Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wexford, PA: $56.95

Avg. Paid

$56.95

Range

$5.40 – $323.76

Total Claims

95,752

Providers

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 Wexford, PA

Provider	Avg. Paid	Claims	Patients
Douglas Kress 11279 Perry Hwy	$71.99	17,597	17,319
Mark M. Mitros 7000 Stonewood Dr Ste 151	$38.18	9,736	9,470
Kevin M Hibbard 7000 Stonewood Dr	$44.65	8,675	8,481
Matthew Jp Lodico 7000 Stonewood Dr Ste 151	$45.23	8,377	8,196
Children'S Community Care 103 Bradford Rd Ste 200	$45.77	7,147	6,207
Anthony Lee Silverio 12620 Perry Hwy # 2	$95.57	6,411	6,086
Bradley Mackey 11279 Perry Hwy	$36.62	4,253	3,655
Mark R. Lodico 7000 Stonewood Dr	$40.40	3,311	3,275
Katie Cass 11279 Perry Hwy	$59.71	2,871	2,776
Kerry L Vaughn 12311 Perry Hwy Fl 1	$90.34	2,568	2,507
Andrew D. Krouner 7000 Stonewood Dr	$96.32	1,885	1,864
Joseph English 9000 Brooktree Rd	$45.05	1,873	1,860
Ashis Vanmali Barad 9795 Perry Hwy Ste 100	$48.30	1,592	1,540
Robin Marie Gaus 11279 Perry Hwy	$55.55	1,484	1,457
Peter Wu 103 Bradford Rd	$49.84	1,436	1,407
Steven Benso 12311 Perry Hwy	$75.61	1,316	1,298
Jennifer Pennock 11676 Perry Hwy	$38.83	1,195	1,130
Devin Leigh Petit 11279 Perry Hwy	$84.68	983	707
Mohammad Khizar Ali 100 Bradford Road	$52.52	806	799
Susan T Federoff 1500 Village Run Rd	$43.60	786	682
Irnia Vinarski 205 Gander Dr	$44.41	762	664
Michael H Coleman 10632 Perry Hwy	$75.49	760	751
Mark Joseph Sangimino 12620 Perry Hwy # 2	$30.52	686	654
Prapti Mulraj Kanani 3500 Brooktree Rd	$43.84	624	613
Annette Loveland Lucas 9795 Perry Hwy	$35.22	603	579
Randall Scott Ruffner 6001 Stonewood Dr Ste 300	$70.57	586	577
Alanna Ellis 9795 Perry Hwy	$29.51	511	487
John L Behm 2480 Matterhorn Dr	$43.31	510	468
Desiree Beth Butter 101 Bradford Rd	$69.37	465	463
Roy Guinto 117 Vip Dr Ste 120	$53.97	402	398
Sultan Mahmood 5500 Brooktree Rd Ste 201	$97.42	381	381
Pamela Jo Clair 9795 Perry Hwy Ste 100	$30.41	294	286
William Coppula 9795 Perry Hwy Ste 100	$37.68	289	284
Michael E Petrosky 12311 Perry Hwy Ste D	$34.36	259	254
Children'S Community Care 11279 Perry Hwy Ste 108	$67.54	249	228
Kenneth Paul Cheng 100 Bradford Road	$52.59	221	221
Michael L Mlecko 5500 Brooktree Rd	$34.69	200	200
Janelle H Brady-Porter 500 Blazier Dr Ste 200	$323.76	198	188
Thomas Andrew Makin 6500 Brooktree Rd Ste 101	$93.22	198	194
Anthony Louis Kovatch 9795 Perry Hwy	$41.09	182	176
Kirsten R Drakulich 7000 Stonewood Dr	$5.40	173	169
James Richard Mullen 6001 Stonewood Dr	$40.49	170	162
Eric Anthony Holtz 7000 Stonewood Dr	$8.83	152	150
Robert P Horodnic 103 N Meadows Dr	$35.42	151	144
Justina Angeline 12311 Perry Hwy Fl 3	$37.28	150	150
Susan Kathleen Saunders 9795 Perry Hwy	$29.99	138	133
Kristina M. Azar 2400 Corporate Dr	$51.60	135	132
Meredith Lynn Wisser 7000 Stonewood Dr Ste 151	$25.27	130	123
Stephanie Lynn Schneck-Jacob 12620 Perry Hwy # 2	$45.63	113	107
Suzanne Marie Wolf 12620 Perry Hwy	$74.90	94	93

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 Wexford, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wexford, PA is $56.95 per claim, based on 95,752 claims from 93 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 Wexford, PA?

There are 93 Medicaid providers offering Office Visit related services in Wexford, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Wexford, PA ranges from $5.40 to $323.76 per claim, with an average of $56.95. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wexford, PA: $56.95

Providers Offering Office Visit in Wexford, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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