Average Medicaid Office Visit Payments in Wexford, PA: $56.95
Avg. Paid
$56.95
Range
$5.40 – $323.76
Total Claims
95,752
Providers
93
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 |
|---|---|---|---|
|
Gabriel T. Weinberg
6500 Brooktree Rd |
$19.95 | 12 | 12 |
|
George Kochik
2400 Corporate Dr Ste 100 |
$44.90 | 12 | 12 |
|
Rikki Leigh Downey
12311 Perry Hwy |
$23.32 | 12 | 12 |
|
Suzanne Brooks Coopey
12311 Perry Hwy |
$43.98 | 12 | 12 |
|
Carolyn Kauffman
11676 Perry Hwy |
$32.08 | 12 | 12 |
|
Glenn Buterbaugh
6001 Stonewood Dr |
$32.23 | 13 | 13 |
|
Dennis Michael Krivinko
9000 Brooktree Road |
$36.38 | 13 | 13 |
|
Olusola Akindele
11360 Perry Hwy |
$79.85 | 13 | 12 |
|
Marshall Balk
6001 Stonewood Dr |
$28.22 | 13 | 12 |
|
Jennifer Anne Totten
5500 Brooktree Rd Ste 201 |
$34.21 | 14 | 14 |
|
Timothy Lipp
12311 Perry Hwy |
$33.61 | 16 | 15 |
|
Amber James Krehnovi
4001 Stonewood Dr Ste 110 |
$107.16 | 17 | 13 |
|
Sachin Jagdish Shah
12351 Perry Hwy |
$36.95 | 20 | 12 |
|
Lindsay M Paterniti
11360 Perry Hwy |
$47.39 | 24 | 24 |
|
Kathryn Simone Hoes
12680 Perry Hwy Ste 170 |
$47.72 | 25 | 25 |
|
Gideon Lorber
3000 Stonewood Dr |
$28.13 | 26 | 25 |
|
Mark Decotiis
7500 Brooktree Rd |
$39.22 | 26 | 25 |
|
Anne Cully
12680 Perry Hwy |
$26.96 | 26 | 24 |
|
Poornima Rao
12311 Perry Hwy |
$39.67 | 27 | 25 |
|
Eric Chen
Upmc Multispecialty Group, Inc |
$29.30 | 27 | 26 |
|
Advanced Pain Medicine Pc
7000 Stonewood Dr |
$66.57 | 28 | 25 |
|
Rachel Marie Barlow
12311 Perry Hwy Fl 3 |
$67.45 | 31 | 30 |
|
Erin K. Snell
117 Vip Dr Ste 120 |
$229.34 | 39 | 38 |
|
Andrew D. Grubic
12311 Perry Hwy |
$50.71 | 44 | 43 |
|
Richard E Bauer
Oral & Facial Surgery Of Pittsburgh, P.C. |
$50.19 | 44 | 44 |
|
Leah Marie Hibbard
7000 Stonewood Dr Ste 151 |
$22.76 | 45 | 43 |
|
Ruta Sudhir Marfatia
12311 Perry Hwy |
$34.95 | 45 | 43 |
|
Leslie Beth Soloshatz
9795 Perry Hwy |
$35.29 | 48 | 47 |
|
Nimish S Naik
6500 Brooktree Rd |
$25.79 | 50 | 48 |
|
Robert Bailey
12680 Perry Hwy Ste 170 |
$46.44 | 52 | 52 |
|
Rick C Rickman
12311 Perry Hwy |
$32.44 | 53 | 52 |
|
Ashley Lynn Loughner
1500 Village Run Rd Ste 308 |
$41.53 | 57 | 54 |
|
Kelly Reimold
12311 Perry Hwy |
$33.23 | 57 | 57 |
|
Dustyn G Pastors
7000 Stonewood Dr Ste 151 |
$28.89 | 58 | 58 |
|
Dana E Thomas
6400 Brooktree Ct Ste 100 |
$209.45 | 62 | 61 |
|
Holly A Lowther
500 Blazier Dr |
$39.37 | 64 | 60 |
|
Andrew Robert Paleno
7000 Stonewood Dr Ste 300 |
$85.83 | 66 | 55 |
|
Nadia Sundlass
1000 Stonewood Dr Ste 200 |
$31.31 | 70 | 63 |
|
Kristen Ann Stephen
1000 Stonewood Dr Ste 200 |
$35.87 | 73 | 66 |
|
Adam Edwin Kennah
2800 Cole Rd |
$15.49 | 75 | 41 |
|
Jason R Fantini
7000 Stonewood Dr Ste 151 |
$16.07 | 77 | 75 |
|
Ankur Gosalia
119 Vip Dr |
$45.03 | 80 | 77 |
|
Marielle Bridget Williamson-Rea
11676 Perry Hwy Ste 2105 |
$32.91 | 86 | 83 |
|
Suzanne Marie Wolf
12620 Perry Hwy |
$74.90 | 94 | 93 |
|
Stephanie Lynn Schneck-Jacob
12620 Perry Hwy # 2 |
$45.63 | 113 | 107 |
|
Meredith Lynn Wisser
7000 Stonewood Dr Ste 151 |
$25.27 | 130 | 123 |
|
Kristina M. Azar
2400 Corporate Dr |
$51.60 | 135 | 132 |
|
Susan Kathleen Saunders
9795 Perry Hwy |
$29.99 | 138 | 133 |
|
Justina Angeline
12311 Perry Hwy Fl 3 |
$37.28 | 150 | 150 |
|
Robert P Horodnic
103 N Meadows Dr |
$35.42 | 151 | 144 |
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.
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 Wexford, PA
X-Ray
Avg $5.22
79,662 claims
Home Health Visit
Avg $178.90
49,773 claims
CT Scan (Computed Tomography)
Avg $33.72
41,899 claims
Physical Therapy
Avg $40.64
29,563 claims
Ultrasound
Avg $19.25
24,249 claims
Emergency Room Visit
Avg $83.58
19,287 claims
Blood Work & Lab Tests
Avg $15.65
18,647 claims
Dental Cleaning & Exam
Avg $28.41
12,879 claims