Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Port Matilda, PA: $39.54

Avg. Paid

$39.54

Range

$0.58 – $131.21

Total Claims

43,919

Providers

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 Port Matilda, PA

Provider	Avg. Paid	Claims	Patients
Anthony James Mazza 132 Abigail Ln	$36.95	9,847	9,525
Sabrina Kum Whitehurst 132 Abigail Lane	$39.15	4,631	4,199
David A Coggins 132 Abigail Ln	$36.63	3,434	3,200
Joy C Drass 132 Abigail Ln	$39.58	3,034	2,850
Mara C Modzeski 132 Abigail Ln	$47.44	2,748	2,655
Paul Richard Damaske 132 Abigail Ln	$39.69	2,166	2,074
Daniel Olivero 1243 Skytop Mountain Rd Ste 4	$29.87	2,165	795
Kathryn K Eisenhuth 132 Abigail Ln	$37.40	2,085	1,907
Trevor Sherrick Smith 132 Abigail Ln	$39.48	1,513	1,446
Evan James Harlor 132 Abigail Ln	$45.55	1,404	1,362
Dominic Dematteo 132 Abigail Ln	$43.37	1,216	1,138
Crystal Michele Duffy 132 Abigail Lane	$35.73	1,152	1,082
Kelly Ann Cessna 132 Abigail Ln	$42.43	992	922
Brandon Craft 132 Abigail Ln	$45.36	962	944
Molly Margaret Herring 132 Abigail Ln	$43.54	911	892
Molham Abdulsamad 132 Abigail Ln	$39.97	890	879
Micaela Chadwick Hayes 132 Abigail Ln	$41.18	719	688
Tori Stormer 132 Abigail Ln	$0.58	664	498
Levi N Delozier 132 Abigail Ln	$39.97	565	541
Geisinger Clinic 132 Abigail Lane	$131.21	462	395
Todd B Cousins 132 Abigail Ln	$36.63	382	371
Aaron Russell Leroy Dawes 132 Abigail Ln	$34.48	314	291
Samuel K. Owusu 132 Abigail Ln	$41.46	249	223
William F. Taylor 132 Abigail Lane	$37.56	230	217
Laura Morton Newhouser 132 Abigail Ln	$41.94	204	192
James Bradbury 132 Abigail Lane	$40.92	162	159
Morgan Nickerson 132 Abigail Ln	$35.49	123	120
Irphan E. Gaslightwala 132 Abigail Ln	$39.49	119	113
Henry Cramer 132 Abigail Lane	$26.84	113	100
Daniel Lee Kim 132 Abigail Ln	$37.22	113	103
Hannah Fanelli 132 Abigail Ln	$76.66	67	66
Thomas O Kopinski 132 Abigail Ln	$42.74	58	57
Michael G Lesko 132 Abigail Ln	$39.48	55	49
Sheldon D. Henry 132 Abigail Ln	$42.13	41	39
Jeffrey L. Lichtenstein 132 Abigail Ln	$34.24	38	38
Marten Boyd Duncan 132 Abigail Ln	$44.29	27	27
Mark E. Armstrong 132 Abigail Ln	$116.20	26	26
Katelyn Gray Smith 132 Abigail Ln	$53.75	13	13
Ashley Marie Nickerson 132 Abigail Ln	$34.38	13	12
Max A Pell 132 Abigail Ln	$105.32	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 Port Matilda, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Port Matilda, PA is $39.54 per claim, based on 43,919 claims from 40 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 Port Matilda, PA?

There are 40 Medicaid providers offering Office Visit related services in Port Matilda, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Port Matilda, PA ranges from $0.58 to $131.21 per claim, with an average of $39.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Port Matilda, PA: $39.54

Providers Offering Office Visit in Port Matilda, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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