Skip to content
Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Plains, PA: $31.56

Avg. Paid

$31.56

Range

$5.19 – $93.70

Total Claims

8,576

Providers

20

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 Plains, PA

Provider Avg. Paid Claims Patients
Paul J Witt

59 E Carey St

 $37.53 2,595 2,312
Philip V Savia

670 S River St Ste 203

 $30.54 1,541 1,313
Gary Paul Neale

200 S River St

 $33.82 1,345 1,304
Mark H Bell

11 Gallagher Dr

 $5.19 485 460
John H Ellis

667 N River St

 $28.63 425 416
James Noto

670 S River St Ste 203

 $38.76 376 369
Kevin James Carey

220 S River St

 $36.20 375 352
London Nicole Mckenna

11 Gallagher Dr

 $13.27 321 296
Clark D Gerhart

200 S River St

 $31.20 240 232
Gabriela Yurkanin

201 N Main St

 $14.68 234 209
Jeanne A Torony

1325 N River St

 $51.90 173 160
David A Dalessandro

667 N River St

 $23.24 142 140
Walter R Delgaudio

670 S River St Ste 301

 $16.22 99 92
Kaci Wall

220 S River St

 $45.57 53 51
Chester C Yavorski

200 S River St

 $14.66 50 43
Robert L Fiorelli

670 S River St Ste 301

 $18.45 40 38
Leah Habersham

672 S River St Ste 111

 $93.70 34 26
Pediatrics 21, Llc

670 N River St

 $38.31 21 14
Catherine Forlenza

672 N River St

 $37.50 15 13
Christopher Dominick Ellis

667 N River St #201

 $31.29 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 Plains, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plains, PA is $31.56 per claim, based on 8,576 claims from 20 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 Plains, PA?

There are 20 Medicaid providers offering Office Visit related services in Plains, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Plains, PA ranges from $5.19 to $93.70 per claim, with an average of $31.56. 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 Plains, PA

Physical Therapy

Avg $16.37

104,074 claims

Home Health Visit

Avg $203.94

12,874 claims

Dental Cleaning & Exam

Avg $29.25

2,472 claims

Ambulance Transport

Avg $217.07

2,442 claims

Blood Work & Lab Tests

Avg $34.47

1,645 claims

EKG / ECG (Electrocardiogram)

Avg $8.92

1,532 claims

Urinalysis & Urine Tests

Avg $3.96

463 claims

Vaccines & Immunizations

Avg $8.90

100 claims