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
Md Monirul Islam 100 N Academy Ave	$43.57	12	12
Sandra Culbertson 100 N Academy Ave	$34.77	12	12
Bryan Eric Martin 100 N Academy Ave	$43.67	12	12
David J. Schoenwetter 100 N Academy Ave	$26.37	12	12
Thomas M. Harrington 100 N Academy Ave	$42.33	12	12
My-Trang Thi Dang 100 N Academy Ave	$37.01	12	12
Ngoc-Tram Ha 100 N Academy Ave	$34.94	12	12
Gregory Matthew Notz 16 Woodbine Lane	$46.71	12	12
Benefsha Mohammad 100 N Academy Ave	$105.91	12	12
Tamara T Myers 100 North Academy Avenue, Mc 21-70	$80.91	12	12
Edward William Heinle 16 Woodbine Ln	$30.74	12	12
Paul Donegan 100 N Academy Ave	$46.28	13	12
Rouenne Joie Seeley 100 N Academy Ave	$47.93	13	13
Michael L. Ayers 100 N Academy Ave	$43.62	13	13
Anthony Joseph Pusateri 100 N Academy Ave	$0.00	13	13
David G Talabiska 100 North Academy Ave.	$82.32	13	13
Obed Kwame Agyei 100 N Academy Ave	$136.69	13	13
Kyungsook C Kim 115 Woodbine Ln	$46.94	13	13
Nicolas Neil Mead 100 N Academy Ave	$34.49	13	13
Gregory Walter Yost 100 North Academy Ave	$34.99	13	13
Christopher Nicholls 100 N Academy Ave	$103.39	13	13
Jose David Avila 100 N Academy Ave	$44.73	13	13
Cory Joseph Myers 100 N Academy Ave	$73.98	13	13
Mark R. Lentz 100 N Academy Ave	$24.96	13	12
Bo Zhu Geisinger Medical Ctr 100 North Academy Avenue	$34.89	13	12
Tracy M. Schott 16 Woodbine Ln	$0.00	13	13
Claire Therese Rapacon Southern 100 N Academy Ave	$56.32	13	13
Brian Joseph Dessify 100 N Academy Ave	$21.10	13	13
Christopher Jerome Buzas 100 N Academy Ave	$75.74	13	13
Jon D Gabrielsen 100 N Academy Ave	$32.49	14	14
Jonathan Stuart Weyerbacher 100 North Academy Ave	$82.88	14	14
Kristen Salava 100 N Academy Ave	$7.57	14	14
Reda Ahmad Awali 100 N Academy Ave	$23.93	14	13
Joshua A Weston 100 N Academy Ave	$47.91	14	14
John M Pfeifer 100 N Academy Ave	$45.38	14	12
Swathi Mannava Gowtham 100 N Academy Ave	$59.31	14	12
Kyle Austin Marshall 100 N Academy Ave	$36.95	14	14
John Alan Semian 100 N Academy Ave	$70.56	14	14
Darren L. Jacobs 100 N Academy Ave	$21.63	15	15
Rajiv P. Panikkar 100 N Academy Ave	$45.53	15	13
Felicia Mazzoni Sweeney 100 N Academy Ave	$63.14	15	15
Carlos Mario Jaramillo 100 N Academy Ave	$62.43	17	15
Vahid Grami 16 Woodbine Ln	$33.99	18	18
Korta Yuasa 100 N Academy Ave	$44.77	19	19
Marc Charles Galin 100 N Academy Ave	$32.38	20	12
Robert H. Kinsey 100 N Academy Ave	$35.73	21	20
Mohamad Bakro 100 N Academy Ave	$42.82	22	22
Mark Mahan 100 N Academy Ave	$72.89	24	24
Virginia Soong 100 N Academy Ave	$53.98	24	24
Vatche A. Minassian 100 N Academy Ave	$44.01	24	24

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

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Danville, PA

Emergency Room Visit

X-Ray

Blood Work & Lab Tests

CT Scan (Computed Tomography)

EKG / ECG (Electrocardiogram)

Ultrasound

Pathology & Lab Services

Dental Cleaning & Exam