Average Medicaid Office Visit Payments in West Mifflin, PA: $55.49
Avg. Paid
$55.49
Range
$0.00 – $72.60
Total Claims
10,191
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 West Mifflin, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mohga Behairy
275 Clairton Blvd |
$66.35 | 2,540 | 2,458 |
|
Sidra Chavla
1907 Lebanon Church Rd |
$47.74 | 1,039 | 988 |
|
Constantine Kralios
275 Clairton Blvd |
$64.00 | 995 | 896 |
|
Victoria Marie Quimpo Moretti
275 Clairton Blvd Ste 300A |
$57.45 | 979 | 892 |
|
Kurt Reiner Eichenmuller
275 Clairton Blvd |
$68.78 | 760 | 751 |
|
Sakina Sachak
2027 Lebanon Church Rd |
$57.21 | 511 | 500 |
|
Marissa Anne Stepler
275 Clairton Blvd |
$72.60 | 478 | 469 |
|
Cody Allan Smith
1907 Lebanon Church Rd Ste 101 |
$53.04 | 458 | 432 |
|
Justin Luhovey
2027 Lebanon Church Rd |
$37.01 | 383 | 356 |
|
Lynn M Potts
1907 Lebanon Church Rd Ste 101 |
$44.35 | 353 | 348 |
|
Brian H Jewart
9970 Mountain View Dr |
$19.34 | 337 | 325 |
|
Mamta Patel
2397 Mountain View Dr |
$55.10 | 260 | 246 |
|
Christopher John Seebruck
9970 Mountain View Dr |
$14.77 | 230 | 226 |
|
William Cameron Annear
2027 Lebanon Church Rd |
$46.20 | 221 | 219 |
|
Asma M. Syeda
2027 Lebanon Church Rd |
$39.79 | 199 | 191 |
|
John P Nairn
9970 Mountain View Drive |
$25.49 | 135 | 131 |
|
Sara Elizabeth Stewart
Associates In Ophthalmology Lic |
$36.47 | 70 | 68 |
|
Kristen Ann Ehrenberger
2397 Mountain View Dr |
$30.80 | 60 | 57 |
|
Brian Alexander Moore
9970 Mountain View Dr |
$34.22 | 33 | 31 |
|
Jennifer Lynn Hardinger
2027 Lebanon Church Rd |
$37.13 | 28 | 28 |
|
Vicente Edgardo Reyes
2027 Lebanon Church Rd Fl 2 |
$48.25 | 27 | 26 |
|
Jarred K Holt
2027 Lebanon Church Rd |
$49.60 | 26 | 26 |
|
Associates In Ophthalmology Ltd
9970 Mountain View Dr |
$45.93 | 19 | 15 |
|
Allison Lancas
2027 Lebanon Church Rd |
$46.05 | 13 | 13 |
|
Mohan Rama Bhat
2027 Lebanon Church Rd |
$0.00 | 13 | 13 |
|
Marina Rezk
2027 Lebanon Church Rd |
$31.85 | 12 | 12 |
|
Jeffrey M. Matheny
2027 Lebanon Church Rd Fl 1 |
$24.47 | 12 | 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 West Mifflin, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Mifflin, PA is $55.49 per claim, based on 10,191 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 West Mifflin, PA?
There are 27 Medicaid providers offering Office Visit related services in West Mifflin, PA according to public payment data.
What is the price range for Office Visit in West Mifflin, PA?
Medicaid reimbursement for Office Visit in West Mifflin, PA ranges from $0.00 to $72.60 per claim, with an average of $55.49. 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 West Mifflin, PA
Ambulance Transport
Avg $1,500
31,553 claims
Speech Therapy
Avg $10.57
8,715 claims
Eye Exam
Avg $19.98
7,122 claims
Physical Therapy
Avg $7.78
3,764 claims
Dental Cleaning & Exam
Avg $26.03
3,434 claims
Chiropractic Care
Avg $12.72
1,945 claims
Mammogram
Avg $47.95
1,592 claims
Dental Filling
Avg $58.07
830 claims