Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Punxsutawney, PA: $24.95

Avg. Paid

$24.95

Range

$0.00 – $72.84

Total Claims

34,398

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 Punxsutawney, PA

Provider	Avg. Paid	Claims	Patients
Timothy Clark Simpson 81 Hillcrest Dr	$39.13	3,556	3,371
Joseph J. Kernich 200 Prushnok Dr	$0.06	3,317	3,143
Eyad Khabbaz 81 Hillcrest Dr	$46.94	3,264	3,225
Brandy Lee Bloom 81 Hillcrest Dr	$37.99	2,460	2,403
Joseph D Clark 81 Hillcrest Dr Ste 1300	$38.59	2,125	2,106
Jennifer Keslar 200 Prushnok Dr	$0.00	2,022	1,850
Martin Lee Chambers 200 E Mahoning St	$22.26	1,876	1,766
Amber Muti 200 Prushnok Dr	$0.10	1,758	1,704
Phillip John States 83 Hillcrest Dr	$24.90	1,737	1,639
Donald M. Pallone 531 North Main Street	$36.23	1,471	1,379
Sarah Lynn Lloyd 200 Prushnok Dr	$1.55	1,328	1,224
Keli Yvonne Simpson 81 Hillcrest Dr	$35.77	1,133	1,073
Eric Faught 200 Prushnok Dr	$0.00	1,014	963
Jay E Elder 204 Pine St	$0.00	980	937
Brooke Danielle Cherian 81 Hillcrest Dr	$31.28	688	678
Joshua R. Noerr 81 Hillcrest Dr	$33.55	687	668
Amanda Greenblatt 81 Hillcrest Dr	$36.99	654	622
Douglas S Fugate 720 W Mahoning St	$31.03	463	449
Abby Renee Caylor 81 Hillcrest Dr	$44.08	436	433
Zuhdi Mohammed Dajani 720 W Mahoning St	$37.80	387	342
Kevin Ford Wilson 21911 Us-119	$31.85	366	338
Ashley N Parsons 81 Hillcrest Dr	$45.68	343	333
Erin Nicole Cessna 81 Hillcrest Dr Ste 1300	$0.27	320	307
Heather Ann Weaver 81 Hillcrest Dr	$0.42	299	298
Franklin P Bizousky 21911 Route 119	$53.59	281	243
Angela Nicole Shaffer 81 Hillcrest Dr	$0.00	279	269
Nicole Leigh Pomeroy 81 Hillcrest Dr	$42.40	275	263
Mazen Hasan 83 Hillcrest Dr	$72.84	210	196
Susan E Montag 81 Hillcrest Dr Ste 100	$46.48	188	178
Kenneth K Fugate 525 N Main St	$21.45	148	133
Omar Ramadan 81 Hillcrest Dr	$33.50	108	107
Emil Dib 81 Hillcrest Dr	$33.51	106	102
Tia Marie Bowser 531 N Main St	$36.08	60	58
Candi Lea Knox 81 Hillcrest Dr Ste 2200	$28.86	29	28
Kyle A Lingenfelter 81 Hillcrest Dr	$23.53	18	12
Ashlee Nicole Spack 551 W Mahoning St	$20.26	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 Punxsutawney, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Punxsutawney, PA is $24.95 per claim, based on 34,398 claims from 36 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 Punxsutawney, PA?

There are 36 Medicaid providers offering Office Visit related services in Punxsutawney, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Punxsutawney, PA ranges from $0.00 to $72.84 per claim, with an average of $24.95. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Punxsutawney, PA: $24.95

Providers Offering Office Visit in Punxsutawney, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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