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Based on public Medicaid payment data.

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
Carol A. Earl

2599 Wexford Bayne Rd

$120.79 12 12
Jesselyn Anne Jozwiak

301 Ohio River Blvd Ste 301

$46.61 12 12
Thomas W Uihlein

400 Broad St

$58.83 13 12
Derek Graydon Leale

2591 Wexford Bayne Rd Ste 104

$29.28 14 14
Matthew Burrill Straka

1099 Ohio River Blvd

$29.93 14 14
Eric Begly

1606 Carmody Ct Ste 202

$84.34 14 14
Geoffrey Howard Wilcox

111 Hazel Lane

$24.71 15 15
Kristina Daly

301 Ohio River Blvd Ste 301

$91.46 17 13
Maureen Lawlor Hrishenko

5 Winterberry Ln

$24.68 18 13
Matthew Joseph

1606 Carmody Ct

$50.48 25 25
Alexandra Potock

1606 Carmody Ct Ste 202

$44.64 27 24
Danielle Renee Schnauber

100 Hazel Ln Fl 1

$130.00 27 27
Gregory B Patrick

701 Broad Street

$0.00 27 27
Susan Teresa Moran

701 Broad St

$44.89 28 26
Pnina M Dean

301 Ohio River Blvd Ste 301

$41.46 28 28
Maureen M Russell

301 Ohio River Blvd Ste 301

$30.25 28 28
Bonnie Case

1606 Carmody Ct

$53.45 28 28
Kristine R Santerini

301 Ohio River Blvd Ste 301

$46.47 38 37
Kerri L Mcintyre Joyce

301 Ohio River Blvd Ste 301

$82.57 46 37
Roseann H Covatto

301 Ohio River Blvd Ste 301

$71.77 48 37
Justine Kostrub

720 Blackburn Rd Fl 1

$35.28 50 46
Anna Sophia Kresse

720 Blackburn Rd Fl 1

$31.98 73 70
Lori Bigi

1606 Carmody Ct Ste 202

$33.64 95 92
Sandra Cooper

400 Broad St Ste 1006

$40.13 100 88
Richard C Hogan

301 Ohio River Blvd Ste 306

$42.88 105 97
Jennifer Sara Louise Schaefer

Sewickley Valley Pediatric And Adolescent Medicine, Pc

$28.36 106 98
Hubert Shick

1606 Carmody Ct

$57.57 107 103
Michele Matthews-Mlakar

1606 Carmody Ct

$55.83 111 106
Hira Ali

100 Hazel Ln Ste 200

$43.30 114 112
Bethany E Skaggs

2599 Wexford Bayne Rd

$70.94 123 119
Abir Abla Senz

1606 Carmody Ct

$48.27 124 120
Ashka Patel

100 Hazel Ln Ste 201

$47.45 153 144
Michael A Orsini

301 Ohio River Blvd

$51.31 164 156
Sarah E Cahill

100 Hazel Ln

$33.02 175 173
Stacey Allen Coyle

500 Chadwick St

$30.22 200 195
Angela Kohle Ersher

100 Hazel Ln Fl 1

$33.63 204 201
Ashley Lynn Karcher

301 Ohio River Blvd Ste 203

$9.52 208 198
Mark J Fuoss

301 Ohio River Blvd Ste 301

$40.97 227 217
Stephanie Anne Klobuchir

100 Hazel Ln

$34.13 245 241
Sewickley Valley Pediatrics & Adolescent Medicine

701 Broad St

$45.97 258 223
Erik Thomas Interval

301 Ohio River Blvd Ste 202

$41.77 298 284
Danielle M Abel

500 Chadwick St

$47.38 299 290
Emily N Penz

500 Chadwick St

$52.44 304 300
Jamie Wright

2599 Wexford Bayne Rd

$58.01 320 304
Joseph B Bikowski

500 Chadwick St

$44.71 352 319
Crystle Harcar

2599 Wexford Bayne Road

$37.92 371 344
Bryan E Labuda

301 Ohio River Blvd Ste 301

$54.42 429 412
Janene Hecker Klein

720 Blackburn Rd

$100.09 525 512
Brian James Kelly

1099 Ohio River Blvd

$35.93 642 613
Maria Antonieta Robuck

2599 Wexford Bayne Rd

$54.58 643 627

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

Other Procedures in Sewickley, PA