Average Medicaid Office Visit Payments in Sewickley, PA: $49.62
Avg. Paid
$49.62
Range
$0.00 – $130.00
Total Claims
52,358
Providers
70
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 Sewickley, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Children'S Community Care
2599 Wexford Bayne Rd |
$50.68 | 5,092 | 4,109 |
|
Robert Schwartz
701 Broad St |
$62.08 | 4,951 | 4,764 |
|
Kathleen M Osten
100 Hazel Ln |
$33.71 | 3,780 | 3,641 |
|
Richard Trevor Gibbs
18 Highview Dr |
$39.00 | 3,611 | 3,427 |
|
William A Marasovich
701 Broad St |
$33.10 | 3,198 | 2,873 |
|
Amerigo Ceccarelli
701 Broad St |
$61.53 | 3,157 | 3,033 |
|
Daniel Graff
701 Broad St |
$58.55 | 2,843 | 2,765 |
|
Rex Gardner Carr
112 Woodcrest Dr |
$69.43 | 2,369 | 1,879 |
|
Julia Necciai
111 Hazel Ln Ste 201 |
$58.06 | 2,351 | 2,217 |
|
Gerald Marvin Goltz
701 Broad St Ste 421 |
$35.54 | 1,707 | 1,659 |
|
Katherine C Ke
1106 Ohio River Blvd |
$100.08 | 1,589 | 1,557 |
|
Amita H Mulherkar
2591 Wexford Bayne Road |
$39.97 | 1,574 | 1,332 |
|
David Provenzano
301 Ohio River Blvd Ste 203 |
$29.94 | 1,274 | 1,205 |
|
Deborah L Sommer
2599 Wexford Bayne Rd |
$62.27 | 1,226 | 1,053 |
|
Stephen M Froman
301 Ohio River Blvd |
$15.17 | 1,165 | 1,129 |
|
Rose L Munroe
701 Broad St Ste 422 |
$49.86 | 1,161 | 1,109 |
|
Michael A Karp
100 Hazel Ln |
$46.21 | 1,122 | 1,089 |
|
Allison Megyesi
100 Hazel Ln Fl 1 |
$19.94 | 987 | 933 |
|
Benjamin K Boehme
100 Hazel Ln Ste 201 |
$44.59 | 829 | 798 |
|
Marcia Danielle Nicoll
701 Broad St |
$60.95 | 768 | 756 |
|
Maria Antonieta Robuck
2599 Wexford Bayne Rd |
$54.58 | 643 | 627 |
|
Brian James Kelly
1099 Ohio River Blvd |
$35.93 | 642 | 613 |
|
Janene Hecker Klein
720 Blackburn Rd |
$100.09 | 525 | 512 |
|
Bryan E Labuda
301 Ohio River Blvd Ste 301 |
$54.42 | 429 | 412 |
|
Crystle Harcar
2599 Wexford Bayne Road |
$37.92 | 371 | 344 |
|
Joseph B Bikowski
500 Chadwick St |
$44.71 | 352 | 319 |
|
Jamie Wright
2599 Wexford Bayne Rd |
$58.01 | 320 | 304 |
|
Emily N Penz
500 Chadwick St |
$52.44 | 304 | 300 |
|
Danielle M Abel
500 Chadwick St |
$47.38 | 299 | 290 |
|
Erik Thomas Interval
301 Ohio River Blvd Ste 202 |
$41.77 | 298 | 284 |
|
Sewickley Valley Pediatrics & Adolescent Medicine
701 Broad St |
$45.97 | 258 | 223 |
|
Stephanie Anne Klobuchir
100 Hazel Ln |
$34.13 | 245 | 241 |
|
Mark J Fuoss
301 Ohio River Blvd Ste 301 |
$40.97 | 227 | 217 |
|
Ashley Lynn Karcher
301 Ohio River Blvd Ste 203 |
$9.52 | 208 | 198 |
|
Angela Kohle Ersher
100 Hazel Ln Fl 1 |
$33.63 | 204 | 201 |
|
Stacey Allen Coyle
500 Chadwick St |
$30.22 | 200 | 195 |
|
Sarah E Cahill
100 Hazel Ln |
$33.02 | 175 | 173 |
|
Michael A Orsini
301 Ohio River Blvd |
$51.31 | 164 | 156 |
|
Ashka Patel
100 Hazel Ln Ste 201 |
$47.45 | 153 | 144 |
|
Abir Abla Senz
1606 Carmody Ct |
$48.27 | 124 | 120 |
|
Bethany E Skaggs
2599 Wexford Bayne Rd |
$70.94 | 123 | 119 |
|
Hira Ali
100 Hazel Ln Ste 200 |
$43.30 | 114 | 112 |
|
Michele Matthews-Mlakar
1606 Carmody Ct |
$55.83 | 111 | 106 |
|
Hubert Shick
1606 Carmody Ct |
$57.57 | 107 | 103 |
|
Jennifer Sara Louise Schaefer
Sewickley Valley Pediatric And Adolescent Medicine, Pc |
$28.36 | 106 | 98 |
|
Richard C Hogan
301 Ohio River Blvd Ste 306 |
$42.88 | 105 | 97 |
|
Sandra Cooper
400 Broad St Ste 1006 |
$40.13 | 100 | 88 |
|
Lori Bigi
1606 Carmody Ct Ste 202 |
$33.64 | 95 | 92 |
|
Anna Sophia Kresse
720 Blackburn Rd Fl 1 |
$31.98 | 73 | 70 |
|
Justine Kostrub
720 Blackburn Rd Fl 1 |
$35.28 | 50 | 46 |
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 Sewickley, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sewickley, PA is $49.62 per claim, based on 52,358 claims from 70 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 Sewickley, PA?
There are 70 Medicaid providers offering Office Visit related services in Sewickley, PA according to public payment data.
What is the price range for Office Visit in Sewickley, PA?
Medicaid reimbursement for Office Visit in Sewickley, PA ranges from $0.00 to $130.00 per claim, with an average of $49.62. 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
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Sewickley, PA
Case Management Services
Avg $77.20
33,838 claims
Blood Work & Lab Tests
Avg $5.16
18,191 claims
Emergency Room Visit
Avg $87.06
16,982 claims
Podiatry (Foot Care)
Avg $3.55
11,565 claims
Nursing Facility Care
Avg $22.09
8,611 claims
Physical Therapy
Avg $79.34
6,304 claims
Vaccines & Immunizations
Avg $12.08
5,964 claims
Hearing Test (Audiometry)
Avg $4.08
5,878 claims