr |
$51.88 | 243 | 230 |
|
Katherine Tadolini
1001 Waterdam Plaza Dr |
$51.29 | 243 | 230 |
|
Laura Kramer
151 Johnston Rd |
$69.20 | 305 | 298 |
|
Ashith Mally
3928 Washington Rd Ste 220 |
$39.61 | 311 | 294 |
|
Kristen Emily Mestayer Peske
3928 Washington Rd |
$48.58 | 362 | 357 |
|
Tonja J Dicamillo
6000 Waterdam Plaza Dr |
$28.48 | 389 | 376 |
|
Carey Ann Mancuso
455 Valley Brook Rd Ste 300 |
$93.86 | 477 | 465 |
|
Kelly Ann Shoemaker
3906 Washington Rd |
$42.54 | 658 | 448 |
|
Toni Marie Magnelli
1900 Waterdam Plaza Dr |
$27.46 | 705 | 670 |
|
Maya Goldin-Perschbacher
3055 Washington Rd |
$61.89 | 994 | 950 |
|
Sarah Elizabeth Stiegel
3840 Washington Rd Ste 300 |
$73.65 | 1,403 | 1,380 |
|
Gary Charles Smith
2001 Waterdam Plaza Dr |
$42.96 | 1,771 | 1,641 |
|
Jason Lukasewicz
3840 Washington Rd |
$32.28 | 1,978 | 1,191 |
|
Christine Yost
159 Waterdam Rd |
$49.04 | 1,988 | 1,919 |
|
Dawn-Marie Gotkiewicz
159 Waterdam Rd |
$60.62 | 2,430 | 2,366 |
|
Marc Alan Yester
3055 Washington Rd |
$55.66 | 3,072 | 2,953 |
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 Murray, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mc Murray, PA is $51.30 per claim, based on 18,263 claims from 32 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 Murray, PA?
There are 32 Medicaid providers offering Office Visit related services in Mc Murray, PA according to public payment data.
What is the price range for Office Visit in Mc Murray, PA?
Medicaid reimbursement for Office Visit in Mc Murray, PA ranges from $6.57 to $93.86 per claim, with an average of $51.30. 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 Mc Murray, PA
Home Health Visit
Avg $84.94
21,554 claims
Physical Therapy
Avg $56.15
11,700 claims
Speech Therapy
Avg $16.66
9,090 claims
Dental Cleaning & Exam
Avg $30.59
3,047 claims
Nursing Facility Care
Avg $19.26
2,518 claims
Blood Work & Lab Tests
Avg $8.35
1,974 claims
Eye Exam
Avg $30.82
1,656 claims
Hearing Test (Audiometry)
Avg $1.15
1,203 claims