Average Medicaid Office Visit Payments in Pittsburgh, PA: $58.11
Avg. Paid
$58.11
Range
$0.00 – $735.11
Total Claims
1,594,344
Providers
1,951
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven Twan
4411 Stilley Rd |
$45.06 | 38,162 | 32,595 |
|
Arthur David
1517 Forbes Ave |
$34.78 | 22,445 | 11,932 |
|
Urgent Care, Pc - Pennsylvania
7219 Mcknight Rd |
$105.32 | 18,275 | 16,755 |
|
John Murray
2 Hot Metal St |
$69.53 | 13,507 | 13,191 |
|
Blair Dierks
6500 Steubenville Pike |
$75.44 | 12,884 | 12,505 |
|
Patrick Tate
4411 Stilley Rd |
$71.73 | 12,753 | 12,060 |
|
Michael Chichak
1400 Locust St |
$36.90 | 12,710 | 8,105 |
|
Andrea Nachreiner
4411 Stilley Rd |
$68.14 | 11,536 | 10,823 |
|
Rachel Denise Alexander
200 Penn Ave |
$45.65 | 11,478 | 9,758 |
|
Sharon A Martin
2581 Washington Rd Ste 211 |
$48.23 | 11,396 | 9,375 |
|
Gabriel Cisneros
5608 Wilkins Ave Ste 202 |
$63.83 | 10,886 | 10,586 |
|
Lorraine Kiger
4411 Stilley Rd Ste 1 |
$72.36 | 10,766 | 10,176 |
|
Benison Lau
4401 Penn Ave |
$5.59 | 10,743 | 9,973 |
|
Hamid Akbarian
5215 Centre Ave |
$92.41 | 10,692 | 10,430 |
|
Bernard Geiser
2 Hot Metal St |
$84.21 | 10,688 | 10,533 |
|
Kelly Walsh
230 N Craig St Ste B |
$23.85 | 10,534 | 5,866 |
|
Catherine Udekwu
1811 Boulevard Of The Allies |
$57.38 | 10,489 | 9,379 |
|
Anthony Labarbera
4411 Stilley Rd |
$69.54 | 10,435 | 9,978 |
|
Eric Scott Miller
5200 Centre Avenue |
$44.08 | 10,241 | 6,961 |
|
Donna Bosworth
1000 Bower Hill Rd |
$73.59 | 9,941 | 9,634 |
|
Norman Cohen
4411 Stilley Rd |
$76.01 | 9,620 | 9,276 |
|
Christopher Deluca
2 Hot Metal St |
$69.97 | 9,594 | 9,363 |
|
Stephen Mendelson
3705 5Th Ave |
$76.69 | 9,577 | 9,233 |
|
Beth Ann Bollinger
5230 Centre Ave |
$77.95 | 9,486 | 9,308 |
|
Jacob S Mcafee
200 Lothrop St |
$94.12 | 9,436 | 8,920 |
|
Timothy Hart
4411 Stilley Rd |
$71.63 | 9,349 | 8,999 |
|
Dana Nicole Smith
180 Fort Couch Rd |
$34.45 | 9,247 | 7,780 |
|
Kenneth Levin
4411 Stilley Rd |
$71.21 | 9,245 | 8,948 |
|
Ashley Bruce
4815 Liberty Ave Ste Gr50 |
$94.11 | 9,182 | 7,573 |
|
Kevin Paul Gerlach
1000 Bower Hill Rd |
$48.81 | 8,689 | 7,930 |
|
Daniel Jonathan Cohen
3501 Forbes Ave Ste 907 |
$45.54 | 7,199 | 6,350 |
|
Hubert G Foka
211 N Whitfield St Ste 410 |
$0.02 | 6,932 | 5,776 |
|
University Of Pittsburgh Physicians
200 Lothrop St |
$80.55 | 6,797 | 6,274 |
|
Airaj F Fasiuddin
4401 Penn Ave |
$109.39 | 6,494 | 6,200 |
|
Robert Newell Breit
363 Vanadium Rd |
$57.00 | 6,312 | 6,058 |
|
James E Nicholas
2 Hot Metal St |
$87.25 | 6,301 | 6,181 |
|
Bethany A Edwards
2 Hot Metal St |
$78.50 | 6,259 | 6,082 |
|
Lisa Gabrielle Gagliardi
2 Hot Metal St |
$70.92 | 6,220 | 6,109 |
|
Anuja Uttam Oza
3937 Butler St |
$1.19 | 6,113 | 3,728 |
|
Mallory Elise Willett
611 Duncan Ave |
$45.49 | 6,043 | 5,258 |
|
Adam Abdulally
7219 Mcknight Rd. |
$81.38 | 5,991 | 5,936 |
|
Matthew Thomas Barnes
9400 Mcknight Rd |
$56.32 | 5,918 | 5,657 |
|
Taher Elsdai
5806 Ellsworth Ave Apt 4 |
$55.71 | 5,873 | 5,723 |
|
W Ward
1 Childrens Hospital Dr |
$76.99 | 5,820 | 5,657 |
|
Jan Stanislaw Grudziak
3705 5Th Ave |
$85.20 | 5,696 | 5,524 |
|
Lisa Marie Grant-Mcdonald
4800 Friendship Ave |
$31.75 | 5,684 | 3,354 |
|
Eric Lowell Davidson
3550 Terrace Street |
$44.04 | 5,653 | 5,173 |
|
Rajani Chuensumran
9100 Babcock Blvd |
$41.59 | 5,576 | 4,957 |
|
Sukgi S Choi
1 Childrens Hospital Dr |
$73.41 | 5,410 | 5,363 |
|
Kaushik P Patel
2409 Brownsville Rd |
$42.30 | 5,342 | 4,830 |
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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pittsburgh, PA is $58.11 per claim, based on 1,594,344 claims from 1951 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 Pittsburgh, PA?
There are 1951 Medicaid providers offering Office Visit related services in Pittsburgh, PA according to public payment data.
What is the price range for Office Visit in Pittsburgh, PA?
Medicaid reimbursement for Office Visit in Pittsburgh, PA ranges from $0.00 to $735.11 per claim, with an average of $58.11. 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 Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims
Case Management Services
Avg $133.79
331,503 claims