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 |
|---|---|---|---|
|
Michael Cole
7219 Mcknight Rd |
$51.47 | 12 | 12 |
|
Sarah B Shinn
651 Holiday Dr |
$52.24 | 12 | 12 |
|
Amy B Jutca
4404 Penn Ave |
$65.73 | 12 | 12 |
|
Anna T Mathew
4727 Friendship Ave Ste 140 |
$19.25 | 12 | 12 |
|
Rewat Cholapranee
135 Cumberland Rd |
$49.88 | 12 | 12 |
|
Carl Friedrich Jueng
200 Lothrop St |
$24.86 | 12 | 12 |
|
Olivia Rafalowski
4401 Penn Ave |
$33.15 | 12 | 12 |
|
David Geller
3459 5Th Ave |
$31.18 | 12 | 12 |
|
Emily Dawn Kimball
4815 Liberty Ave Ste Gr25 |
$39.57 | 12 | 12 |
|
Avinash Aggarwal
532 S Aiken Ave Ste 300 |
$32.08 | 12 | 12 |
|
Marc E Brozovich
9104 Babcock Blvd |
$44.90 | 12 | 12 |
|
Rohan Das
320 E North Ave |
$193.04 | 12 | 12 |
|
Robert Vanderweele
1000 Bower Hill Rd Ste 7700 |
$34.92 | 12 | 12 |
|
Maryjane Anderson
3501 Terrace St |
$34.81 | 12 | 12 |
|
Ashley Lynn Diamond
3400 Forbes Ave |
$27.47 | 12 | 12 |
|
Michael Paul Palamone
2140 Ardmore Blvd |
$0.00 | 12 | 12 |
|
David Levinthal
200 Lothrop St |
$34.92 | 12 | 12 |
|
Denise Li
3471 5Th Ave Ste 810 |
$49.88 | 12 | 12 |
|
Anthony Edmund Good
372 N Craig St Ste 101 |
$40.20 | 12 | 12 |
|
Mary Korytkowski
3601 5Th Ave |
$44.90 | 12 | 12 |
|
Jessie Holmquist
2831 Penn Ave |
$41.06 | 12 | 12 |
|
Maha Torabi
200 Lothrop St |
$34.72 | 12 | 12 |
|
Jiovanni Pabilonia
2212 Noblestown Rd Ste 105 |
$0.00 | 12 | 12 |
|
Sullafa Kadura
3459 5Th Ave |
$62.98 | 12 | 12 |
|
Krista Lynn Cooke
6023 Harvard Sq |
$0.00 | 12 | 12 |
|
Liane Michelle Miller
3200 S Water St |
$138.62 | 12 | 12 |
|
Tara Degnan
2201 Park Manor Blvd |
$49.88 | 12 | 12 |
|
Mollie Marie Lauck
100 S Jackson Ave |
$130.00 | 12 | 12 |
|
Jacob Kaufman
4401 Penn Ave |
$7.43 | 12 | 12 |
|
John Mitsuo Nakayama
4815 Liberty Ave Ste 310 |
$38.74 | 12 | 12 |
|
Michelle Ann Erb Mitcheson
3600 Forbes Ave |
$25.21 | 12 | 12 |
|
Maisa N Feghali
300 Halket Street |
$78.70 | 12 | 12 |
|
Lori Susan Holt
3705 5Th Ave |
$158.92 | 12 | 12 |
|
Kathryn Williams
1 Childrens Hospital Dr |
$173.09 | 12 | 12 |
|
Mollie Alanna Desimone
810 Clairton Blvd Ste 400 |
$22.93 | 12 | 12 |
|
Benedict Woo
9104 Babcock Blvd |
$50.90 | 12 | 12 |
|
Caroline Olt
200 Lothrop St |
$20.40 | 12 | 12 |
|
Robin Maier
373 Burrows St |
$38.00 | 12 | 12 |
|
Colton Hickman
1400 Locust Street Ermire |
$111.50 | 12 | 12 |
|
Alexander C Chang
2101 Greentree Rd Ste 105 |
$29.93 | 12 | 12 |
|
Chen Xu
320 E North Ave Ste 208 |
$49.88 | 12 | 12 |
|
Eric Marotta
400 Rodi Rd |
$14.30 | 12 | 12 |
|
Margaret Shang
1515 Locust St |
$42.76 | 12 | 12 |
|
Kelley Anderson
3471 5Th Ave |
$24.50 | 12 | 12 |
|
Constance A Jennings
3601 5Th Ave |
$19.95 | 12 | 12 |
|
James Craig
9104 Babcock Blvd |
$34.92 | 12 | 12 |
|
Sharon Lynn Montgomery
1384 Old Freeport Rd |
$55.18 | 12 | 12 |
|
Jacqueline Gale Weinberg
4401 Penn Ave. |
$97.71 | 12 | 12 |
|
Rajwinder Kaur
3811 Ohara St Ste 431 |
$94.62 | 12 | 12 |
|
Alyssa Nicole Reznor
4815 Liberty Ave Ste 252 |
$75.10 | 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 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