Skip to content
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

58

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
Jeffrey Edward Moore

213 W Third Ave

$40.20 12 12
Jenafer Elaine Hammond

2 W Crescent Park Fl 3

$5.49 12 12
Valerie R. Dunn

2 W Crescent Park

$82.74 12 12
Children'S Center For Treatment And Education

1885 Market St

$21.82 12 12
Dan Henry Gottwald

103 W Saint Clair St

$25.61 12 12
Haylee Nicole Mague

143 Pleasant Dr

$29.62 13 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
Shawna Deanne Steffan

2 W Crescent Park Fl 3

$0.00 14 14
Joseph John Maljovec

14 Plumber St

$33.00 14 14
Jared C Varner

143 Pleasant Dr

$2.19 16 13
Susan K Knowlden

2265 Market St

$85.86 17 12
Tyler Mautino

60 Hatch Run Rd

$31.71 17 13
Robert Keith Price

143 Pleasant Dr

$32.34 25 25
Warren General Hospital

2 Crescent Park W

$51.09 37 33
Michael Vincent Landy

2 Farm Colony Dr

$35.42 43 37
Warren General Hospital

2 W Crescent Park

$2.70 43 37
Yoko Young Sang

103 W Saint Clair St Rm 2D

$35.62 44 40
Eric Decker

1885 Market St

$3.23 48 43
Jeffrey F Morgan

808 Penna Ave W

$12.21 54 48
Margaret Dylewski

2 W Crescent Park

$34.87 72 69
Crystal Elizabeth Sigmund

2265 Market St

$84.76 78 55
Kristi Rae Simpson

2 W Crescent Park

$22.39 93 91
Community Eye Care Specialists, P.C.

2 Farm Colony Drive

$2.58 111 109
Lonnie L Heeter

103 W Saint Clair St

$30.36 125 118
David M Mcconnell

145 Pleasant Dr

$33.20 135 123
Craig Garry Richman

1003 Pennsylvania Ave W

$35.51 142 109
Jennifer Thrift

2 W Crescent Park

$34.81 149 147
Charles Bryan Norton

514 W 3Rd Ave

$41.15 160 159
Angela M Damore

2 W Crescent Park Fl 2

$31.52 220 204
Frank David Clifford

143 Pleasant Dr

$16.66 230 216
Warren Pediatric Associates

145 Pleasant Dr

$48.38 234 184
Edwina Clarke

2 W Crescent Park

$34.35 238 233
Mohamed A Kourtu

2 W Crescent Park

$19.95 250 240
Melissa Eckman

2 W Crescent Park

$25.28 266 250
Marlea Heeter

145 Pleasant Dr

$35.30 331 310
Genine Martin

145 Pleasant Dr

$35.13 347 332
Abraham S Kibbey

2 W Crescent Park Fl 2

$28.91 375 331
Megan Sue Church

143 Pleasant Dr

$36.00 488 461
Lisa N Goodwill

145 Pleasant Dr

$35.99 577 539
George Michael Watson

103 W Saint Clair St

$82.48 621 610
Valeriy Sedov

2 W Crescent Park

$28.45 648 557
Michael Mikita

2 Farm Colony Dr

$66.71 897 878
Daniel A Burns

2265 Market St Ste B

$38.19 1,119 1,025
Kenneth Lee Williams

143 Pleasant Dr

$36.10 1,193 1,107
Osama Al-Omar

2 W Crescent Park

$59.37 1,219 1,158
Tina Marie Daerr

2817 Market St

$28.35 1,568 1,492
Latroy M Navaroli

2 Crescent Park

$15.07 1,782 1,249
Simon Levi Amsdell

2 W Crescent Park

$28.31 2,151 2,057
Margot B Butler

145 Pleasant Dr

$122.87 3,476 3,241

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.

Office Visit in Other Cities

Other Procedures in Warren, PA