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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in North Huntingdon, PA: $46.63

Avg. Paid

$46.63

Range

$12.51 – $90.25

Total Claims

10,006

Providers

25

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 North Huntingdon, PA

Provider Avg. Paid Claims Patients
David Stephen Mills

8775 Norwin Ave Ste 108

$47.90 1,493 1,445
Rebecca A Quel

8775 Norwin Ave

$40.73 1,252 1,186
Kim R Avolio

8775 Norwin Ave

$49.93 1,128 1,071
Monica A Philipkosky

8800 Barnes Lake Rd

$66.51 1,092 874
Lisa A Hildenbrand

8775 Norwin Ave Ste D

$35.62 864 790
Ryan Matthew Flanigan

8775 Norwin Ave

$27.39 576 535
Alicia Baum

8700 Pennsylvania Ave

$25.72 507 474
Hyoung Kim

8775 Norwin Ave Ste J

$49.12 480 455
Michelle A Rathgeb

8775 Norwin Ave

$43.49 460 441
Navkiranjit Gill

8775 Norwin Ave Ste J

$46.99 412 394
Children'S Community Care

8791 Barnes Lake Rd

$63.47 391 333
Monica Malinowski

8775 Norwin Ave

$46.56 304 287
Courtney Paige Zajdel

12116 State Route 30

$61.47 300 297
Keith Szekely

8775 Norwin Ave

$55.42 229 215
Thor Christian Mathos

8775 Norwin Ave

$40.14 126 116
Helana Pietragallo

8800 Barnes Lake Rd

$74.64 111 103
Daniel Medic

8791 Barnes Lake Rd

$34.73 89 89
Sarah Fennel

8945 Route 30

$27.97 56 55
Lauren Cowan

8775 Norwin Ave Ste 108

$30.63 43 41
Hannah Rossi

27 N Thompson Ln

$12.51 26 25
Danielle Lynn Kavel

27 N Thompson Ln # A

$14.32 15 15
Kevin Charles Hamilton

12280 State Route 30

$33.00 14 14
Kenneth J. Szekely

8775 Norwin Ave

$46.05 13 13
Anne T. Levri

12120 State Route 30

$90.25 13 12
Clark Kerr

12279 Route 30

$34.92 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 North Huntingdon, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Huntingdon, PA is $46.63 per claim, based on 10,006 claims from 25 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 North Huntingdon, PA?

There are 25 Medicaid providers offering Office Visit related services in North Huntingdon, PA according to public payment data.

What is the price range for Office Visit in North Huntingdon, PA?

Medicaid reimbursement for Office Visit in North Huntingdon, PA ranges from $12.51 to $90.25 per claim, with an average of $46.63. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

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