Average Medicaid Office Visit Payments in Seven Fields, PA: $41.44
Avg. Paid
$41.44
Range
$4.59 – $108.18
Total Claims
18,355
Providers
12
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 Seven Fields, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christania J Morganti
100 Northpointe Center |
$40.32 | 7,438 | 6,733 |
|
Monica Lynn Garrick Drago
400 Northpointe Cir Ste 301 |
$42.12 | 6,161 | 5,150 |
|
Jared Matthew Maker
400 Northpointe Cir Ste 102 |
$34.26 | 1,590 | 1,469 |
|
Annmarie D Sabovik
100 Northpointe Cir |
$36.07 | 869 | 847 |
|
Anuradha Anand
310 Seven Fields Blvd Ste 130 |
$4.59 | 637 | 568 |
|
Ira Rock
300 Northpointe Cir |
$57.69 | 521 | 494 |
|
Rachel Strosnider
100 Northpointe Cir Ste 306 |
$83.42 | 483 | 339 |
|
Ryan Soose
300 Northpointe Cir |
$66.33 | 285 | 281 |
|
Nenad Bugarija
300 Northpointe Cir Ste 302 |
$46.76 | 182 | 170 |
|
Matthew Sanchez
100 Northpointe Cir Ste 306 |
$108.18 | 91 | 81 |
|
Amanda Jean Adams
300 Northpointe Cir |
$49.13 | 81 | 78 |
|
Kathryn Szabo
300 Northpointe Cir |
$49.30 | 17 | 14 |
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 Seven Fields, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seven Fields, PA is $41.44 per claim, based on 18,355 claims from 12 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 Seven Fields, PA?
There are 12 Medicaid providers offering Office Visit related services in Seven Fields, PA according to public payment data.
What is the price range for Office Visit in Seven Fields, PA?
Medicaid reimbursement for Office Visit in Seven Fields, PA ranges from $4.59 to $108.18 per claim, with an average of $41.44. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Seven Fields, PA
Home Health Visit
Avg $108.22
154,824 claims
Physical Therapy
Avg $23.25
8,335 claims
Case Management Services
Avg $249.22
4,328 claims
Hearing Test (Audiometry)
Avg $9.85
2,439 claims
Emergency Room Visit
Avg $60.55
927 claims
Vaccines & Immunizations
Avg $6.65
754 claims
Dental Cleaning & Exam
Avg $26.46
586 claims
Blood Work & Lab Tests
Avg $7.09
565 claims