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
Bryan Donohue 50 Berry Rd	$19.07	12	12
Thomas Michael Tambouratzis 1000 Park Place Dr Ste 209	$58.02	12	12
Washington Physician Services 95 Leonard Ave	$24.27	13	12
Steven Magister 95 Leonard Ave	$100.11	13	13
Edward Richard Prostko 380 W Chestnut St Ste 101	$29.62	13	12
Philip Joson 80 Landings Drive	$50.20	14	14
Kent E Berkey 1025 Jefferson Ave	$47.47	14	14
Nicholas Schenk 95 Leonard Avenue	$54.06	15	14
William Daniel Trusnovic 90 W Chestnut St	$0.00	15	15
Nestor D Tomycz 380 W Chestnut St Ste 101	$39.51	15	15
Tiffany Leigh Hoy 95 Leonard Ave Ste 200	$11.64	15	15
Richelle Sommerfield 100 Wellness Way	$43.77	24	24
Brent E Angott 88 Wellness Way	$53.97	25	24
Manhal M Tannous 80 Landing Dr #205	$22.43	26	24
Marcia Renee Smith 90 W Chestnut St	$21.30	26	26
Brigitte Leigh Sapko 1874 West Chestnut Street	$0.00	26	26
Amanda Jo Webb 380 W Chestnut St Ste 101	$0.00	27	26
Richard Anthony Aprea 155 Wilson Avenue	$32.76	29	24
Cornerstone Care Inc 351 W Beau St Ste 200	$0.00	44	40
Kira Lynn Bellamy 80 Landings Dr Ste 205	$52.36	49	49
Michelle Ann Guy Herbster 460 Washington Rd Ste 7	$72.87	51	51
Heather Goodhile 80 Landings Dr Ste 202	$30.20	51	51
Michael Ferraro 95 Leonard Avenue	$15.42	52	25
Vincent J Ripepi 100 Trich Dr	$30.81	58	53
Rachel Lock 95 Leonard Ave	$48.65	61	49
Jonette M Mcclelland 37 Highland Avenue	$0.84	65	53
Ty Medovic 460 Washington Rd	$84.23	69	69
Carol Louise Priest 95 Leonard Ave Ste 203	$34.32	69	65
Jocelyn Rae Idema 470 Johnson Road	$42.15	70	62
Kyle Duff 37 Highland Ave	$18.18	74	72
Domonique S Wilson 3000 Park Place Dr Ste 108	$50.22	75	66
Lance Littell 114 Woodland Ave	$31.95	77	75
Nathaniel David O'Leary 95 Leonard Ave Ste 200	$43.79	85	80
Joshua James Basilone 37 Highland Ave	$11.53	87	84
Madeline S Corson-O'Donnell 95 Leonard Ave Ste 200	$43.28	90	88
Michael J Platto 101 Trich Dr Ste 2	$31.71	94	94
Sarah Anne Darrin Washington Hospital Emergency Room/Department	$53.82	95	94
Zeina Dalu Nieto 100 Wellness Way Bldg 2	$86.92	95	89
Advanced Orthopaedic And Rehabilitation Llc 100 Trich Drive	$40.94	103	96
Sun Scolieri 125 N Franklin Dr Ste 1	$36.62	106	105
Howard R Goldberg 80 Landings Dr	$36.81	116	114
Michael J Pecora 125 North Franklin Drive	$35.79	116	116
Angela Kalia 37 Highland Ave	$0.00	120	111
Charnele Mathies 817 Jefferson Ave	$48.90	126	121
Michael E Bonus 125 North Franklin Drive	$99.08	132	127
Michael J Scheel 100 Trich Dr	$27.88	132	126
Scott Schmitt 95 Leonard Ave	$43.81	134	129
Susan Elizabeth Albert 37 Highland Ave	$0.25	138	128
Shweta Arora 37 Highland Avenue	$0.00	156	146
Jose Vicente Venero 125 N Franklin Dr	$33.50	160	158

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)