Average Medicaid Office Visit Payments in Natrona Heights, PA: $59.92
Avg. Paid
$59.92
Range
$1.60 – $81.65
Total Claims
50,531
Providers
49
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 Natrona Heights, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lorraine Chesek
1600 Pacific Ave |
$73.20 | 13,200 | 12,905 |
|
Omar Sajjad Minhas
1719 Union Ave Ste A |
$81.65 | 6,840 | 6,758 |
|
Datar Singh
1709 Union Ave |
$37.57 | 5,960 | 4,335 |
|
Dannika Totton
1600 Pacific Ave |
$69.97 | 3,609 | 3,471 |
|
Daniel Zove
1600 Pacific Ave |
$65.46 | 3,281 | 3,139 |
|
Cynthia Rimmel-Kumpf
905 Dallas Ave |
$50.12 | 2,050 | 1,557 |
|
Kamala Rajupet
3063 Freeport Rd Ste A |
$36.80 | 1,569 | 1,544 |
|
Kristin Frederick
1600 Pacific Ave |
$65.27 | 1,460 | 1,384 |
|
Mark Morrissey
1604 Burtner Rd |
$38.13 | 1,266 | 1,219 |
|
Luke Jesser
1604 Burtner Rd Ste 2300 |
$43.34 | 1,128 | 1,083 |
|
Seema Guglani
1604 Burtner Rd |
$48.15 | 1,108 | 1,035 |
|
Shashikala Sarma
1604 Burtner Rd |
$47.29 | 929 | 854 |
|
Jeffrey Lineman
1604 Burtner Rd Ste 2300 |
$46.63 | 683 | 665 |
|
Vidya Szymkowiak
1604 Burtner Rd |
$54.37 | 666 | 642 |
|
Christine Sekula Crocker
1621 Union Ave Ste C |
$58.45 | 663 | 631 |
|
Michael Gaffney
1624 Pacific Ave |
$29.30 | 637 | 605 |
|
Fred Heidenreich
1624 Pacific Ave |
$30.74 | 610 | 594 |
|
Ramey Ka Yan Roppel
1604 Burtner Rd Ste 2300 |
$46.06 | 545 | 538 |
|
Dominick Defrances
1719 Union Ave |
$47.14 | 520 | 505 |
|
Leonardo Rozal
1600 Pacific Ave |
$57.64 | 506 | 486 |
|
Benjamin Carnahan
1604 Burtner Rd Ste 2300 |
$47.41 | 357 | 334 |
|
Bruce S Ling
1719 Union Ave Ste A |
$2.43 | 336 | 317 |
|
Jenny E Halfhill
3063 Freeport Rd Ste C |
$66.20 | 324 | 286 |
|
Kaleigh Spencer
1604 Burtner Rd Ste 2300 |
$50.99 | 296 | 293 |
|
Brian Cicuto
1709 Union Ave |
$28.14 | 277 | 258 |
|
Gene G Finley
1301 Carlisle St |
$29.79 | 265 | 248 |
|
Heather M Hanzlik
1719 Union Ave |
$53.06 | 261 | 255 |
|
Nicole Romano
1719 Union Ave Ste A |
$56.67 | 254 | 253 |
|
Rachel Wolfe
1604 Burtner Rd |
$51.40 | 247 | 241 |
|
Erika L Rider
1800 Union Ave |
$51.98 | 108 | 106 |
|
Lauren Stawovy
1709 Union Ave |
$20.87 | 101 | 90 |
|
Vincent Bolisay Vargas
1719 Union Ave Ste A |
$47.08 | 90 | 84 |
|
Thomas Stephen Chechak
1719 Union Ave Ste A |
$28.21 | 62 | 58 |
|
Julia Moran
1800 Union Ave |
$73.52 | 58 | 51 |
|
Natalie Marie Ellinger
1624 Pacific Ave Ste B |
$1.60 | 48 | 48 |
|
Courtney Czwalga
1301 Carlisle St |
$71.70 | 27 | 27 |
|
John A Balacko
1624 Pacific Ave Ste B |
$36.42 | 25 | 24 |
|
Charles Taggert
1604 Burtner Rd |
$56.53 | 18 | 16 |
|
David Tomaselli
1604 Burtner Rd |
$29.93 | 16 | 15 |
|
Hanna Jay Stragand
3063 Freeport Rd Ste A |
$35.92 | 15 | 15 |
|
Erin L Wagner-Haggerty
1624 Pacific Ave Ste B |
$47.08 | 15 | 14 |
|
Alice S. Gibson
1600 Pacific Ave |
$79.50 | 14 | 14 |
|
Elizabeth A Warnick
1301 Carlisle St |
$26.65 | 13 | 13 |
|
Ashlee R Durham
1709 Union Ave |
$2.69 | 13 | 12 |
|
Venkatraman Srinivasan
1624 Pacific Ave Ste B |
$40.28 | 13 | 13 |
|
Michael J Powell
1301 Carlisle St |
$59.47 | 12 | 12 |
|
Children'S Community Care
1600 Pacific Ave |
$56.53 | 12 | 12 |
|
Alivia Shoop
1704 Broadview Blvd |
$35.00 | 12 | 12 |
|
Sarah M Miller
1301 Carlisle St |
$45.39 | 12 | 12 |
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 Natrona Heights, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Natrona Heights, PA is $59.92 per claim, based on 50,531 claims from 49 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 Natrona Heights, PA?
There are 49 Medicaid providers offering Office Visit related services in Natrona Heights, PA according to public payment data.
What is the price range for Office Visit in Natrona Heights, PA?
Medicaid reimbursement for Office Visit in Natrona Heights, PA ranges from $1.60 to $81.65 per claim, with an average of $59.92. 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 Natrona Heights, PA
Emergency Room Visit
Avg $104.14
36,435 claims
Blood Work & Lab Tests
Avg $6.18
22,312 claims
EKG / ECG (Electrocardiogram)
Avg $6.91
10,280 claims
X-Ray
Avg $6.52
8,549 claims
Physical Therapy
Avg $36.97
4,926 claims
Urinalysis & Urine Tests
Avg $1.69
3,533 claims
Dental Cleaning & Exam
Avg $28.36
3,305 claims
Speech Therapy
Avg $91.01
1,785 claims