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Based on public Medicaid payment data.

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

Other Procedures in State College, PA