Average Medicaid Office Visit Payments in State College, PA: $49.40
Avg. Paid
$49.40
Range
$0.00 – $203.56
Total Claims
69,509
Providers
124
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 State College, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cara M. Ricotta
2520 Green Tech Dr |
$47.34 | 3,719 | 3,520 |
|
Kristie L. Kaufman
3901 S Atherton St |
$41.94 | 3,664 | 3,484 |
|
Robert S. Huffard
3901 S Atherton St |
$39.29 | 2,782 | 2,670 |
|
Maria Basedow
1850 E Park Ave Ste 302 |
$60.07 | 2,435 | 2,304 |
|
Linda Joyce Kurtz
3901 S Atherton St Ste 5 |
$48.70 | 2,379 | 2,196 |
|
Maria Isabel Longo-Imedio
303 Benner Pike |
$47.90 | 2,310 | 2,034 |
|
Brent R Driskill
3901 S Atherton St Ste 6 |
$106.82 | 2,247 | 2,105 |
|
Katherine Turco
2188 Sandy Dr |
$73.12 | 2,119 | 2,103 |
|
Shane Daniel Newhouser
200 Scenery Dr |
$38.83 | 1,906 | 1,814 |
|
Allyson S. Huggins
3901 S Atherton St |
$38.78 | 1,869 | 1,786 |
|
Hemanth Kumar Bhimasani
321 Lois Ln |
$187.40 | 1,829 | 717 |
|
John E. Piatt
200 Scenery Dr |
$35.83 | 1,693 | 1,612 |
|
Joseph Timothy Candelore
200 Scenery Dr |
$41.89 | 1,566 | 1,488 |
|
Jan S. Ulbrecht
1850 E Park Ave |
$55.87 | 1,394 | 1,359 |
|
Mehwish Moinuddin
143 Hospital Drive |
$1.20 | 1,351 | 965 |
|
Rachel L Schwab
3901 S Atherton St |
$39.12 | 1,341 | 1,297 |
|
Brian A. Hyman
2121 Old Gatesburg Rd |
$43.53 | 1,304 | 1,285 |
|
Brian P. Oppermann
2520 Green Tech Dr |
$43.38 | 1,286 | 1,260 |
|
Erin R Vanness
200 Scenery Dr |
$50.32 | 1,283 | 1,259 |
|
Melanie M. Chaputa-Cherry
1850 E Park Ave |
$44.10 | 1,170 | 993 |
|
Michelle Nicole Stalter Shippert
1526 Martin St |
$32.55 | 1,065 | 991 |
|
Susan Marie Holencik
293 Patriot Ln |
$37.84 | 1,041 | 999 |
|
Allison Buza Holmes
32 Colonnade Way |
$42.85 | 999 | 954 |
|
Marci Eileen Bialas
200 Scenery Dr |
$20.13 | 995 | 968 |
|
Gregory J Wilson
2505 Green Tech Dr Ste C |
$62.41 | 989 | 966 |
|
Timothy Frederick Doberstein
200 Scenery Dr |
$39.91 | 962 | 920 |
|
Tania S Zuniga
2520 Green Tech Dr |
$50.24 | 950 | 904 |
|
Robert A. Mentyka
200 Scenery Dr |
$41.57 | 946 | 930 |
|
Tracey L. Zellner
3901 S Atherton St |
$38.76 | 932 | 900 |
|
Neil Baman
200 Scenery Dr |
$58.85 | 926 | 904 |
|
Jamie L Bush
239 Colonnade Blvd Fl 2 |
$77.04 | 875 | 863 |
|
Diane Carol Hudson-Barr
436 Park Ln |
$0.00 | 862 | 807 |
|
Ronald Lakatos
164 Greenview Dr |
$43.94 | 773 | 741 |
|
E. P. Roy
2121 Old Gatesburg Rd |
$40.95 | 713 | 702 |
|
Anitha Raj
200 Scenery Dr |
$46.37 | 705 | 662 |
|
Carey Kimberly Keiter
200 Scenery Dr |
$37.45 | 695 | 675 |
|
Jesse Julian Miller
143 Hospital Drive |
$51.53 | 680 | 649 |
|
Bobbie Jo Oshall
1951 Pine Hall Rd |
$33.96 | 627 | 590 |
|
Victoria Devan
1951 Pine Hall Rd |
$33.97 | 606 | 589 |
|
Jason D Clark
239 Colonnade Blvd Ste 2 |
$33.60 | 578 | 544 |
|
Mary Murphy
2121 Old Gatesburg Rd Ste 100 |
$28.67 | 573 | 558 |
|
Matthew Allyn Hazey
100 Scenery Dr Uppr Level |
$32.34 | 568 | 563 |
|
Meagan Rae Schneiderman
164 Greenview Dr Ste 100 |
$35.45 | 532 | 354 |
|
Paul L Klink
1850 E Park Ave Ste 312 |
$44.82 | 502 | 487 |
|
Ian M Yarger
164 Greenview Dr |
$35.73 | 469 | 437 |
|
Andrew Steven Bernhard
1526 Martin St |
$49.34 | 419 | 370 |
|
Ralitsa V Balabanova-Tsarnakova
1850 E Park Ave |
$40.69 | 398 | 380 |
|
Kristen M Grine
476 Rolling Ridge Dr Ste 101 |
$85.23 | 397 | 376 |
|
Erin Connolly
200 Scenery Dr |
$40.47 | 397 | 380 |
|
Shreya M Patel
1850 E Park Ave |
$41.30 | 386 | 337 |
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 State College, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in State College, PA is $49.40 per claim, based on 69,509 claims from 124 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 State College, PA?
There are 124 Medicaid providers offering Office Visit related services in State College, PA according to public payment data.
What is the price range for Office Visit in State College, PA?
Medicaid reimbursement for Office Visit in State College, PA ranges from $0.00 to $203.56 per claim, with an average of $49.40. 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 State College, PA
Home Health Visit
Avg $186.66
49,831 claims
Dental Cleaning & Exam
Avg $41.99
34,539 claims
Emergency Room Visit
Avg $71.71
33,837 claims
Physical Therapy
Avg $28.47
31,411 claims
Speech Therapy
Avg $27.51
27,989 claims
Blood Work & Lab Tests
Avg $7.59
21,784 claims
Case Management Services
Avg $89.69
15,912 claims
EKG / ECG (Electrocardiogram)
Avg $4.86
15,234 claims