Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Monroeville, PA: $19.11

Avg. Paid

$19.11

Range

$0.69 – $395.23

Total Claims

280,109

Providers

162

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 Monroeville, PA

Provider	Avg. Paid	Claims	Patients
Lin Aung Hu 2566 Haymaker Rd	$0.69	172,482	111,441
William Varley 4075 Monroeville Blvd	$67.40	6,118	5,934
Tiffanie Lynn Lester 4905 William Penn Hwy	$54.62	5,368	4,875
Medexpress Urgent Care, Pc - Pennsylvania 2644 Mosside Blvd	$46.13	4,638	4,056
Stewart Schott 4075 Monroeville Blvd	$63.47	4,177	4,067
Margaret Leah Stein 3893 William Penn Hwy	$6.63	4,050	3,708
Steven R Wolfe 2550 Mosside Blvd Ste 500	$34.00	3,333	2,827
Rachel Pokorney 4075 Monroeville Blvd Ste 125	$66.84	3,203	3,111
Khanh T Nguyen 400 Oxford Dr Ste 102	$28.39	3,060	2,432
Darlene Ursiny 2526 Monroeville Blvd	$47.72	2,991	2,500
Amber Schellinger 3893 William Penn Hwy	$8.15	2,933	2,664
Cindy Bakow 2550 Mosside Blvd Ste 500	$51.01	2,925	2,814
Raja Saradar 4055 Monroeville Blvd	$66.94	2,498	2,450
Haley Brophy 3893 William Penn Hwy	$7.96	2,358	2,186
Helen A Davis 160 Blue Grass Circle	$43.02	2,249	2,228
Kassie L Thompson 3824 Northern Pike Ste 830	$63.69	2,227	2,198
Kimberly Moore 3893 William Penn Hwy	$17.50	2,169	2,053
Amy Apel 2790 Mosside Blvd	$58.14	2,154	2,087
Baowei Tang 3824 Northern Pike	$46.43	2,037	2,010
Margaret Chory 125 Daugherty Dr	$64.02	1,699	1,511
Zongfu Chen 600 Oxford Dr Ste 220	$51.99	1,680	1,666
Yaqin Xia 400 Oxford Dr Ste 203	$39.79	1,522	1,429
Andrew D Kellerman 3824 Northern Pike	$67.05	1,457	1,316
Kristina G. Johnson 2550 Mosside Blvd Ste 500	$43.72	1,403	1,316
Ted Matthews 905 Hamlet Ct	$63.50	1,362	1,095
Christen Jones 3824 Northern Pike Ste 200	$97.71	1,334	1,211
Maureen B Conroy 2580 Haymaker Rd Ste 201	$53.79	1,209	1,110
Jafri Mohammed Syed 2775 Mosside Blvd	$47.63	1,161	1,037
Nicholas Caruso 2570 Haymaker Rd	$17.01	1,146	810
John M Fisch 3824 Northern Pike	$64.08	1,135	1,038
Larissa Zeli 4055 Monroeville Blvd	$84.06	1,071	1,039
John Jordan Karvounides 4075 Monroeville Blvd Ste 330	$60.45	1,036	941
Benjamin Bernard Peticca 2580 Haymaker Rd Ste 201	$79.84	929	829
Emily Murphy 2640 Pitcairn Rd	$43.98	927	787
Alan Harris Rosen 4055 Monroeville Blvd Bldg 1	$25.25	920	839
Kristen Lyn-Marie Nardozzi 4145 Route 22	$73.77	920	857
Ereny Refaat Gendy Eskarous 4175 Ivanhoe Dr	$39.85	897	873
James T Redshaw 2580 Haymaker Rd Ste 104	$80.33	889	813
Sarah Polantz 3835 Northern Pike Ste 1	$8.54	880	739
Arif M Rafi 2570 Haymaker Rd	$17.67	872	706
Jeffrey Michael Manway 600 Oxford Dr Ste 200	$15.90	855	840
Carla T Falcon 4075 Monroeville Blvd	$64.13	819	787
Ezra David Mirvish 2790 Mosside Blvd Ste 720	$39.56	813	770
Carla Joy Loughner 3893 William Penn Hwy	$10.60	696	638
Benjamin R Smolar 3824 Northern Pike	$43.78	687	646
Jonquil Michael 2570 Haymaker Rd	$47.32	651	518
Premier Medical Associates Pc 3824 Northern Pike	$55.64	628	474
Corey Allen Toocheck 3824 Northern Pike Ste 200	$50.17	602	564
Melanie Stephens Chandler 2550 Mosside Blvd Ste 405	$32.57	597	589
Matt El-Kadi 600 Oxford Dr Ste 210	$79.41	592	586

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 Monroeville, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monroeville, PA is $19.11 per claim, based on 280,109 claims from 162 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 Monroeville, PA?

There are 162 Medicaid providers offering Office Visit related services in Monroeville, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Monroeville, PA ranges from $0.69 to $395.23 per claim, with an average of $19.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Monroeville, PA: $19.11

Providers Offering Office Visit in Monroeville, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Monroeville, PA

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Emergency Room Visit

Home Health Visit

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EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

Durable Medical Equipment (DME)

Chiropractic Care