Average Medicaid Office Visit Payments in Moon Township, PA: $59.72
Avg. Paid
$59.72
Range
$10.88 – $85.18
Total Claims
25,479
Providers
20
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 Moon Township, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edward M Neely
8702 University Blvd |
$85.18 | 4,780 | 4,627 |
|
Theresa Marie Crocenelli
974 Beaver Grade Rd |
$54.30 | 3,496 | 3,210 |
|
Bradley Robert Kramer
1600 Coraopolis Heights Rd |
$57.31 | 2,573 | 2,525 |
|
Derek J Thomas
725 Cherrington Pkwy |
$39.39 | 2,482 | 2,356 |
|
Stephen Barbera
1600 Coraopolis Heights Rd Ste E |
$57.31 | 2,417 | 2,343 |
|
Amanda Marie Kramer
1600 Coraopolis Heights Rd |
$56.37 | 2,160 | 2,131 |
|
Joseph P Klutz
993 Brodhead Rd |
$72.39 | 2,057 | 2,025 |
|
Ruth Silverman
1600 Coraopolis Heights Rd Ste E |
$57.60 | 1,259 | 1,204 |
|
Joseph E Gatial
1600 Coraopolis Heights Rd |
$53.52 | 1,245 | 1,198 |
|
Joseph H Goth
980 Beaver Grade Rd |
$51.21 | 697 | 676 |
|
Michelle Lynn Wertelet
1005 Beaver Grade Rd Ste G10 |
$50.27 | 532 | 530 |
|
Oriente A Ditano
725 Cherrington Pkwy |
$34.33 | 468 | 452 |
|
Mary Pagnotto
1600 Coraopolis Heights Rd Ste E |
$50.59 | 292 | 288 |
|
Jon A Levy
725 Cherrington Pkwy |
$33.86 | 289 | 284 |
|
Nicholas J Kubik
725 Cherrington Pkwy |
$35.82 | 231 | 223 |
|
Stephen J Thomas
725 Cherrington Pkwy |
$29.71 | 152 | 147 |
|
Jeffrey B Mulholland
725 Cherrington Pkwy |
$42.03 | 146 | 140 |
|
Patrick G Rosario
124 Olde Manor Ln |
$10.88 | 103 | 68 |
|
Childen'S Community Care
1600 Coraopolis Heights Rd Ste E |
$81.26 | 87 | 73 |
|
Lisa Ann Fadden
725 Cherrington Pkwy |
$68.82 | 13 | 13 |
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 Moon Township, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Moon Township, PA is $59.72 per claim, based on 25,479 claims from 20 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 Moon Township, PA?
There are 20 Medicaid providers offering Office Visit related services in Moon Township, PA according to public payment data.
What is the price range for Office Visit in Moon Township, PA?
Medicaid reimbursement for Office Visit in Moon Township, PA ranges from $10.88 to $85.18 per claim, with an average of $59.72. 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 Moon Township, PA
Physical Therapy
Avg $85.88
30,011 claims
Dental Cleaning & Exam
Avg $27.28
7,731 claims
Ambulance Transport
Avg $270.83
2,930 claims
Hearing Test (Audiometry)
Avg $4.09
1,486 claims
Eye Exam
Avg $19.79
1,382 claims
X-Ray
Avg $25.17
1,058 claims
Tooth Extraction
Avg $55.04
995 claims
CT Scan (Computed Tomography)
Avg $126.02
833 claims