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 |
|---|---|---|---|
|
Jeffrey Hopkins Baker
476 Rolling Ridge Dr |
$111.02 | 12 | 12 |
|
Dongsheng Jiang
1850 E Park Ave |
$113.39 | 12 | 12 |
|
Thomas J Ellis
101 Regent Ct |
$33.29 | 12 | 12 |
|
Muqueet Kadri
1850 E Park Ave Ste 201 |
$31.47 | 12 | 12 |
|
John J. Solic
1850 E Park Ave |
$48.71 | 12 | 12 |
|
Jason D Fragin
303 Benner Pike |
$82.92 | 12 | 12 |
|
Jonathan D Adams
1850 E Park Ave |
$75.51 | 12 | 12 |
|
Morgan Taylor Decker
3901 S Atherton St Ste 5 |
$19.63 | 12 | 12 |
|
Jeffrey G. Eaton
1850 E Park Ave |
$34.75 | 13 | 13 |
|
Corinne Nicole Nulton
200 Scenery Dr |
$96.38 | 13 | 13 |
|
Jason Ferderber
1700 Old Gatesburg Rd Ste 200 |
$42.22 | 13 | 13 |
|
Jay D Davis
2505 Green Tech Dr Ste C |
$3.39 | 14 | 13 |
|
Fahima Nasreen
1850 E Park Ave |
$36.60 | 14 | 14 |
|
Kevin Roe
1850 E Park Ave |
$17.65 | 14 | 14 |
|
Scott M Minor
1700 Old Gatesburg Rd Ste 200 |
$34.01 | 14 | 14 |
|
Emily T. Suvock
164 Greenview Dr Ste 445 |
$34.36 | 14 | 14 |
|
Aderonke Ajala
235 Wellness Way |
$47.45 | 15 | 12 |
|
University Orthopedics Center, Ltd
101 Regent Ct |
$61.19 | 16 | 15 |
|
Colleen M. Cingle
143 Hospital Drive, Ste 112B |
$40.98 | 16 | 14 |
|
Stephen Harry Phillips
905 University Dr |
$43.08 | 19 | 19 |
|
Brian Allen Spencer
1700 Old Gatesburg Rd Ste 200 |
$26.21 | 25 | 24 |
|
Manisha N. Patel
200 Scenery Dr |
$39.81 | 26 | 24 |
|
Loretta A Pratt
1850 E Park Ave |
$25.27 | 27 | 27 |
|
Scott A Eisenhuth
101 Regent Ct |
$27.12 | 30 | 28 |
|
Erin C Crown
1951 Pine Hall Rd Ste 225 |
$1.00 | 35 | 26 |
|
Trenten Lancaster
1800 E Park Ave |
$59.83 | 36 | 36 |
|
Shannon Marie Nicosia
200 Scenery Dr |
$55.14 | 42 | 42 |
|
Yi H Kao
3901 S Atherton St Ste 6 |
$23.64 | 42 | 41 |
|
Steven M Smith
1850 E Park Ave Ste 201 |
$1.24 | 44 | 39 |
|
Juan Qiu
32 Colonnade Way |
$109.47 | 46 | 43 |
|
Christine Elizabeth Weikert
1333 S Allen St |
$10.35 | 49 | 40 |
|
Dustin G. Case
3901 S Atherton St Ste 2 |
$54.38 | 52 | 52 |
|
J Frederick Doucette
1850 E Park Ave |
$41.14 | 52 | 48 |
|
Sarah Emily Smith
337 Creekside Dr |
$203.56 | 54 | 51 |
|
Jesse J. Jennings
3901 S Atherton St Ste 6 |
$32.99 | 59 | 52 |
|
Jeffrey A Ratner
1850 E Park Ave Ste 201 |
$36.94 | 63 | 56 |
|
Keriann Nickola Gray
200 Scenery Dr. |
$36.51 | 72 | 67 |
|
Kimberly A Kolonich
1850 E Park Ave Ste 201 |
$36.56 | 75 | 69 |
|
Virginia Angeles Sampang
32 Colonnade Way |
$66.79 | 78 | 69 |
|
Adam Jason Marcovitch
507 Locust Ln |
$23.25 | 83 | 74 |
|
Jenna Lynn Dudukovich
1850 E Park Ave Ste 302 |
$47.66 | 94 | 90 |
|
Gregory M. Bailey
476 Rolling Ridge Dr Ste 200 |
$12.34 | 96 | 93 |
|
Abhishek Seth
235 Wellness Way |
$19.33 | 97 | 78 |
|
Faoud Ishmael
1850 E Park Ave Ste 201 |
$61.97 | 99 | 96 |
|
Jennifer L Gilbert
1700 Old Gatesburg Rd |
$29.31 | 100 | 99 |
|
Timothy David Mckinley
200 Scenery Dr |
$44.69 | 113 | 110 |
|
Edwin J Rogusky
101 Regent Ct |
$40.46 | 131 | 122 |
|
Kaitlyn Branigan Brunner
1850 E Park Ave |
$40.10 | 137 | 131 |
|
Katherine J Starostik
1630 N Atherton St |
$41.00 | 151 | 144 |
|
Jessica Buczek Shuman
1850 East Park Ave |
$43.77 | 156 | 147 |
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