Average Medicaid Office Visit Payments in Pittston, PA: $41.92
Avg. Paid
$41.92
Range
$11.98 – $106.93
Total Claims
55,650
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 Pittston, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luigi Spagnolini
42 N Main St |
$39.21 | 12,838 | 12,314 |
|
Tyler Policht
42 N Main St |
$41.20 | 9,702 | 9,211 |
|
Saima Sarmin Mukta
42 N Main St |
$42.22 | 5,712 | 5,466 |
|
Anthony Alan Wylie
300 Keystone Ave |
$36.35 | 5,129 | 4,994 |
|
Caitlyn Rivero
1201 Oak St |
$46.18 | 4,011 | 3,287 |
|
Thomas Howard Tonkin
300 Keystone Ave |
$39.25 | 3,929 | 3,642 |
|
Kathleen Noss
57 N Main St |
$40.43 | 3,278 | 3,075 |
|
Kevin Musto
1099 S Township Blvd |
$36.80 | 2,496 | 2,345 |
|
Cassandra Lynn Tunis
42 North Main Street |
$49.83 | 1,613 | 1,545 |
|
Karina Geronilla Phang
57 N Main St |
$49.88 | 1,503 | 1,411 |
|
Lisa Karen Muchler
42 N Main St |
$78.58 | 1,310 | 1,202 |
|
Tatiana C Franco
1201 Oak St |
$31.05 | 924 | 890 |
|
Brian Butler Kapp
1201 Oak St |
$38.16 | 852 | 827 |
|
Leela Diana Farr
1201 Oak St |
$106.93 | 574 | 550 |
|
Linda Carol Jackson
1201 Oak St |
$32.88 | 535 | 491 |
|
Michalene Torbik
1099 S Township Blvd |
$31.29 | 321 | 307 |
|
David Lyndell Cute
1201 Oak St |
$24.61 | 268 | 248 |
|
J. Robert Ramey
1201 Oak St |
$34.46 | 221 | 219 |
|
Rebecca Lauren Lepovsky Braunsdorf
42 N Main St |
$31.60 | 120 | 104 |
|
Edward Joseph Kloniecke
1201 Oak St |
$46.65 | 117 | 116 |
|
Santi Swaroop Karnam
1201 Oak St |
$37.27 | 62 | 60 |
|
Michael A Campenni
250 Kennedy Blvd Unit 2 |
$49.25 | 57 | 56 |
|
Paulette Marie Mordente
300 Keystone Ave |
$17.25 | 34 | 32 |
|
Afghani Roshan
300 Keystone Ave |
$26.01 | 31 | 29 |
|
Jennifer L. Salvo
42 N Main St |
$11.98 | 13 | 13 |
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 Pittston, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pittston, PA is $41.92 per claim, based on 55,650 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 Pittston, PA?
There are 25 Medicaid providers offering Office Visit related services in Pittston, PA according to public payment data.
What is the price range for Office Visit in Pittston, PA?
Medicaid reimbursement for Office Visit in Pittston, PA ranges from $11.98 to $106.93 per claim, with an average of $41.92. 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 Pittston, PA
Dental Cleaning & Exam
Avg $28.81
37,566 claims
Durable Medical Equipment (DME)
Avg $53.92
27,217 claims
Physical Therapy
Avg $15.85
16,111 claims
Eye Exam
Avg $25.27
12,161 claims
Blood Work & Lab Tests
Avg $10.97
9,403 claims
Dental Filling
Avg $57.63
9,230 claims
Vaccines & Immunizations
Avg $9.99
5,796 claims
Chiropractic Care
Avg $11.55
5,320 claims