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
Andrew Hyrcza 2550 Mosside Blvd Ste 308	$54.99	12	12
Jerry Lynn 4099 William Penn Hwy	$102.97	12	12
Casey Douglas Logan 2790 Mosside Blvd Ste 720	$99.41	12	12
Francis R Colangelo 3824 Northern Pike	$54.87	12	12
Sarah E Rowling 3824 Northern Pike Ste 300	$24.94	12	12
Jason P Thomas 2626 Haymaker Rd Fl 2	$39.86	12	12
Emily Rohrer 2550 Mosside Blvd Ste 500	$35.00	13	13
Amber M Depra 2580 Haymaker Rd Ste 201	$50.21	13	12
Abigail Lynn Lockwood 2580 Haymaker Rd Ste 201	$85.86	13	13
Stephen Charles Martinkovich 2550 Mosside Blvd Ste 405	$39.42	13	13
Jennifer Seymour 2580 Haymaker Rd Ste 201	$104.44	13	13
Aashish Dua 3824 Northern Pike	$51.31	14	13
Michael Levine 2550 Mosside Blvd Ste 405	$19.25	14	13
Veronica M Pratt 400 Oxford Dr	$59.86	14	14
Julie M Huston 2580 Haymaker Rd Ste 201	$38.50	14	12
Jennifer Goldby 125 Daugherty Dr Ste 401	$57.25	15	12
Kenneth Mcgaffin 3824 Northern Pike	$27.93	15	15
Richard H Rosenthal 3824 Northern Pike	$33.67	16	16
Natasha Singh 2580 Haymaker Rd Ste 201	$76.39	16	12
Tara L Emph 3835 Northern Pike Ste 1	$13.39	16	16
Kelsie Jean Mittereder 2580 Haymaker Rd Ste 201	$85.86	17	15
Justin Richard Davanzo 2580 Haymaker Rd Ste 106	$34.47	18	13
Linda Millbauer 4075 Monroeville Blvd	$85.86	18	14
Anne Tilley 400 Oxford Dr	$43.10	25	25
Amit Goulatia 3824 Northern Pike Ste 820	$22.20	26	26
Jessica Lynn Peek 2550 Mosside Blvd Ste 500	$35.34	27	25
Susan Street 2775 Monroeville Blvd	$84.12	28	28
Jamie Simpson 2380 Mcginley Rd # Td	$38.50	30	29
Niyati D Asher 2626 Haymaker Rd Fl 2	$64.79	30	28
Elizabeth Marie Zona 2570 Haymaker Rd Dept Of	$36.26	32	26
Alexis Ann Scott 3824 Northern Pike Ste 405	$32.17	38	36
Amanda G Coltura 4341 Northern Pike	$49.54	39	37
Steven J Hussein 3824 Northern Pike	$38.07	39	38
Erin Flynn Davis 3824 Northern Pike	$44.51	39	38
Michael J Pelekanos 2580 Haymaker Rd Ste 201	$63.98	40	33
Adrienne Lee Schouchoff 3824 Northern Pike Ste 525	$52.93	42	41
Irving Sass Gottfried 3824 Northern Pike	$51.51	43	37
Leon M Brostoff 2790 Mosside Blvd	$96.38	45	42
Kathleen M. Davis 2550 Mosside Blvd Ste 308	$30.69	49	46
Crystal L Lash 125 Daugherty Dr Ste 401	$72.69	51	48
Michael Garfinkel 2570 Haymaker Rd	$79.80	52	51
Brian Andrew Mosier 2550 Mosside Blvd	$53.10	54	52
Ryan Garrett Flannery 2580 Haymaker Rd Ste 403	$68.06	54	53
Randy A Troup 2550 Mosside Blvd Ste 405	$27.46	57	54
Kevin R Joyce 2580 Haymaker Rd Ste 302	$39.21	60	41
Emmanuel Frempong-Manso 117 Fox Plan Rd Ste 104	$39.25	61	58
Sadie Wachter Ackerman 2580 Haymaker Rd Ste 201	$99.44	63	50
Faiza Khalid 551 Deauville Dr Apt 8	$43.54	64	59
Lauren Noel Ison 117 Fox Plan Rd	$12.84	68	48
Diem K Nguyen 2580 Haymaker Rd Ste 201	$93.70	69	61

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

Office Visit in Other Cities

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Other Procedures in Monroeville, PA

Blood Work & Lab Tests

Emergency Room Visit

Home Health Visit

Physical Therapy

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

Durable Medical Equipment (DME)

Chiropractic Care