Average Medicaid Office Visit Payments in Monongahela, PA: $52.58
Avg. Paid
$52.58
Range
$10.99 – $73.89
Total Claims
17,634
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 Monongahela, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachel Weston
1163 Country Club Rd |
$67.69 | 5,140 | 5,040 |
|
Courtney Marburger
100 Stoops Dr |
$56.35 | 2,156 | 2,072 |
|
Heather Speece Abegglen
100 Stoops Dr Ste 220 |
$67.31 | 1,879 | 1,843 |
|
Henry Ernest Holets
1290 Chess St |
$30.15 | 1,325 | 1,163 |
|
Andrew L Spergel
1163 Country Club Rd Ste 101 |
$73.89 | 1,130 | 812 |
|
Diana Hricova
1290 Chess St Ste 2 |
$31.71 | 1,081 | 1,027 |
|
Janelle Vicedo Violago
1290 Chess St Ste 102 |
$45.31 | 995 | 981 |
|
Shaina Leigh Lipchinsky
1163 Country Club Rd Ste 101 |
$34.81 | 780 | 759 |
|
Walter R Cox
1163 Country Club Rd |
$31.33 | 585 | 541 |
|
Silvana Yovanof
420 W Main St |
$31.72 | 512 | 474 |
|
Christa Marie Malinak
100 Stoops Dr Ste 320 |
$30.62 | 448 | 440 |
|
Devon Marie Carson
100 Stoops Dr Ste 200 |
$28.58 | 358 | 342 |
|
Dawson Lim
1163 Country Club Rd |
$21.10 | 282 | 266 |
|
Brandi Eutsey
610 Park Ave |
$72.74 | 242 | 158 |
|
William Ford Kilpatrick
100 Stoops Dr |
$28.48 | 199 | 182 |
|
Lori A Schultz
1051 Country Club Rd |
$10.99 | 182 | 174 |
|
R. G. Krishnan
1025 Country Club Rd |
$30.06 | 147 | 141 |
|
Jill Katherine Flower
1163 Country Club Rd |
$23.22 | 84 | 84 |
|
Lori Edkins
1163 Country Club Road |
$46.63 | 44 | 41 |
|
Holly Marie Dawson
447 W Main St |
$30.72 | 27 | 25 |
|
Howard J. Gold
1163 Country Club Road |
$73.71 | 19 | 15 |
|
Children'S Community Care
100 Stoops Dr Ste 220 |
$50.41 | 19 | 15 |
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 Monongahela, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monongahela, PA is $52.58 per claim, based on 17,634 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 Monongahela, PA?
There are 22 Medicaid providers offering Office Visit related services in Monongahela, PA according to public payment data.
What is the price range for Office Visit in Monongahela, PA?
Medicaid reimbursement for Office Visit in Monongahela, PA ranges from $10.99 to $73.89 per claim, with an average of $52.58. 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
8,578,324 claims · 3512 providers
Other Procedures in Monongahela, PA
Emergency Room Visit
Avg $104.33
20,361 claims
Blood Work & Lab Tests
Avg $4.85
14,934 claims
Durable Medical Equipment (DME)
Avg $111.77
14,837 claims
EKG / ECG (Electrocardiogram)
Avg $9.24
9,678 claims
X-Ray
Avg $7.94
6,678 claims
Dental Cleaning & Exam
Avg $28.92
3,299 claims
Physical Therapy
Avg $13.79
2,903 claims
Urinalysis & Urine Tests
Avg $2.74
2,475 claims