Average Medicaid Office Visit Payments in Waynesburg, PA: $42.73
Avg. Paid
$42.73
Range
$0.00 – $75.79
Total Claims
54,566
Providers
27
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 Waynesburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel Alan Church
246 Elm Dr |
$20.68 | 13,698 | 12,145 |
|
John P Martin
220 Greene Plz |
$69.51 | 8,942 | 8,804 |
|
Morris Harper
51 W College St |
$36.43 | 7,531 | 6,408 |
|
Rachel Schroer
343 E Roy Furman Hwy |
$70.16 | 5,428 | 5,313 |
|
Jennifer Michelle Mccracken
236 Elm Dr |
$41.92 | 3,875 | 3,509 |
|
John Evan Allison
236 Elm Dr |
$0.19 | 2,613 | 2,419 |
|
Jamie S. Mcreynolds
220 Greene Plz |
$68.92 | 2,490 | 2,454 |
|
Rekha Galla
3157 Mount Morris Rd Ste 102 |
$41.48 | 2,450 | 2,439 |
|
Tatyana Goldman
245 Elm Dr |
$56.31 | 2,019 | 1,951 |
|
Alan Thomas Casciola
451 Murtha Dr |
$39.79 | 1,014 | 862 |
|
Paul Richard Ogershok
1150 7Th St |
$47.75 | 734 | 698 |
|
Brian Jones
236 Elm Dr |
$42.27 | 709 | 646 |
|
Jami Lee Krull
1135 8Th St |
$44.08 | 605 | 578 |
|
Darrell Lee Donley
1135 8Th St |
$40.85 | 599 | 583 |
|
Giuliana Mazza-Congrove
130 Greene Plz |
$41.86 | 442 | 386 |
|
Katelyn Materkoski
343 E Roy Furman Hwy Ste 103 |
$38.36 | 349 | 287 |
|
Robert Edward Cicchino
112 Walnut Ave |
$39.22 | 183 | 176 |
|
Janelle Selva
236 Elm Dr. |
$25.40 | 179 | 175 |
|
Crystal Lynn Andrews
1150 7Th St |
$0.00 | 149 | 146 |
|
Cornerstone Care, Inc.
236 Elm Dr |
$65.64 | 138 | 105 |
|
Sherry Zimmerman
343 E Roy Furman Hwy |
$0.64 | 121 | 118 |
|
Joni Beazell
236 Elm Dr Ste 101 |
$33.63 | 92 | 88 |
|
Sunita N. Jayakumar
175 Progress Dr |
$49.78 | 73 | 60 |
|
Gretchen J Braun
451 Murtha Dr |
$36.11 | 54 | 48 |
|
Rolando F Cunanan
3150 Mount Morris Rd |
$33.56 | 40 | 39 |
|
Amy R Diamond
430 E Oakview Dr |
$47.40 | 25 | 25 |
|
Jami Diamond Pincavitch
350 Bonar Avenue |
$75.79 | 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 Waynesburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waynesburg, PA is $42.73 per claim, based on 54,566 claims from 27 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 Waynesburg, PA?
There are 27 Medicaid providers offering Office Visit related services in Waynesburg, PA according to public payment data.
What is the price range for Office Visit in Waynesburg, PA?
Medicaid reimbursement for Office Visit in Waynesburg, PA ranges from $0.00 to $75.79 per claim, with an average of $42.73. 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 Waynesburg, PA
Physical Therapy
Avg $61.71
16,779 claims
Speech Therapy
Avg $63.41
16,425 claims
Ambulance Transport
Avg $98.84
15,892 claims
Case Management Services
Avg $142.12
10,260 claims
Blood Work & Lab Tests
Avg $5.69
8,170 claims
Emergency Room Visit
Avg $96.49
5,059 claims
Hearing Test (Audiometry)
Avg $2.53
3,750 claims
Vaccines & Immunizations
Avg $2.23
3,582 claims