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 |
|---|---|---|---|
|
Joseph P. Narins
2 Jennifer Ct Ste B |
$28.77 | 12 | 12 |
|
Mark E Pinker
47 Brookwood Ave |
$22.99 | 15 | 13 |
|
Bhuwan Kayastha
354 Alexander Spring Rd |
$55.29 | 17 | 17 |
|
Richard Edward Ferraro
9 Brookwood Ave |
$102.01 | 25 | 24 |
|
Jessica Marie Cheslock
2 Jennifer Ct Ste B |
$13.55 | 27 | 27 |
|
Shanon Holcomb
1 Valley St |
$17.74 | 29 | 26 |
|
Destiny Dawn Tarver
1 Dunwoody Dr |
$51.29 | 30 | 27 |
|
Bernis Ngwane
340 York Rd Bldg B |
$66.44 | 34 | 30 |
|
Amy R Olayiwola
1533 Commerce Ave Ste 2 |
$58.93 | 41 | 39 |
|
Melvin Wagner
338 Alexander Spring Rd |
$32.22 | 43 | 36 |
|
Penn State Health Medical Group, Llc
1211 Forge Rd Ste 500 |
$63.93 | 44 | 41 |
|
London Clarke
361 Alexander Spring Rd |
$61.43 | 54 | 50 |
|
Julie Lynn Larue
1533 Commerce Ave Ste 2 |
$57.49 | 68 | 62 |
|
Shauntara Ann Angelo
361 Alexander Spring Rd |
$34.87 | 75 | 71 |
|
Ross Contino
1175 Walnut Bottom Rd |
$39.62 | 97 | 96 |
|
Christina Ann Wargo
340 York Rd |
$69.54 | 98 | 98 |
|
Diane Elizabeth Kellerman
2 Jennifer Ct Ste B |
$52.84 | 100 | 93 |
|
Pamela J Kozick
2 Jennifer Ct Ste B |
$56.70 | 106 | 100 |
|
Tabitha Marie Copeland
2 Jennifer Ct Ste C |
$45.19 | 107 | 100 |
|
Laurel P Bailey
354 Alexander Spring Rd |
$56.69 | 120 | 115 |
|
David Lee Wampler
354 Alexander Spring Rd |
$36.73 | 125 | 117 |
|
Melissa Diane Zegley
241 Alexander Spring Rd |
$52.27 | 129 | 127 |
|
Babak Behta
1533 Commerce Ave Ste 2 |
$38.58 | 136 | 131 |
|
Jonathan Verrecchio
241 Alexander Spring Rd |
$46.59 | 212 | 209 |
|
Bridget Nicole Chukwudifu
804 Belvedere St |
$43.09 | 230 | 214 |
|
Nikunjkumar Madhubhai Rabadiya
2 Jennifer Ct Ste B |
$36.92 | 237 | 223 |
|
Molly Anne Tucker
366 Alexander Spring Rd |
$25.06 | 243 | 172 |
|
Lorraine Wentz Bock
9 E High St |
$51.49 | 282 | 258 |
|
Jennifer Gill
1921 Spring Rd |
$0.97 | 315 | 310 |
|
Sruthi Nelluri
100 N Hanover St |
$0.00 | 328 | 255 |
|
Kelsey Marie Hayden-Whiteman
1211 Forge Rd Ste 300 |
$9.87 | 333 | 316 |
|
Andrew Michael Dussinger
366 Alexander Spring Rd Ste 4 |
$37.63 | 401 | 386 |
|
Jennifer Noelle Still
340 York Rd |
$43.99 | 485 | 458 |
|
Wendy Oberdorf
100 N Hanover St |
$67.59 | 528 | 495 |
|
Dow E Brophy
1921 Spring Rd |
$54.94 | 589 | 559 |
|
Carlisle Pediatric Associates
804 Belvedere St |
$64.52 | 642 | 433 |
|
Bernadette Acdan Braze
361 Alexander Spring Rd |
$89.20 | 683 | 670 |
|
Lauren Michaud Winn
1 Dunwoody Dr |
$41.11 | 726 | 684 |
|
Mary M Schulz
100 N Hanover St |
$3.31 | 881 | 829 |
|
Pascale Guirand
100 N Hanover St |
$1.20 | 882 | 799 |
|
Ryan C Crim
354 Alexander Spring Rd |
$45.69 | 941 | 847 |
|
Anthony E Patterson
340 York Rd |
$51.71 | 1,001 | 960 |
|
Julian M. Ngo
19 Sprint Dr |
$39.09 | 1,014 | 985 |
|
Maureen Jo Miller-Griffie
100 N Hanover St |
$1.52 | 1,075 | 1,020 |
|
Katrina M Thoma
100 N Hanover St |
$0.86 | 1,526 | 1,430 |
|
Matthew Christopher Meyer
340 York Rd |
$43.84 | 1,542 | 1,490 |
|
David A Dell
1533 Commerce Ave |
$48.28 | 1,670 | 1,554 |
|
Nicholas Michael Kitsopoulos
340 York Rd |
$62.52 | 1,899 | 1,844 |
|
Bryan R Reid
1921 Spring Rd |
$45.81 | 2,169 | 2,078 |
|
Gerri Lynn Steele
1533 Commerce Ave |
$45.87 | 2,196 | 2,106 |
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