How Much Does Pennsylvania Medicaid Pay for Doctor Visits?
Office and outpatient evaluation and management visits covered by Medicaid.
Service Doctor Visits Codes 9
In 2024, Pennsylvania Medicaid paid an average of $54.06 per doctor visits claim, across 5,813,544 total claims and 9 procedure codes. That's up 50% from $36.15 in 2018.
This data comes from official HHS Medicaid claims records. See how Pennsylvania compares to other states →
2024 Summary
Average Payment
$54.06
Total Claims
5,813,544
Total Paid
$314,287,367.22
Codes Reporting
9
Average Payment Trend
| Year | Avg / Claim |
|---|---|
| 2018 | $36.15 |
| 2019 | $40.50 |
| 2020 | $38.15 |
| 2021 | $43.44 |
| 2022 | $47.37 |
| 2023 | $50.60 |
| 2024 | $54.06 |
Year-over-Year Rates
| Year | Avg / Claim | Total Claims | Total Paid | Codes Reporting |
|---|---|---|---|---|
| 2018 | $36.15 | 352,322 | $12,735,717.13 | 9 |
| 2019 | $40.50 | 353,865 | $14,332,779.27 | 9 |
| 2020 | $38.15 | 1,536,383 | $58,608,674.95 | 9 |
| 2021 | $43.44 | 6,780,194 | $294,564,297.04 | 9 |
| 2022 | $47.37 | 7,086,219 | $335,708,997.32 | 9 |
| 2023 | $50.60 | 7,009,967 | $354,674,999.49 | 9 |
| 2024 | $54.06 | 5,813,544 | $314,287,367.22 | 9 |