Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Seneca, PA: $49.38

Avg. Paid

$49.38

Range

$0.00 – $102.41

Total Claims

49,327

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 Seneca, PA

Provider	Avg. Paid	Claims	Patients
Bradley A Fell One Park Way	$41.01	15,878	15,161
Jennifer Michelle Bishop 3512 State Route 257 Ste 108	$60.63	8,435	7,904
Audrey E Tracy 100 Fairfield Dr	$102.41	4,464	3,602
Keith Wolfe One Park Way	$36.05	3,921	3,844
Linda G Caballero-Goehringer 3512 Sr 257 Ste 107	$38.15	2,922	2,735
Shannon Kristen Penland 100 Fairfield Drive	$44.83	2,016	1,767
Glenn Gordon Hamm 3512 State Route 257	$36.30	1,979	1,907
Norman K Beals One Park Way	$28.79	1,783	1,724
Susen A Rossino One Park Way	$39.40	1,292	1,257
David A Wagner 3285 State Route 257	$53.00	1,233	1,197
Janice M Sartell 1 Park Way	$59.45	769	764
James Mclaughlin 100 Fairfield Dr	$36.20	743	737
Ruthy Mclaughlin 3292 Pa-257	$44.81	659	609
Savita Joneja 3529 State Route 257	$45.52	607	560
Donna Vincene Puleio 100 Fairfield Dr	$41.68	410	392
Yvonne Westover Rhoads 100 Fairfield Dr	$0.00	389	384
Makayli Kepple 3285 State Route 257	$70.90	289	284
Kerri Lee Last 3512 State Route 257	$69.97	205	204
Moh'D Sbeih 100 Fairfield Dr	$49.39	193	133
Hayley Makenna Masters 3292 State Route 257	$29.09	174	172
William Fee 3512 State Route 257	$44.68	137	125
Todd A. Bush 3742 State Route 257	$45.86	131	121
Jennifer Mcmahon-Smith 3140 State Route 257	$6.56	116	111
Ashley Ardellitz 100 Fairfield Dr	$31.16	99	94
Jeffrey Corsetti 100 Fairfield Dr	$36.73	89	88
Stephen M Reinsel 3285 State Route 257	$81.47	87	86
Shiloh Campbell 3292 State Route 257	$29.69	87	86
Heather Grace Mckeel 100 Fairfield Dr	$24.26	64	53
Stephanie L Swope 100 Fairfield Dr	$29.61	49	49
Michelle Wright 100 Fairfield Dr	$97.32	43	36
Pauline Rankin 100 Fairfield Dr	$4.08	40	40
Gerard F Kenney 3744 State Route 257	$27.27	24	24

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 Seneca, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seneca, PA is $49.38 per claim, based on 49,327 claims from 32 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 Seneca, PA?

There are 32 Medicaid providers offering Office Visit related services in Seneca, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Seneca, PA ranges from $0.00 to $102.41 per claim, with an average of $49.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Seneca, PA: $49.38

Providers Offering Office Visit in Seneca, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Seneca, PA

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Emergency Room Visit

Blood Work & Lab Tests

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X-Ray

Chiropractic Care

Hearing Test (Audiometry)

Urinalysis & Urine Tests