Average Medicaid Office Visit Payments in Rostraver Township, PA: $28.23
Avg. Paid
$28.23
Range
$7.16 – $130.00
Total Claims
1,962
Providers
13
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 Rostraver Township, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sandra Lynn Kraska
975 Rostraver Rd |
$7.16 | 611 | 553 |
|
Sarah Marie Foster
975 Rostraver Rd |
$24.77 | 563 | 543 |
|
Marissa M Boyles
800 Plaza Dr Ste 290 |
$46.68 | 403 | 398 |
|
Amber Lynn Barr
975 Rostraver Rd |
$25.97 | 86 | 84 |
|
Hiram Alexis Gonzalez-Ortiz
800 Plaza Dr Ste 140 |
$44.03 | 61 | 61 |
|
Mark Gindlesperger
800 Plaza Dr Ste 400 |
$30.84 | 57 | 55 |
|
Aubree Ann Gauden
1645 Rostraver Rd Ste 202 |
$43.82 | 52 | 51 |
|
Monica S Ringer
860 Rostraver Rd |
$125.52 | 29 | 29 |
|
Robin R Lutes
860 Rostraver Rd |
$130.00 | 27 | 27 |
|
Jan W Madison
800 Plaza Dr Ste 160 |
$26.60 | 27 | 25 |
|
Britany Gnus
800 Plaza Dr Ste 290 |
$38.50 | 18 | 17 |
|
Carolyn Todaro
1645 Rostraver Rd Ste 202 |
$28.23 | 15 | 13 |
|
Cheryl Hranicky
1645 Rostraver Rd Ste 202 |
$23.69 | 13 | 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 Rostraver Township, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rostraver Township, PA is $28.23 per claim, based on 1,962 claims from 13 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 Rostraver Township, PA?
There are 13 Medicaid providers offering Office Visit related services in Rostraver Township, PA according to public payment data.
What is the price range for Office Visit in Rostraver Township, PA?
Medicaid reimbursement for Office Visit in Rostraver Township, PA ranges from $7.16 to $130.00 per claim, with an average of $28.23. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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