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 |
|---|---|---|---|
|
Abhishek Nitturkar
100 Chambers Hill Dr Ste 200 |
$0.00 | 12 | 12 |
|
Stacey Lynn Redding
830 5Th Ave Ste 103 |
$94.26 | 12 | 12 |
|
Michael R Cashdollar
22 St Paul Dr Ste 100 |
$41.85 | 12 | 12 |
|
David Lewis Brewer
12 St Paul Dr Ste 204 |
$40.11 | 12 | 12 |
|
Jacqueline Marie Armstrong
2055 Scotland Ave |
$64.22 | 12 | 12 |
|
Irakli Mania
100 Chambers Hill Dr Ste 200 |
$0.00 | 13 | 13 |
|
Nathan Yeasted
835 5Th Ave |
$56.02 | 13 | 13 |
|
Ashish Behari
120 N 7Th St |
$41.44 | 13 | 12 |
|
Amy Sanders
22 St Paul Dr |
$65.56 | 15 | 15 |
|
Wellspan Medical Group
1000 Norland Ave |
$66.67 | 15 | 13 |
|
Katherine Elizabeth Cashdollar
1920 Scotland Ave |
$21.65 | 17 | 12 |
|
Ronald Martin Schlansky
40 Parkwood Dr |
$272.80 | 20 | 14 |
|
Aimee C Gish
835 5Th Ave |
$69.27 | 25 | 24 |
|
Catherine Marie Mcafee
830 5Th Ave |
$0.00 | 26 | 25 |
|
Megan Bilotti
22 St Paul Dr |
$44.49 | 26 | 25 |
|
Laurice Ann Heine
12 St Paul Dr Ste 207 |
$34.30 | 27 | 26 |
|
David Shaun Bryant
120 N 7Th St Ste 200 |
$41.03 | 27 | 27 |
|
Matthew Nikoloff
835 5Th Ave |
$32.50 | 29 | 29 |
|
Rachel Anna Day
211 Grant Street |
$10.38 | 29 | 28 |
|
Ryan R Gaffney
835 5Th Ave |
$60.50 | 29 | 28 |
|
Nimrita Sidhu
601 Norland Ave |
$29.34 | 30 | 29 |
|
Samuel Q Bricker
144 S 8Th St |
$15.84 | 33 | 32 |
|
Andrew Robert Fry
12 St Paul Dr Ste 101 |
$44.64 | 33 | 26 |
|
Cory Lynn Seylar
494 Gateway Ave |
$35.00 | 37 | 37 |
|
Amy Ann Decker
22 St Paul Dr |
$31.95 | 40 | 40 |
|
Nadeem Anwar Quazi
120 N 7Th St Ste 200 |
$81.79 | 42 | 42 |
|
Charlee Marie Smith
820 5Th Ave |
$0.00 | 44 | 43 |
|
Jacquelynn Ortega
22 St Paul Dr Ste 201 |
$43.32 | 46 | 43 |
|
Shawn M Weigel
825 5Th Ave |
$81.05 | 47 | 46 |
|
James E Grove
825 Fifth Avenue |
$32.43 | 52 | 52 |
|
May Christine Joy Sales Zeta
20 Parkwood Dr Ste 2 |
$31.04 | 52 | 52 |
|
Syyeda Fouzia Syed
176 S. Coldbrook Avenue |
$1.15 | 54 | 53 |
|
Arshad Mahmood Safi
12 St Paul Dr Ste 204 |
$50.05 | 54 | 53 |
|
Deborah Olufunmilayo Adebamowo
820 5Th Ave |
$0.00 | 54 | 52 |
|
Kevin J Lorentsen
22 St Paul Dr Ste 100 |
$45.77 | 55 | 49 |
|
Stanton Edward Sollenberger
764 Lincoln Way E |
$13.14 | 57 | 56 |
|
Peter Joseph Holdaway
1920 Scotland Ave |
$20.71 | 58 | 53 |
|
Lori A Spence
2055 Scotland Ave |
$47.06 | 58 | 58 |
|
Colin Filbrun
112 N 7Th St |
$51.79 | 60 | 57 |
|
Daniel Kosinski
12 St Paul Dr Ste 204 |
$27.05 | 61 | 56 |
|
Nina Louise Wyatt
22 St Paul Dr |
$37.25 | 61 | 56 |
|
Christopher Robison
120 N 7Th St Ste 200 |
$65.56 | 67 | 62 |
|
Constance I Glass
12 St Paul Dr Ste 207 |
$41.79 | 70 | 64 |
|
Marielle Sophia Gross
12 St Paul Dr |
$41.69 | 74 | 74 |
|
Kawish Garg
601 Norland Ave Ste 100 |
$21.87 | 74 | 70 |
|
Lori Jo Slavick
550 Cleveland Ave Ste 202 |
$0.00 | 76 | 53 |
|
Bikash Bhattarai
601 Norland Ave Ste 100 |
$31.34 | 77 | 76 |
|
Rebecca A Newcomer
176 S Coldbrook Ave |
$0.00 | 80 | 76 |
|
Tarkeshwar Tiwary
601 Norland Ave Ste 100 |
$30.44 | 85 | 84 |
|
Regina Thaddeus
3106 Philadelphia Ave |
$46.05 | 92 | 86 |
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