Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Washington, PA: $42.05

Avg. Paid

$42.05

Range

$0.00 – $101.43

Total Claims

115,863

Providers

133

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 Washington, PA

Provider	Avg. Paid	Claims	Patients
Jacqueline J Mcdaniel 640 Jefferson Ave	$94.20	10,939	10,170
Tina Lengauer 100 Wellness Way	$50.51	9,356	8,812
Katina Marie Fetsko 470 Johnson Rd Ste 210	$34.68	8,123	7,773
Benjamin Kleifgen 100 Wellness Way	$39.18	4,060	3,872
Edward L Foley 400 Jefferson Ave	$0.00	3,929	3,557
Tera N Faust 100 Wellness Way	$36.55	3,864	3,704
Molly Elizabeth Philbin 100 Wellness Way	$36.61	3,831	3,647
Sheila L Phillips 101 Trich Dr	$28.28	3,523	3,321
Sara Oliverio 125 N Franklin Dr	$48.74	3,076	1,671
Guy Avolio 460 Washington Rd	$64.34	2,991	2,905
Daniel Lee Holt 181 W Beau St	$0.06	2,684	2,562
Vasilios N Spyropoulos 37 Highland Ave	$23.31	2,462	1,988
Richard S. Plowey 80 Landings Dr Ste 202	$35.76	2,423	2,329
Kyeiwaa Amofa-Boachie 351 W Beau St Ste 200	$5.08	2,346	2,125
Denise Ida Gilman 88 Wellness Way	$32.43	2,334	1,433
Bruce Michael Cotugno 1025 Jefferson Ave	$49.16	2,182	2,133
Kimberle Keller Vore 95 Leonard Ave	$38.14	2,167	2,091
William Sharpnack 151 N Franklin St	$39.14	1,811	1,723
Lisa Tamara Harley 95 Leonard Ave	$54.61	1,763	1,435
Ethan Kobe 190 N Main St Ste 204	$37.19	1,759	1,689
Teagan Hayes 95 Leonard Ave	$33.54	1,715	1,555
Tara Lynn Braithwaite 351 W Beau St Ste 200	$0.00	1,400	1,328
Marianne Wizda 104 Wellness Way	$31.65	1,382	1,256
Rolando Garcia 101 Trich Dr Ste 4	$42.27	1,195	1,085
Jimmy Robert Klugh 460 Washington Rd	$60.40	1,182	1,132
Wayne Patrick Myers 88 Wellness Way	$36.10	1,132	1,081
Richard Panicco 80 Landings Drive	$29.35	1,125	1,088
Rachel Spinnenweber 155 Wilson Ave	$73.21	1,092	1,073
Michael Faust 100 Wellness Way	$35.82	983	969
Jenna Beattie 470 Johnson Rd Ste 110	$96.66	972	953
Monica Speicher 95 Leonard Ave	$36.16	961	937
Janine K Rihmland 741 Locust Avenue	$50.90	961	877
Thomas G Phillips 95 Leonard Ave	$23.73	872	837
Mark Robert Lohkamp 95 Leonard Avenue	$101.43	832	783
Nicole Marie Garcher 104 Wellness Way Bldg 2	$32.82	819	771
Justin A Zenner 100 Trich Dr	$52.06	803	733
Julieanne Renee Watters 155 Wilson Ave	$62.99	792	778
Mark Wayne Knestrick 470 Johnson Rd Ste 10	$30.67	792	652
Sean R Kelly 151 N Franklin St	$36.02	785	754
Damon L Hoffmann 125 N Franklin Dr	$33.27	737	730
Patrick T Mcculloch 100 Trich Dr	$37.07	677	653
Steffen Villarma 190 N Main St Ste 204	$44.33	663	639
Konstantinos Papadopoulos 95 Leonard Ave Bldg 22Nd	$61.67	659	612
Paul E. Caimano 2107 North Franklin Dr.	$31.80	658	644
Julie Orlosky 95 Leonard Ave	$0.00	630	566
Paul T Cullen 95 Leonard Ave	$35.75	619	608
Chelsea Marie Heilman 212 Wilson Ave	$5.84	616	582
Carly Werner Zuwiala 104 Wellness Way Bldg 2	$33.61	591	557
Kristi Michelle Pierce 155 Wilson Ave	$40.32	546	473
Joseph Paul Stracci 100 Trich Dr	$21.66	525	490

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 Washington, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Washington, PA is $42.05 per claim, based on 115,863 claims from 133 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 Washington, PA?

There are 133 Medicaid providers offering Office Visit related services in Washington, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Washington, PA ranges from $0.00 to $101.43 per claim, with an average of $42.05. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Washington, PA: $42.05

Providers Offering Office Visit in Washington, 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 Washington, PA

Blood Work & Lab Tests

Physical Therapy

Emergency Room Visit

Speech Therapy

Ambulance Transport

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Durable Medical Equipment (DME)