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
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 Warren, PA
Eye Exam
Avg $29.30
46,126 claims
Emergency Room Visit
Avg $77.13
31,251 claims
Blood Work & Lab Tests
Avg $6.03
20,560 claims
Speech Therapy
Avg $34.79
16,089 claims
Case Management Services
Avg $56.00
15,322 claims
EKG / ECG (Electrocardiogram)
Avg $6.86
8,857 claims
Urinalysis & Urine Tests
Avg $2.25
6,833 claims
Hearing Test (Audiometry)
Avg $3.04
5,342 claims