Average Medicaid Office Visit Payments in New Castle, PA: $40.41
Avg. Paid
$40.41
Range
$0.00 – $89.11
Total Claims
151,696
Providers
80
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 New Castle, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Joseph Hageman
103 Nesbitt Rd Ste 101 |
$28.26 | 13,324 | 10,871 |
|
Jennifer Piscitella Presnar
183 Enclave Dr |
$52.40 | 12,132 | 10,596 |
|
Francesca Marie Divito
26 Nesbitt Rd Ste 151 |
$76.32 | 7,155 | 4,293 |
|
Andrew Cole
1112 S Mill St |
$7.24 | 6,800 | 6,633 |
|
Luke Homison
1112 S Mill St |
$0.13 | 6,758 | 6,388 |
|
Sheila M Burick
1112 S Mill St |
$81.70 | 6,117 | 5,992 |
|
John D Wrightson
3212 Wilmington Rd |
$22.75 | 5,925 | 5,495 |
|
Pamela L Schoemer
2540 New Butler Rd Ste 200 |
$67.65 | 5,462 | 5,115 |
|
Walter Dooley Bender
143 Enclave Dr |
$49.55 | 4,850 | 4,349 |
|
Sarah Kathryn Dablah
Upmc Jameson |
$47.56 | 4,543 | 1,550 |
|
Jennifer Zahniser
3105 Wilmington Rd |
$42.85 | 4,314 | 4,259 |
|
Kathleen Cournan Sarro
125 Enclave Dr |
$48.97 | 4,171 | 3,522 |
|
Elizabeth Wirth
26 Nesbitt Rd |
$55.35 | 3,831 | 3,529 |
|
Charles Wagner
1000 S Mercer St |
$42.38 | 3,777 | 3,584 |
|
Angela Marion Luther
1112 S Mill St |
$0.04 | 3,611 | 3,432 |
|
Carlos I Flores
11 Shenango Rd |
$34.75 | 3,506 | 3,219 |
|
Andrea Davis
2540 New Butler Rd |
$54.35 | 2,865 | 2,736 |
|
Caroline Daniels
2008 W State St |
$40.40 | 2,849 | 2,676 |
|
Joann H Lamb
188 Enclave Dr |
$39.31 | 2,608 | 2,453 |
|
Tyler W Kirkwood
2411 Wilmington Rd |
$62.81 | 2,587 | 2,550 |
|
Hany Sadek Rezk
1750 New Butler Road |
$34.76 | 2,551 | 2,312 |
|
John J Labella
2540 New Butler Rd |
$71.61 | 2,505 | 2,368 |
|
Tory Wood
103 Nesbitt Rd Ste 101 |
$1.24 | 2,475 | 2,412 |
|
Linda Van Eman
1211 Wilmington Ave |
$89.11 | 2,195 | 2,165 |
|
Shannon Marie Feeney
1112 S Mill St |
$0.14 | 2,125 | 2,041 |
|
Carley E. Fleck
200 S Jefferson St. |
$51.84 | 2,087 | 1,823 |
|
Ramesh Kaul
2602 Wilmington Rd |
$31.89 | 2,027 | 1,883 |
|
Adam Stubert
1750 New Butler Rd Ste B |
$42.37 | 1,880 | 1,767 |
|
Primary Health Network
1112 S Mill St |
$0.09 | 1,826 | 1,701 |
|
Robert Mcgann
3120 Wilmington Rd |
$42.79 | 1,790 | 1,705 |
|
Elbert Acosta
3128 Wilmington Rd |
$41.01 | 1,722 | 1,526 |
|
Neil Singh
26 Nesbitt Rd Ste 151B |
$38.20 | 1,672 | 1,625 |
|
Steven P Hand
26 Nesbitt Rd |
$30.30 | 1,631 | 1,473 |
|
Mary Jane Bovo
203 Ashberry Ln Apt 73 |
$8.25 | 1,477 | 1,227 |
|
Stephanie Hakimian
2004 W State St |
$52.77 | 1,318 | 1,304 |
|
Christine Lynn Nagy
15 W Washington St |
$58.81 | 1,310 | 1,180 |
|
Paul Eugene Wawrzynski
2602 Wilmington Rd |
$26.19 | 1,310 | 1,237 |
|
Mary Tanyel
188 Enclave Dr |
$35.28 | 1,258 | 1,211 |
|
Zackary James Walker
26 Nesbitt Rd |
$34.58 | 1,070 | 1,058 |
|
Devon Charlton
3120 Wilmington Rd |
$51.30 | 1,042 | 1,018 |
|
Ali Imran Amjad
3124 Wilmington Rd |
$39.87 | 1,037 | 902 |
|
Dakota Zoey Peterson
2540 New Butler Rd Ste 200 |
$67.48 | 919 | 860 |
|
Christy Lynn Beer
3212 Wilmington Rd Ste 20 |
$11.72 | 850 | 804 |
|
Ahmad I Al-Turk
2714 Mercer Rd |
$19.73 | 751 | 680 |
|
Richard Anthony Papa
183 Enclave Dr |
$35.29 | 681 | 633 |
|
Marilyn Jean Nebel
200 South Jefferson St |
$49.45 | 655 | 625 |
|
Angelo J Mitsos
3124 Wilmington Rd |
$24.49 | 553 | 490 |
|
Bradley David Hodapp
3124 Wilmington Rd |
$48.40 | 529 | 486 |
|
Jerzy K Magda
125 Enclave Dr |
$26.54 | 505 | 461 |
|
Silvia E Coleman
125 Enclave Dr |
$31.97 | 385 | 366 |
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 New Castle, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Castle, PA is $40.41 per claim, based on 151,696 claims from 80 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 New Castle, PA?
There are 80 Medicaid providers offering Office Visit related services in New Castle, PA according to public payment data.
What is the price range for Office Visit in New Castle, PA?
Medicaid reimbursement for Office Visit in New Castle, PA ranges from $0.00 to $89.11 per claim, with an average of $40.41. 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 New Castle, PA
Physical Therapy
Avg $78.30
67,641 claims
Speech Therapy
Avg $38.96
50,973 claims
Emergency Room Visit
Avg $78.61
32,889 claims
Case Management Services
Avg $78.29
31,161 claims
Ambulance Transport
Avg $109.61
30,378 claims
Blood Work & Lab Tests
Avg $11.75
21,897 claims
Dental Cleaning & Exam
Avg $14.16
12,508 claims
Chiropractic Care
Avg $9.73
11,815 claims