Average Medicaid Office Visit Payments in Murrysville, PA: $45.02
Avg. Paid
$45.02
Range
$27.62 – $162.28
Total Claims
28,563
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 Murrysville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yolanda E Dingess
4262 Old William Penn Hwy |
$38.57 | 10,655 | 10,058 |
|
Sonal Dewan
4262 Old William Penn Hwy Ste 208 |
$61.03 | 4,030 | 3,867 |
|
Edward Garofolo
4614 William Penn Hwy |
$45.17 | 2,533 | 2,347 |
|
Gregory Gallik
4614 William Penn Hwy |
$40.66 | 2,410 | 2,320 |
|
Mark W. Cohee
4262 Old William Penn Hwy Ste 109 |
$48.23 | 1,628 | 1,510 |
|
Nathan Edward Millard
4262 Old William Penn Hwy Ste 208 |
$42.21 | 1,528 | 1,451 |
|
Rogi Paul
4212 Old William Penn Hwy |
$59.22 | 1,180 | 1,107 |
|
Aimee Lynn Mcbroom Harrison
4612 Sardis Rd |
$33.18 | 1,172 | 1,117 |
|
Paul Joseph Trainer
4262 Old William Penn Hwy |
$34.42 | 987 | 948 |
|
Alan Aspinall
4614 William Penn Hwy |
$36.67 | 474 | 448 |
|
Beth Anne Gettemy
4262 Old William Penn Hwy Ste 208 |
$35.94 | 406 | 399 |
|
Sean D Riek
4262 Old William Penn Hwy Ste 208 |
$37.19 | 325 | 312 |
|
Lucy Cheng
4016 Old William Penn Hwy |
$162.28 | 274 | 272 |
|
Matthew Keller
4262 Old William Penn Hwy |
$42.88 | 236 | 214 |
|
Steven F Gordon
4614 William Penn Hwy |
$39.18 | 167 | 156 |
|
Yong Gil Hwang
4448 Old William Penn Hwy |
$37.42 | 152 | 150 |
|
Eman Fadhel
4614 William Penn Hwy |
$50.53 | 119 | 115 |
|
East Suburban Pediatric Associates Ltd
4262 Old William Penn Hwy |
$56.42 | 100 | 81 |
|
Oyinkansola Morenike Ogundimu
4614 Willian Penn Hwy |
$48.48 | 80 | 75 |
|
Deborah J Co
4448 Old William Penn Hwy |
$45.60 | 68 | 66 |
|
Rebecca Lynne Keenan
3950 William Penn Hwy |
$27.62 | 20 | 19 |
|
Veronica Lucia Matto
4448 Old William Penn Hwy |
$44.11 | 19 | 18 |
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 Murrysville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Murrysville, PA is $45.02 per claim, based on 28,563 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 Murrysville, PA?
There are 22 Medicaid providers offering Office Visit related services in Murrysville, PA according to public payment data.
What is the price range for Office Visit in Murrysville, PA?
Medicaid reimbursement for Office Visit in Murrysville, PA ranges from $27.62 to $162.28 per claim, with an average of $45.02. 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 Murrysville, PA
Physical Therapy
Avg $61.55
10,454 claims
Ambulance Transport
Avg $149.08
5,955 claims
Hearing Test (Audiometry)
Avg $1.39
2,521 claims
Emergency Room Visit
Avg $100.77
2,030 claims
Vaccines & Immunizations
Avg $14.25
1,977 claims
Durable Medical Equipment (DME)
Avg $38.13
1,655 claims
Personal Care Services
Avg $0.00
1,351 claims
Nursing Facility Care
Avg $9.96
1,157 claims