Average Medicaid Office Visit Payments in Chambersburg, PA: $21.92
Avg. Paid
$21.92
Range
$0.00 – $272.80
Total Claims
289,091
Providers
229
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 Chambersburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caleb Chinedu Nwosu
830 5Th Ave Ste 102 |
$0.34 | 28,360 | 26,638 |
|
Michael John Colli
830 5Th Ave |
$0.39 | 18,518 | 16,907 |
|
Yvette Michelle Brown
830 5Th Ave |
$0.26 | 9,982 | 7,834 |
|
Jason A. Galicia
830 5Th Ave Ste 201 |
$0.13 | 9,002 | 8,585 |
|
Nivedita Boinapally
112 N 7Th St |
$44.36 | 8,907 | 8,373 |
|
Keystone Rural Health Center
830 Fifth Avenue |
$52.78 | 8,763 | 5,525 |
|
Barbara Ann Haeckler
820 5Th Ave |
$0.28 | 7,868 | 7,565 |
|
Cynthia Adwoah Mireku-Baabu
12 St Paul Dr |
$27.80 | 7,645 | 6,671 |
|
James A Uslin
1000 Norland Ave |
$9.20 | 7,462 | 7,199 |
|
Keystone Rural Health Center
111 Chambers Hill Drive |
$37.48 | 4,914 | 3,547 |
|
Stephen Brett Flack
3106 Philadelphia Ave |
$42.68 | 4,509 | 4,264 |
|
Matthew C Kaufman
830 5Th Ave |
$0.99 | 4,060 | 3,941 |
|
William A Kramer
3106 Philadelphia Ave |
$24.10 | 3,937 | 3,759 |
|
Erum Khalil
830 5Th Ave Ste 103 |
$46.36 | 3,927 | 3,676 |
|
Kochumol Thomas
820 5Th Ave |
$0.14 | 3,915 | 3,744 |
|
Thomas Patrick Orndorf
830 5Th Ave |
$0.06 | 3,801 | 3,567 |
|
Genia C Greenland
830 5Th Ave |
$0.07 | 3,800 | 3,713 |
|
Ira Listijani
830 5Th Ave |
$0.97 | 3,596 | 3,496 |
|
Harold Carter Davidson
22 St Paul Dr Ste 202 |
$56.13 | 3,590 | 3,519 |
|
Jennifer P Chan
820 5Th Ave |
$0.30 | 3,553 | 3,451 |
|
Karen Joy Gorospe Galicia
830 5Th Ave |
$0.32 | 3,514 | 3,412 |
|
Mary Jo Hall
830 5Th Ave Ste 103 |
$0.49 | 3,477 | 3,397 |
|
Erin Hannagan
830 5Th Ave Ste 103 |
$0.41 | 3,455 | 3,374 |
|
Jessica Ann Pozzuto
830 5Th Ave Ste 103 |
$13.13 | 3,359 | 3,265 |
|
James Raymond Owens
820 5Th Ave |
$0.32 | 3,351 | 3,231 |
|
Olubukola Babalola
12 St Paul Dr Ste 104 |
$52.46 | 3,138 | 3,057 |
|
David A Guthrie
120 N 7Th St Ste 200 |
$13.23 | 3,101 | 2,044 |
|
Peter M Jablin
601 Norland Ave Ste 100 |
$41.69 | 2,955 | 2,864 |
|
Keystone Rural Health Center
820 5Th Ave |
$10.24 | 2,677 | 2,320 |
|
Teresa M. Joy
12 St Paul Dr Ste 203 |
$25.97 | 2,673 | 2,585 |
|
Brandon Leroy Raudenbush
112 N 7Th St |
$53.01 | 2,471 | 2,369 |
|
Michal Glinianski
12 St Paul Dr Ste 208 |
$43.03 | 2,427 | 2,232 |
|
Joshua Lynn Dunklebarger
22 St Paul Drive |
$59.86 | 2,380 | 2,333 |
|
Sonya Klaw Deltredici
112 N 7Th St |
$47.83 | 2,375 | 2,053 |
|
Henry Christian Quevedo Diaz
12 St Paul Dr |
$38.92 | 2,329 | 2,108 |
|
Jason Birkel
100 Chambers Hill Dr Ste 101 |
$50.96 | 2,145 | 1,846 |
|
William B Bossert
755 Norland Ave |
$45.53 | 2,065 | 2,003 |
|
Kashif Sandhu
1425 Philadelphia Ave |
$44.04 | 2,059 | 1,967 |
|
Robert Patrick Lyons
120 N 7Th St Ste 101 |
$56.27 | 2,023 | 1,955 |
|
Brad J Conner
120 N 7Th St Ste 101 |
$54.45 | 1,992 | 1,904 |
|
David Michael Pagnanelli
100 Chambers Hill Dr Ste 101 |
$0.06 | 1,871 | 1,617 |
|
Kerry Anne Whitelock
830 5Th Ave Ste 201 |
$0.29 | 1,854 | 1,797 |
|
Mark F Yurek
435 Phoenix Dr Ste A |
$49.99 | 1,761 | 1,657 |
|
Keystone Rural Health Center
830 Fifth Avenue |
$0.00 | 1,725 | 1,296 |
|
Ahmad Haroon Khan
765 Fifth Avenue |
$33.90 | 1,689 | 1,283 |
|
Tiffany Celeste Gillette
830 5Th Ave Ste 202 |
$0.00 | 1,650 | 1,545 |
|
Matthew Eric Hopkins
830 5Th Ave Ste 103 |
$0.91 | 1,570 | 1,522 |
|
Keystone Rural Health Center
100 Chambers Hill Dr Ste 200 |
$88.15 | 1,560 | 951 |
|
Malgorzata Sidor
12 St Paul Dr Ste 208 |
$43.01 | 1,523 | 1,439 |
|
Kimberly Amsley-Camp
830 5Th Ave Ste 202 |
$0.00 | 1,458 | 1,382 |
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 Chambersburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chambersburg, PA is $21.92 per claim, based on 289,091 claims from 229 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 Chambersburg, PA?
There are 229 Medicaid providers offering Office Visit related services in Chambersburg, PA according to public payment data.
What is the price range for Office Visit in Chambersburg, PA?
Medicaid reimbursement for Office Visit in Chambersburg, PA ranges from $0.00 to $272.80 per claim, with an average of $21.92. 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 Chambersburg, PA
Speech Therapy
Avg $19.05
83,517 claims
Physical Therapy
Avg $29.75
81,681 claims
Emergency Room Visit
Avg $116.69
81,432 claims
Blood Work & Lab Tests
Avg $6.34
62,492 claims
Vaccines & Immunizations
Avg $2.01
57,894 claims
Home Health Visit
Avg $168.21
46,666 claims
EKG / ECG (Electrocardiogram)
Avg $7.64
44,514 claims
Dental Cleaning & Exam
Avg $11.36
31,247 claims