Average Medicaid Office Visit Payments in Titusville, PA: $15.91
Avg. Paid
$15.91
Range
$0.00 – $54.21
Total Claims
30,801
Providers
22
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 Titusville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria Lordes Munoz
339 W Spring St |
$0.62 | 6,241 | 5,776 |
|
William Robert Sonnenberg
119 East Mechanic Street |
$54.21 | 3,636 | 3,184 |
|
Brandi Hudson
120 S Martin St |
$0.04 | 3,227 | 2,873 |
|
Ryan Ochalek
120 S Martin St |
$0.01 | 3,198 | 2,974 |
|
Rose Therese Colt
406 W Oak St |
$0.00 | 3,026 | 2,938 |
|
Marie Colette Matthews
406 W Oak St |
$25.72 | 2,016 | 1,825 |
|
Kattie Jane Vincent
339 W Spring St |
$44.33 | 1,940 | 1,772 |
|
Christopher Macdonald
401 W Spring St |
$51.07 | 1,835 | 1,759 |
|
Richard B Whalen
339 W Spring St |
$7.15 | 1,494 | 1,414 |
|
Timothy Scott Brooks
122 N Franklin St |
$20.05 | 1,111 | 921 |
|
Cristian L Popescu
339 W Spring St |
$0.22 | 894 | 855 |
|
Deborah A. Martin
120 S Martin St |
$0.00 | 710 | 674 |
|
Brian A Los
339 W Spring St |
$0.16 | 548 | 529 |
|
Leonard Aubrey Ferreira
406 W Oak St |
$34.43 | 290 | 258 |
|
Lisa G Rubin
406 West Oak St |
$49.64 | 238 | 124 |
|
Scott J Mcallister
339 W Spring St |
$0.00 | 187 | 181 |
|
Titusville Area Hospital
339 W Spring St |
$28.47 | 60 | 54 |
|
Michael L Dvorkin
406 W Oak St |
$0.00 | 43 | 41 |
|
James B Wilkens
322 W Main St |
$0.00 | 43 | 40 |
|
Terrie Gwin
120 S Martin St |
$0.00 | 36 | 29 |
|
Titusville Area Health Services, Inc.
335 W Oak St |
$46.23 | 15 | 12 |
|
Adam Scott Middleton
128 W Central Ave |
$0.00 | 13 | 13 |
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 Titusville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Titusville, PA is $15.91 per claim, based on 30,801 claims from 22 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 Titusville, PA?
There are 22 Medicaid providers offering Office Visit related services in Titusville, PA according to public payment data.
What is the price range for Office Visit in Titusville, PA?
Medicaid reimbursement for Office Visit in Titusville, PA ranges from $0.00 to $54.21 per claim, with an average of $15.91. 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 Titusville, PA
Durable Medical Equipment (DME)
Avg $65.89
41,600 claims
Emergency Room Visit
Avg $86.62
13,921 claims
Home Health Visit
Avg $31.47
12,082 claims
Blood Work & Lab Tests
Avg $5.54
7,365 claims
Chiropractic Care
Avg $13.09
7,087 claims
Speech Therapy
Avg $15.15
6,730 claims
Podiatry (Foot Care)
Avg $8.18
5,763 claims
Physical Therapy
Avg $36.37
5,504 claims