Average Medicaid Office Visit Payments in Sharon, PA: $16.82
Avg. Paid
$16.82
Range
$0.00 – $118.12
Total Claims
51,231
Providers
27
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 Sharon, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul M Chlpka
585 E State St |
$35.07 | 15,009 | 13,628 |
|
Michael Peter Messina
63 Pitt St |
$2.09 | 5,804 | 5,487 |
|
John T Cunningham
63 Pitt St |
$3.09 | 4,925 | 4,704 |
|
Richard F Humphrey
63 Pitt St |
$3.10 | 3,584 | 3,385 |
|
Laurie Dwyer
63 Pitt St |
$1.24 | 2,993 | 2,893 |
|
Joan M. Humphrey
63 Pitt St |
$0.19 | 2,633 | 2,382 |
|
Primary Health Network
63 Pitt St |
$0.17 | 2,141 | 1,714 |
|
Gregory Anthony George
62 Strawbridge Ave |
$29.24 | 1,880 | 1,807 |
|
Jessica Mccann
63 Pitt St |
$3.30 | 1,692 | 1,598 |
|
Stanislav V Byshenko
92 W Connelly Blvd |
$0.01 | 1,643 | 1,544 |
|
Valerie Weyand
585 E State St |
$34.97 | 1,544 | 1,492 |
|
James Robert Rummel
80 E Silver St Ste 400 |
$21.91 | 1,531 | 1,456 |
|
Christian Carbonell
63 Pitt St |
$2.21 | 1,020 | 965 |
|
Tonia L Skakalski
63 Pitt St |
$35.03 | 949 | 844 |
|
George Capella Garrow
63 Pitt St |
$0.12 | 930 | 845 |
|
Sharon Community Health Center
94 W Connelly Blvd |
$0.09 | 633 | 518 |
|
Jessalin Smith
740 E State St |
$49.97 | 452 | 410 |
|
Shruti Sastry
63 Pitt St |
$12.98 | 367 | 333 |
|
Primary Health Network
63 Pitt St |
$110.23 | 360 | 229 |
|
Terry Lynn Castleman
130 Jefferson Ave |
$29.71 | 318 | 282 |
|
Neven Kosic
740 E State St |
$27.16 | 261 | 256 |
|
Nicole Adams
63 Pitt St |
$52.19 | 173 | 154 |
|
Harshad Patel
1 Dayton Way Ste 5 |
$6.15 | 118 | 105 |
|
Jill Mccartney
1299 Hall Ave |
$118.12 | 94 | 82 |
|
Ure Mezu-Chukwu
740 E State St |
$38.95 | 83 | 80 |
|
John Patrick Gallagher
63 Pitt St |
$11.71 | 71 | 65 |
|
Shikha Rijal
63 Pitt St |
$0.00 | 23 | 23 |
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 Sharon, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sharon, PA is $16.82 per claim, based on 51,231 claims from 27 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 Sharon, PA?
There are 27 Medicaid providers offering Office Visit related services in Sharon, PA according to public payment data.
What is the price range for Office Visit in Sharon, PA?
Medicaid reimbursement for Office Visit in Sharon, PA ranges from $0.00 to $118.12 per claim, with an average of $16.82. 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 Sharon, PA
Emergency Room Visit
Avg $65.13
15,945 claims
X-Ray
Avg $7.69
14,679 claims
Podiatry (Foot Care)
Avg $7.40
13,812 claims
Blood Work & Lab Tests
Avg $3.66
11,321 claims
Speech Therapy
Avg $54.61
11,315 claims
Hearing Test (Audiometry)
Avg $4.26
7,154 claims
Nursing Facility Care
Avg $19.15
5,880 claims
Physical Therapy
Avg $100.45
5,510 claims