Average Medicaid Office Visit Payments in Tarentum, PA: $55.64
Avg. Paid
$55.64
Range
$8.47 – $87.15
Total Claims
8,743
Providers
10
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 Tarentum, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Margaret Leffler Martin
317 E 1St Ave |
$59.86 | 12 | 12 |
|
Sarah Demarco Davies
301 E 1St Ave Ste A |
$38.79 | 14 | 14 |
|
Sowjanya Kanna
301 E 1St Ave |
$20.61 | 14 | 13 |
|
Kumar Patel Md Llc
301 Fifth Ave #100 |
$46.24 | 15 | 13 |
|
William James Webb
315 Fifth Ave |
$8.47 | 118 | 118 |
|
Matthew Paul Kozminski
215 E 1St Ave |
$63.70 | 324 | 321 |
|
Elie L Francis
317 1St Ave |
$49.04 | 525 | 515 |
|
Jessi Marie Rogers
303 E 10Th Ave |
$62.60 | 1,765 | 1,730 |
|
Amber Lynn Clites
303 E 10Th Ave |
$87.15 | 2,098 | 2,069 |
|
Kumar R Patel
301 E 5Th Ave |
$37.19 | 3,858 | 3,526 |
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 Tarentum, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tarentum, PA is $55.64 per claim, based on 8,743 claims from 10 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 Tarentum, PA?
There are 10 Medicaid providers offering Office Visit related services in Tarentum, PA according to public payment data.
What is the price range for Office Visit in Tarentum, PA?
Medicaid reimbursement for Office Visit in Tarentum, PA ranges from $8.47 to $87.15 per claim, with an average of $55.64. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Tarentum, PA
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Avg $50.68
18,319 claims
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Avg $11.78
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Avg $187.81
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Avg $135.63
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