Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Danville, PA: $52.78

Avg. Paid

$52.78

Range

$0.00 – $145.85

Total Claims

342,242

Providers

393

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 Danville, PA

Provider	Avg. Paid	Claims	Patients
Christopher D. Still 100 N Academy Ave	$43.45	11,696	11,459
Katherine Chilek Marks 115 Woodbine Ln	$75.84	11,529	11,375
Thomas D. Challman 100 N Academy Ave	$59.53	10,551	10,329
Geisinger Clinic 100 N Academy Ave	$122.54	9,156	7,935
Robert Eric Steckler 100 N Academy Ave	$55.76	6,422	6,128
Stephanie Ko 100 N Academy Ave	$2.34	6,173	3,517
Geisinger Clinic 175 Northumberland Street	$58.53	5,617	4,925
Diane De Lisi Timms 100 N Academy Ave	$58.26	5,492	5,220
Agnes Sweetlin Hepsibah Sundaresan 16 Woodbine Ln	$35.83	5,215	5,060
Mark Seeley 16 Woodbine Lane	$54.45	5,201	5,085
Mushtaq A Godil 100 N Academy Ave	$64.82	5,084	5,020
Allison L Schuessler 16 Woodbine Ln	$39.22	4,666	4,513
Orlando Valle 100 N Academy Ave	$38.33	4,536	4,137
Taylor Marie English 16 Woodbine Ln	$39.08	4,523	4,397
Victor John Marks 16 Woodbine Ln	$37.84	4,315	4,249
Surya Ram Cooper 100 N Academy Ave	$3.54	4,176	2,543
Anne Marie Morse 100 N Academy Ave	$59.59	3,994	3,915
John William Ross 100 N Academy Ave	$43.29	3,794	3,692
Misha Matongo Mutizwa 16 Woodbine Lane	$40.99	3,773	3,703
Meagan Delbaggio Fernandez 100 N Academy Ave	$50.55	3,354	3,273
Jason Dinko 16 Woodbine Ln	$48.26	3,255	3,126
Aileen Wertz 100 N Academy Ave	$51.93	3,028	2,981
Somashekhar Rachaiah 100 N Academy Ave	$50.89	2,993	2,799
Kevin F Ferguson 100 N Academy Ave	$73.71	2,972	2,923
John Deegan 16 Woodbine Lane	$48.75	2,967	2,879
Victor Jaramillo 100 North Academy Ave.	$45.26	2,945	2,514
Marsha Nahra 100 N Academy Ave	$38.59	2,880	2,534
Michelle Ashley-Dwyer Appel 100 N Academy Ave	$34.70	2,844	2,770
Deliamille Perez-Santiago 100 N Academy Ave	$56.08	2,842	2,785
Eduardo Daniel Tron 100 N Academy Ave	$93.47	2,810	2,765
Jeremy Alexander Mock 100 N Academy Ave	$48.14	2,787	2,712
Matthew Palmer 16 Woodbine Lane	$38.27	2,550	2,503
Vasanthi Pugazhendhi 100 N Academy Ave	$67.49	2,495	2,450
Ryan Roza 100 N Academy Ave	$38.05	2,448	2,382
Mahmoud T. Sabri 100 N Academy Ave	$84.68	2,433	2,393
Jennifer Elizabeth Hosterman 100 N Academy Ave	$61.87	2,430	2,377
Jeffrey Summers 100 N Academy Ave	$59.07	2,398	2,277
Emily Szmal 16 Woodbine Lane	$40.26	2,392	2,320
James E Bland 100 N Academy Ave	$37.76	2,380	2,331
Bijal Patel 35 Justin Drive	$54.87	2,243	2,208
Shikha Prasad Sinha 100 N Academy Ave	$16.54	2,211	2,090
Ross David Ellison 100 N Academy Ave	$35.70	2,204	2,134
Tyler Boozel 100 N Academy Ave	$42.96	2,194	2,127
Shirah Shore 100 N Academy Ave	$79.88	2,180	2,128
Michael Haak 100 N Academy Ave	$51.05	2,180	2,089
Matthew James Weeks 100 N Academy Ave	$93.53	2,172	2,127
Michael James Sass 16 Woodbine Ln	$41.48	2,134	2,047
Rashid Cheema 35 Justin Drive	$45.20	2,130	2,051
Paula Alison Mckenzie 100 N Academy Ave	$82.13	2,104	855
Kathryn Ann Dehart 16 Woodbine Lane	$39.60	2,103	2,021

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 Danville, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Danville, PA is $52.78 per claim, based on 342,242 claims from 393 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 Danville, PA?

There are 393 Medicaid providers offering Office Visit related services in Danville, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Danville, PA ranges from $0.00 to $145.85 per claim, with an average of $52.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Danville, PA: $52.78

Providers Offering Office Visit in Danville, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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