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 |
|---|---|---|---|
|
Clark Kerr
12279 Route 30 |
$34.92 | 12 | 12 |
|
Anne T. Levri
12120 State Route 30 |
$90.25 | 13 | 12 |
|
Kenneth J. Szekely
8775 Norwin Ave |
$46.05 | 13 | 13 |
|
Kevin Charles Hamilton
12280 State Route 30 |
$33.00 | 14 | 14 |
|
Danielle Lynn Kavel
27 N Thompson Ln # A |
$14.32 | 15 | 15 |
|
Hannah Rossi
27 N Thompson Ln |
$12.51 | 26 | 25 |
|
Lauren Cowan
8775 Norwin Ave Ste 108 |
$30.63 | 43 | 41 |
|
Sarah Fennel
8945 Route 30 |
$27.97 | 56 | 55 |
|
Daniel Medic
8791 Barnes Lake Rd |
$34.73 | 89 | 89 |
|
Helana Pietragallo
8800 Barnes Lake Rd |
$74.64 | 111 | 103 |
|
Thor Christian Mathos
8775 Norwin Ave |
$40.14 | 126 | 116 |
|
Keith Szekely
8775 Norwin Ave |
$55.42 | 229 | 215 |
|
Courtney Paige Zajdel
12116 State Route 30 |
$61.47 | 300 | 297 |
|
Monica Malinowski
8775 Norwin Ave |
$46.56 | 304 | 287 |
|
Children'S Community Care
8791 Barnes Lake Rd |
$63.47 | 391 | 333 |
|
Navkiranjit Gill
8775 Norwin Ave Ste J |
$46.99 | 412 | 394 |
|
Michelle A Rathgeb
8775 Norwin Ave |
$43.49 | 460 | 441 |
|
Hyoung Kim
8775 Norwin Ave Ste J |
$49.12 | 480 | 455 |
|
Alicia Baum
8700 Pennsylvania Ave |
$25.72 | 507 | 474 |
|
Ryan Matthew Flanigan
8775 Norwin Ave |
$27.39 | 576 | 535 |
|
Lisa A Hildenbrand
8775 Norwin Ave Ste D |
$35.62 | 864 | 790 |
|
Monica A Philipkosky
8800 Barnes Lake Rd |
$66.51 | 1,092 | 874 |
|
Kim R Avolio
8775 Norwin Ave |
$49.93 | 1,128 | 1,071 |
|
Rebecca A Quel
8775 Norwin Ave |
$40.73 | 1,252 | 1,186 |
|
David Stephen Mills
8775 Norwin Ave Ste 108 |
$47.90 | 1,493 | 1,445 |
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
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 North Huntingdon, PA
Dental Cleaning & Exam
Avg $28.69
6,994 claims
Eye Exam
Avg $34.59
4,922 claims
Physical Therapy
Avg $84.40
4,442 claims
Blood Work & Lab Tests
Avg $4.99
3,150 claims
Ambulance Transport
Avg $159.77
2,902 claims
Speech Therapy
Avg $77.44
2,176 claims
Culture & Microbiology Tests
Avg $5.94
839 claims
X-Ray
Avg $18.80
812 claims