Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Mckeesport, PA: $53.03

Avg. Paid

$53.03

Range

$16.90 – $188.63

Total Claims

20,632

Providers

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 Mckeesport, PA

Provider	Avg. Paid	Claims	Patients
Ibrahim Sameh Ibrahim Fanous 1500 Fifth Ave Fl 1	$51.51	1,904	1,790
Kevin Joseph Carl 331 Shaw Ave Fl 3	$116.02	1,461	940
Alexander Hughes 1500 Fifth Ave Bldg Suite725	$53.79	1,406	1,269
Ibrahim Ghobrial 1500 5Th Ave	$43.77	1,362	1,308
Bhawna Agarwal 1500 Fifth Ave	$39.61	1,323	1,276
Prabhat Seth 1430 Lincoln Way	$52.78	1,243	1,139
Essam Magdy Demian 2347 5Th Ave	$31.25	1,136	1,117
Emeil Shenouda 2347 Fifth Ave	$36.07	1,117	1,088
Robert J Pavlak 1500 5Th Ave	$42.27	999	970
David Harinstein 1318 5Th Ave	$50.10	949	933
Luna Chen 2347 Fifth Ave	$51.81	806	800
James N Irvine 1500 5Th Ave # Ma42	$43.49	751	733
Lynda R Formosa 331 Shaw Ave	$44.84	737	608
Kevin M Kane 1500 5Th Ave	$26.02	510	482
Deepa Burman 2347 Fifth Ave	$188.63	503	497
Jason Bierenbaum 1500 Fifth Ave	$52.36	458	375
Lauren Elliott 1321 Fifth Ave Ste 1	$33.93	454	434
Mamatha Gajulavarthi Upmc Mckeesport Internal Medicine Center	$48.96	399	385
Timothy Gaul 2347 5Th Ave	$35.59	397	375
Fritz Lubin 1321 Fifth Ave	$44.48	380	363
Nadeem Islam 1318 5Th Ave	$51.35	328	321
Jonathan Arnold 1321 5Th Ave Ste 1	$52.16	271	261
Reena Karnik 1500 5Th Ave	$30.86	242	233
Jeffrey D Browning 500 Hospital Way	$34.69	188	181
Sann Mon 500 Hospital Way Ste 4	$46.75	156	152
Jose B Caballe 1432 Lincoln Way	$53.12	143	140
Yui Sugiura 2347 Fifth Ave	$42.71	120	118
Mehboob Khurram Chaudhry 1321 5Th Ave	$37.75	108	107
Kathryn E D'Abruzzo 500 Hospital Way Ste 8	$27.69	106	105
Tracey D Conti 2347 5Th Ave	$43.04	102	100
Amishi Desai Upmc Mckeesport Latterman Family Health Center	$56.20	94	94
Rohit Mehta 1022 Summitt St	$41.59	87	86
Rocco A Fulciniti 1966 Lincoln Way	$59.15	84	83
Richard Laptosky 207 Owens Ave	$53.60	80	80
P. Dafe' Ogagan 500 Hospital Way	$35.21	63	63
Donald William Beck 4304 Walnut Street	$25.06	59	59
Joseph J Secosky 1433 Fawcett Ave	$29.93	42	38
Srihari Srinivasan Bangalore 331 Shaw Ave	$47.07	29	28
Sathyanarayana Machani 1321 Fifth Ave	$16.90	18	14
Preethi Polavarapu 1500 Fifth Ave Fl 1	$59.91	17	16

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 Mckeesport, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mckeesport, PA is $53.03 per claim, based on 20,632 claims from 40 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 Mckeesport, PA?

There are 40 Medicaid providers offering Office Visit related services in Mckeesport, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Mckeesport, PA ranges from $16.90 to $188.63 per claim, with an average of $53.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Mckeesport, PA: $53.03

Providers Offering Office Visit in Mckeesport, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Mckeesport, PA

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Ambulance Transport

X-Ray

Emergency Room Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Nursing Facility Care

Podiatry (Foot Care)