Based on public Medicaid payment data.

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

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
Travis W Bessell 188 Enclave Dr	$59.86	12	12
Kayla Lyn Smith 101 Nesbitt Rd Ste 101	$49.88	12	12
Human Services Center 130 West North Street	$81.00	12	12
Katherine Grace Arbuckle 2004 W State St	$16.15	13	12
Thomas J Malvar 178 Enclave Dr	$36.84	13	13
Martha Pullins 145 Enclave Dr	$37.20	14	14
William Randolph Richardson 11 Shenango Rd	$48.74	17	16
Neve Busch 2004 W State St	$7.90	18	18
Shelli M Jackson 2602 Wilmington Rd Ste 200	$59.84	32	30
Mary Elizabeth Clark 26 Nesbitt Rd Ste 100	$47.34	38	36
Kate J Steklachich 1211 Wilmington Ave	$0.00	39	38
Wasim Ahmed 29 E North St	$17.86	39	39
Jane Kelley 149 Enclave Dr	$49.81	40	38
Jonathan Francis-Anthony Fellion 2616 Wilmington Rd	$17.93	40	38
Doina Antonescu 3135 Wilmington Rd	$81.06	53	51
David R Shober 2520 Wilmington Rd	$33.79	54	51
Anthony J Elisco 1112 S Mill St	$0.48	56	51
Joseph Andrew Terravecchia 1750 New Butler Rd Ste A	$35.22	58	58
William Northwood Gilleland 26 Nesbitt Rd	$34.58	73	51
Joseph Daniel Kollar 188 Enclave Dr	$38.05	80	75
Richard A Papa & Associates 183 Enclave Dr	$44.41	85	60
Steven A Gabriel 29 E North St	$46.16	90	90
Erin Lynne Meier 2008 W State St	$50.63	112	108
Corrine Lyn Anderson 3410 Wilmington Rd	$43.55	136	127
Matthew C G Liwski 1000 S Mercer St	$19.62	142	123
Shelby K Hites 2616 Wilmington Rd	$2.88	148	137
Christie J Hilton 3124 Wilmington Rd	$52.37	178	142
Daniel Joseph Callaghan 3126 Wilmington Rd	$33.52	215	206
Michele M Shober 708 N Jefferson St	$32.81	267	265
Edward G Redovan 708 N Jefferson St	$36.30	289	286
Silvia E Coleman 125 Enclave Dr	$31.97	385	366
Jerzy K Magda 125 Enclave Dr	$26.54	505	461
Bradley David Hodapp 3124 Wilmington Rd	$48.40	529	486
Angelo J Mitsos 3124 Wilmington Rd	$24.49	553	490
Marilyn Jean Nebel 200 South Jefferson St	$49.45	655	625
Richard Anthony Papa 183 Enclave Dr	$35.29	681	633
Ahmad I Al-Turk 2714 Mercer Rd	$19.73	751	680
Christy Lynn Beer 3212 Wilmington Rd Ste 20	$11.72	850	804
Dakota Zoey Peterson 2540 New Butler Rd Ste 200	$67.48	919	860
Ali Imran Amjad 3124 Wilmington Rd	$39.87	1,037	902
Devon Charlton 3120 Wilmington Rd	$51.30	1,042	1,018
Zackary James Walker 26 Nesbitt Rd	$34.58	1,070	1,058
Mary Tanyel 188 Enclave Dr	$35.28	1,258	1,211
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
Stephanie Hakimian 2004 W State St	$52.77	1,318	1,304
Mary Jane Bovo 203 Ashberry Ln Apt 73	$8.25	1,477	1,227
Steven P Hand 26 Nesbitt Rd	$30.30	1,631	1,473
Neil Singh 26 Nesbitt Rd Ste 151B	$38.20	1,672	1,625
Elbert Acosta 3128 Wilmington Rd	$41.01	1,722	1,526

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.

Average Medicaid Office Visit Payments in New Castle, PA: $40.41

Providers Offering Office Visit in New Castle, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in New Castle, PA

Physical Therapy

Speech Therapy

Emergency Room Visit

Case Management Services

Ambulance Transport

Blood Work & Lab Tests

Dental Cleaning & Exam

Chiropractic Care