Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Warren, PA: $38.45

Avg. Paid

$38.45

Range

$0.00 – $122.87

Total Claims

80,069

Providers

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 Warren, PA

Provider	Avg. Paid	Claims	Patients
John J Sutton 103 W Saint Clair St Rm 2A	$34.07	12,551	11,491
Mason Tootell 2 W Crescent Park Fl 2	$33.78	10,655	9,861
Tracey E Mercer-Benson 2817 Market St	$9.75	9,497	9,258
Dale Timothy Coombs 145 Pleasant Dr	$38.54	7,467	6,881
Sunny A Thomas 145 Pleasant Dr	$38.84	5,804	5,452
Damian T Horner 14 Plumber St	$33.41	5,641	5,134
Beau Froebel 2 Farm Colony Dr	$60.60	4,984	4,818
Gordon Edgar Wuebbolt 2 Farm Colony Drive	$49.55	3,702	3,572
Margot B Butler 145 Pleasant Dr	$122.87	3,476	3,241
Simon Levi Amsdell 2 W Crescent Park	$28.31	2,151	2,057
Latroy M Navaroli 2 Crescent Park	$15.07	1,782	1,249
Tina Marie Daerr 2817 Market St	$28.35	1,568	1,492
Osama Al-Omar 2 W Crescent Park	$59.37	1,219	1,158
Kenneth Lee Williams 143 Pleasant Dr	$36.10	1,193	1,107
Daniel A Burns 2265 Market St Ste B	$38.19	1,119	1,025
Michael Mikita 2 Farm Colony Dr	$66.71	897	878
Valeriy Sedov 2 W Crescent Park	$28.45	648	557
George Michael Watson 103 W Saint Clair St	$82.48	621	610
Lisa N Goodwill 145 Pleasant Dr	$35.99	577	539
Megan Sue Church 143 Pleasant Dr	$36.00	488	461
Abraham S Kibbey 2 W Crescent Park Fl 2	$28.91	375	331
Genine Martin 145 Pleasant Dr	$35.13	347	332
Marlea Heeter 145 Pleasant Dr	$35.30	331	310
Melissa Eckman 2 W Crescent Park	$25.28	266	250
Mohamed A Kourtu 2 W Crescent Park	$19.95	250	240
Edwina Clarke 2 W Crescent Park	$34.35	238	233
Warren Pediatric Associates 145 Pleasant Dr	$48.38	234	184
Frank David Clifford 143 Pleasant Dr	$16.66	230	216
Angela M Damore 2 W Crescent Park Fl 2	$31.52	220	204
Charles Bryan Norton 514 W 3Rd Ave	$41.15	160	159
Jennifer Thrift 2 W Crescent Park	$34.81	149	147
Craig Garry Richman 1003 Pennsylvania Ave W	$35.51	142	109
David M Mcconnell 145 Pleasant Dr	$33.20	135	123
Lonnie L Heeter 103 W Saint Clair St	$30.36	125	118
Community Eye Care Specialists, P.C. 2 Farm Colony Drive	$2.58	111	109
Kristi Rae Simpson 2 W Crescent Park	$22.39	93	91
Crystal Elizabeth Sigmund 2265 Market St	$84.76	78	55
Margaret Dylewski 2 W Crescent Park	$34.87	72	69
Jeffrey F Morgan 808 Penna Ave W	$12.21	54	48
Eric Decker 1885 Market St	$3.23	48	43
Yoko Young Sang 103 W Saint Clair St Rm 2D	$35.62	44	40
Michael Vincent Landy 2 Farm Colony Dr	$35.42	43	37
Warren General Hospital 2 W Crescent Park	$2.70	43	37
Warren General Hospital 2 Crescent Park W	$51.09	37	33
Robert Keith Price 143 Pleasant Dr	$32.34	25	25
Susan K Knowlden 2265 Market St	$85.86	17	12
Tyler Mautino 60 Hatch Run Rd	$31.71	17	13
Jared C Varner 143 Pleasant Dr	$2.19	16	13
Michael Thomas O'Neill 2 Farm Colony Dr	$33.85	14	13
Elizabeth Marie Peterson 103 W Saint Clair St Rm 1A	$16.50	14	12

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 Warren, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warren, PA is $38.45 per claim, based on 80,069 claims from 58 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 Warren, PA?

There are 58 Medicaid providers offering Office Visit related services in Warren, PA according to public payment data.

What is the price range for Office Visit in Warren, PA?

Medicaid reimbursement for Office Visit in Warren, PA ranges from $0.00 to $122.87 per claim, with an average of $38.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Warren, PA: $38.45

Providers Offering Office Visit in Warren, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Warren, PA

Eye Exam

Emergency Room Visit

Blood Work & Lab Tests

Speech Therapy

Case Management Services

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

Hearing Test (Audiometry)