Average Medicaid Office Visit Payments in Carlisle, PA: $31.90
Avg. Paid
$31.90
Range
$0.00 – $102.01
Total Claims
67,249
Providers
62
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 Carlisle, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tameka Pheon Lafayette
361 Alexander Spring Rd |
$0.23 | 6,714 | 5,917 |
|
Sadler Health Center Corporation
100 N Hanover St |
$1.06 | 6,706 | 5,753 |
|
Deborah Raubenstine
804 Belvedere St |
$41.90 | 3,490 | 3,256 |
|
Teresa Frank
804 Belvedere St |
$40.23 | 3,437 | 3,213 |
|
Holly Hoffman
804 Belvedere St |
$41.13 | 3,130 | 2,964 |
|
Chavone Dantrell Momon-Nelson
2 Jennifer Ct Ste B |
$52.59 | 3,036 | 2,746 |
|
Gordon Beryl Miller
1211 Forge Road |
$0.09 | 2,870 | 2,639 |
|
Stephanie Renee Waters
804 Belvedere St |
$42.37 | 2,820 | 2,682 |
|
Matthew Adam Keller
2 Jennifer Court |
$43.95 | 2,788 | 2,564 |
|
Qingru Wang
804 Belvedere St |
$7.82 | 2,627 | 2,530 |
|
Muhammad A Qureshi
11 Sprint Dr |
$75.97 | 2,572 | 2,463 |
|
Daniel T Anderson
340 York Rd |
$52.84 | 2,497 | 1,897 |
|
Gerri Lynn Steele
1533 Commerce Ave |
$45.87 | 2,196 | 2,106 |
|
Bryan R Reid
1921 Spring Rd |
$45.81 | 2,169 | 2,078 |
|
Nicholas Michael Kitsopoulos
340 York Rd |
$62.52 | 1,899 | 1,844 |
|
David A Dell
1533 Commerce Ave |
$48.28 | 1,670 | 1,554 |
|
Matthew Christopher Meyer
340 York Rd |
$43.84 | 1,542 | 1,490 |
|
Katrina M Thoma
100 N Hanover St |
$0.86 | 1,526 | 1,430 |
|
Maureen Jo Miller-Griffie
100 N Hanover St |
$1.52 | 1,075 | 1,020 |
|
Julian M. Ngo
19 Sprint Dr |
$39.09 | 1,014 | 985 |
|
Anthony E Patterson
340 York Rd |
$51.71 | 1,001 | 960 |
|
Ryan C Crim
354 Alexander Spring Rd |
$45.69 | 941 | 847 |
|
Pascale Guirand
100 N Hanover St |
$1.20 | 882 | 799 |
|
Mary M Schulz
100 N Hanover St |
$3.31 | 881 | 829 |
|
Lauren Michaud Winn
1 Dunwoody Dr |
$41.11 | 726 | 684 |
|
Bernadette Acdan Braze
361 Alexander Spring Rd |
$89.20 | 683 | 670 |
|
Carlisle Pediatric Associates
804 Belvedere St |
$64.52 | 642 | 433 |
|
Dow E Brophy
1921 Spring Rd |
$54.94 | 589 | 559 |
|
Wendy Oberdorf
100 N Hanover St |
$67.59 | 528 | 495 |
|
Jennifer Noelle Still
340 York Rd |
$43.99 | 485 | 458 |
|
Andrew Michael Dussinger
366 Alexander Spring Rd Ste 4 |
$37.63 | 401 | 386 |
|
Kelsey Marie Hayden-Whiteman
1211 Forge Rd Ste 300 |
$9.87 | 333 | 316 |
|
Sruthi Nelluri
100 N Hanover St |
$0.00 | 328 | 255 |
|
Jennifer Gill
1921 Spring Rd |
$0.97 | 315 | 310 |
|
Lorraine Wentz Bock
9 E High St |
$51.49 | 282 | 258 |
|
Molly Anne Tucker
366 Alexander Spring Rd |
$25.06 | 243 | 172 |
|
Nikunjkumar Madhubhai Rabadiya
2 Jennifer Ct Ste B |
$36.92 | 237 | 223 |
|
Bridget Nicole Chukwudifu
804 Belvedere St |
$43.09 | 230 | 214 |
|
Jonathan Verrecchio
241 Alexander Spring Rd |
$46.59 | 212 | 209 |
|
Babak Behta
1533 Commerce Ave Ste 2 |
$38.58 | 136 | 131 |
|
Melissa Diane Zegley
241 Alexander Spring Rd |
$52.27 | 129 | 127 |
|
David Lee Wampler
354 Alexander Spring Rd |
$36.73 | 125 | 117 |
|
Laurel P Bailey
354 Alexander Spring Rd |
$56.69 | 120 | 115 |
|
Tabitha Marie Copeland
2 Jennifer Ct Ste C |
$45.19 | 107 | 100 |
|
Pamela J Kozick
2 Jennifer Ct Ste B |
$56.70 | 106 | 100 |
|
Diane Elizabeth Kellerman
2 Jennifer Ct Ste B |
$52.84 | 100 | 93 |
|
Christina Ann Wargo
340 York Rd |
$69.54 | 98 | 98 |
|
Ross Contino
1175 Walnut Bottom Rd |
$39.62 | 97 | 96 |
|
Shauntara Ann Angelo
361 Alexander Spring Rd |
$34.87 | 75 | 71 |
|
Julie Lynn Larue
1533 Commerce Ave Ste 2 |
$57.49 | 68 | 62 |
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 Carlisle, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carlisle, PA is $31.90 per claim, based on 67,249 claims from 62 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 Carlisle, PA?
There are 62 Medicaid providers offering Office Visit related services in Carlisle, PA according to public payment data.
What is the price range for Office Visit in Carlisle, PA?
Medicaid reimbursement for Office Visit in Carlisle, PA ranges from $0.00 to $102.01 per claim, with an average of $31.90. 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 Carlisle, PA
Case Management Services
Avg $82.05
41,512 claims
Emergency Room Visit
Avg $84.19
37,020 claims
Eye Exam
Avg $29.73
22,997 claims
Blood Work & Lab Tests
Avg $6.08
20,525 claims
Physical Therapy
Avg $16.23
19,380 claims
Vaccines & Immunizations
Avg $1.82
16,160 claims
EKG / ECG (Electrocardiogram)
Avg $7.77
15,810 claims
Ambulance Transport
Avg $172.30
11,150 claims