Average Medicaid Office Visit Payments in Mount Pleasant, PA: $53.47
Avg. Paid
$53.47
Range
$11.41 – $77.71
Total Claims
14,254
Providers
13
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 Mount Pleasant, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Valarie Meredith Vukelic
1 Braddock Road Avenue |
$67.52 | 5,461 | 5,146 |
|
Dylan Joseph Ringer
828 W Main St |
$30.37 | 2,299 | 2,199 |
|
Kelly Webster
508 S Church St Ste 102 |
$35.97 | 1,639 | 1,594 |
|
Megan Ann Mcklveen
6396 Route 819 S |
$65.03 | 1,589 | 1,579 |
|
Jarrett J Bender
525 W Main St |
$34.81 | 957 | 928 |
|
Sara Nakhal
20 E Main St |
$40.71 | 776 | 731 |
|
Rabelais Tatchum-Talom
508 S Church St |
$72.19 | 643 | 638 |
|
Patrick J Lowry
633 W Main St |
$69.76 | 341 | 280 |
|
Brianna Stone
308 Bessemer Rd |
$52.13 | 288 | 263 |
|
Janine Marie Meneghini
220 Bessemer Rd |
$25.77 | 115 | 108 |
|
Chandrasekhara. Rao Punukollu
508 S Church St Ste 100 |
$48.26 | 77 | 71 |
|
Milad Ishak Shaker
308 Bessemer Rd |
$77.71 | 56 | 46 |
|
Nicholas Tyger
280 Crossroads Plaza |
$11.41 | 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 Mount Pleasant, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Pleasant, PA is $53.47 per claim, based on 14,254 claims from 13 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 Mount Pleasant, PA?
There are 13 Medicaid providers offering Office Visit related services in Mount Pleasant, PA according to public payment data.
What is the price range for Office Visit in Mount Pleasant, PA?
Medicaid reimbursement for Office Visit in Mount Pleasant, PA ranges from $11.41 to $77.71 per claim, with an average of $53.47. 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 Mount Pleasant, PA
Dental Cleaning & Exam
Avg $28.59
19,054 claims
Home Health Visit
Avg $20.09
7,607 claims
Emergency Room Visit
Avg $65.69
5,434 claims
Blood Work & Lab Tests
Avg $7.43
4,828 claims
Dental Filling
Avg $60.95
4,635 claims
Physical Therapy
Avg $16.80
3,310 claims
Tooth Extraction
Avg $65.54
1,563 claims
Urinalysis & Urine Tests
Avg $4.58
1,343 claims