Average Medicaid Office Visit Payments in Annville, PA: $42.23
Avg. Paid
$42.23
Range
$0.00 – $65.91
Total Claims
18,490
Providers
20
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 Annville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David M Engle
1251 E Main St |
$46.04 | 8,741 | 8,225 |
|
Michael Allen Anderson
9 Nathan Ln |
$27.31 | 2,955 | 2,485 |
|
Randal H Medzoyan
1251 E Main St |
$45.48 | 1,509 | 1,392 |
|
Matthew G Loose
1251 E Main St |
$55.23 | 878 | 825 |
|
Elizabeth V Seiverling
1251 E Main St |
$35.95 | 553 | 526 |
|
Pamela S Potash
1251 E Main St |
$52.37 | 551 | 533 |
|
George T Loose
1251 E Main St |
$49.49 | 529 | 466 |
|
John Vincent Murphy
1251 E Main St Ste 3 |
$44.73 | 403 | 384 |
|
Hannah Kate Miller
1251 E Main St |
$42.04 | 377 | 364 |
|
Vanessa Somerset-Potter
1251 E Main St |
$39.01 | 352 | 346 |
|
Emily C Brandt
1251 E Main St |
$40.16 | 248 | 227 |
|
Alexis Erin Stroman
9 Nathan Ln |
$4.49 | 227 | 225 |
|
Chiamaka Nnamani
1251 E Main St |
$41.15 | 222 | 202 |
|
Julia Eileen Dyreyes
1251 E Main St Ste 1And2 |
$44.88 | 216 | 211 |
|
Ashley M Sheakley
9 Nathan Ln |
$38.12 | 212 | 208 |
|
Christina Monique Desanto
1251 E Main St |
$47.71 | 145 | 135 |
|
Hannah Marie Fye
9 Nathan Ln |
$0.00 | 140 | 136 |
|
Amelia Rebecca Kline Heck
1251 E Main St |
$65.91 | 120 | 112 |
|
David M Zielinski
1251 E Main St |
$47.73 | 83 | 81 |
|
Wellspan Medical Group
9 Nathan Ln |
$46.33 | 29 | 27 |
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 Annville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Annville, PA is $42.23 per claim, based on 18,490 claims from 20 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 Annville, PA?
There are 20 Medicaid providers offering Office Visit related services in Annville, PA according to public payment data.
What is the price range for Office Visit in Annville, PA?
Medicaid reimbursement for Office Visit in Annville, PA ranges from $0.00 to $65.91 per claim, with an average of $42.23. 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 Annville, PA
Dental Cleaning & Exam
Avg $18.40
7,797 claims
Speech Therapy
Avg $8.70
3,517 claims
Dental Filling
Avg $47.81
1,574 claims
Hearing Test (Audiometry)
Avg $6.93
1,087 claims
Blood Work & Lab Tests
Avg $11.86
698 claims
Tooth Extraction
Avg $75.22
377 claims
Vaccines & Immunizations
Avg $8.79
332 claims
Physical Therapy
Avg $15.25
315 claims