Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Bloomsburg, PA: $43.18

Avg. Paid

$43.18

Range

$4.50 – $121.83

Total Claims

77,407

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 Bloomsburg, PA

Provider	Avg. Paid	Claims	Patients
Joseph M Valdez 549 Fair St	$41.04	11,808	9,726
Karl O. Luxardo 240 Mall Blvd	$35.05	8,948	8,627
Joanna M Kraynak 240 Mall Blvd	$35.44	7,629	7,357
Reginald Mbolda 549 Fair St	$38.78	4,904	4,644
Michael Marino 6850 Lows Rd	$36.55	4,132	3,997
Nisar Khan 425 E 1St St	$78.07	3,370	2,773
Liza B Green 480 Central Rd	$39.86	3,275	3,184
Suzanne M Stepanski 2407 Reichart Rd	$41.94	3,132	2,959
Kari Elizabeth Whitesell-Doclosen 425 East First St.,	$39.38	2,970	2,807
Amanda R. Manning 425 E 1St St	$38.59	2,655	2,514
Tapash K. Sengupta 425 E 1St St	$37.75	2,498	2,367
Marcel M Favetta 549 Fair St	$44.59	2,494	2,354
Kevin Ly 240 Mall Blvd	$47.42	2,092	2,024
Todd Wayne Fausnaught 549 Fair St	$65.32	1,911	1,583
Felicia Helene Hawkins 425 E 1St St	$84.63	1,866	1,592
Megan M Moran-Sands 425 East First St., Ste. 201	$36.94	1,719	1,627
Laura Nicole Geiszler 240 Mall Blvd	$42.91	1,687	1,614
Laura Elizabeth Spahr 425 East First St	$36.41	1,217	1,160
Katelin Malishchak 425 East First St.	$54.08	1,184	1,165
Bryan J O'Young 480 Central Rd	$57.26	1,171	1,016
Amy V. Everett 425 E 1St St	$39.81	1,042	1,005
Nancy Kelley 549 Fair St	$46.58	1,035	1,024
Robert Leslie Lozo 6850 Lows Road	$37.60	1,012	961
Julie Messimer 425 E 1St St	$34.93	741	709
Lori Victor Masteller 6850 Lows Rd	$34.15	636	604
William C Perry 549 Fair St	$40.14	405	395
Diane Elaine Knudsen 549 Fair St	$46.41	274	264
Chris Mansel O'Neil 6850 Lows Rd	$32.89	266	247
Geisinger Clinic 2407 Reichart Rd	$121.83	205	190
Jenifer Elizabeth Smith 425 E 1St St Ste 101	$59.63	181	163
Hannah Choi 240 Mall Blvd	$42.58	167	158
Kristina Reynolds 425 E 1St St Ste 101	$37.41	139	131
Shaohua Xu 480 Central Rd	$67.61	115	115
Robert A Meloy 447 E 1St St	$33.46	104	93
Caroline Stephanie Riegel 439 E 1St St	$39.33	79	70
Mallory Dameron 240 Mall Blvd	$53.00	62	61
Jennifer Simmons 549 Fair St	$67.74	53	53
David J Shiling 549 Fair St.	$31.31	52	51
Cynthia Ciccotelli 240 Mall Blvd	$38.28	38	38
Molly Cezanne Fragale 425 E 1St St	$32.15	35	32
Ryan Maloney 500 Central Rd	$11.55	22	22
Catherine Alexandra Oneil 6850 Lows Rd Ste 325B	$4.50	16	12
Dennis M. Sheehe 240 Mall Blvd	$54.93	15	15
Margaret Moore 240 Mall Blvd	$30.18	14	12
Lara L Stellwag 425 E 1St St	$35.44	13	13
Sara M Yoder 2407 Reichart Rd	$13.48	12	12
Catherine Marie Haupt 240 Mall Bvld	$36.40	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 Bloomsburg, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bloomsburg, PA is $43.18 per claim, based on 77,407 claims from 47 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 Bloomsburg, PA?

There are 47 Medicaid providers offering Office Visit related services in Bloomsburg, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Bloomsburg, PA ranges from $4.50 to $121.83 per claim, with an average of $43.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Bloomsburg, PA: $43.18

Providers Offering Office Visit in Bloomsburg, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Bloomsburg, PA

Emergency Room Visit

Blood Work & Lab Tests

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Home Health Visit

Physical Therapy

Durable Medical Equipment (DME)

Vaccines & Immunizations