Average Medicaid Office Visit Payments in Dickson City, PA: $41.44
Avg. Paid
$41.44
Range
$8.88 – $94.77
Total Claims
29,897
Providers
25
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 Dickson City, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
April Troy
920 Viewmont Dr |
$39.94 | 4,396 | 4,130 |
|
John H Marx
920 Viewmont Drive |
$39.34 | 4,219 | 4,018 |
|
Timothy D Welby
920 Viewmont Dr |
$38.29 | 4,219 | 4,021 |
|
Kathleen A Tigue
920 Viewmont Dr |
$38.89 | 4,124 | 3,927 |
|
Debra S Georgetti
920 Viewmont Drive |
$36.89 | 3,752 | 3,579 |
|
Niriksha Madanlal Chandrani
703 Martin F Gibbons Blvd |
$47.93 | 3,002 | 2,766 |
|
Christopher William Urbanek
334 Main St |
$44.25 | 1,634 | 1,415 |
|
Pediatrics Of Nepa, Pc
920 Viewmont Drive |
$64.29 | 1,358 | 1,157 |
|
Alan P Gillick
334 Main St |
$37.77 | 472 | 459 |
|
Shawn Bifano
334 Main St |
$42.19 | 412 | 390 |
|
John Henzes
334 Main St |
$53.07 | 324 | 312 |
|
Timothy J Siebecker
334 Main St |
$24.40 | 311 | 308 |
|
Christopher Patrick Henderson
334 Main St |
$54.05 | 260 | 256 |
|
John T Rich
334 Main St |
$43.88 | 215 | 204 |
|
Thomas W. Jordan
334 Main St |
$42.55 | 210 | 201 |
|
Peter A Cognetti
334 Main St |
$39.08 | 189 | 185 |
|
Ignacio Campa-Garcia
334 Main St |
$9.38 | 187 | 123 |
|
Rourke Douglas Decker
890 Viewmont Dr |
$77.46 | 176 | 173 |
|
Carol Armstrong
334 Main St |
$31.52 | 143 | 132 |
|
Christopher Chadwick Ghigiarelli
334 Main St |
$35.56 | 112 | 109 |
|
Eugene P Grady
334 Main St |
$58.89 | 51 | 51 |
|
Express Urgent Care, Llc
449 Scranton Carbondale Hwy |
$94.77 | 47 | 40 |
|
Blondek Center For Pediatric Health & Wellness Pc
247 Main Street |
$8.88 | 40 | 36 |
|
Joshua David Wilbur
334 Main St |
$53.77 | 29 | 27 |
|
Paul C Metzger
334 Main St |
$26.25 | 15 | 13 |
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 Dickson City, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dickson City, PA is $41.44 per claim, based on 29,897 claims from 25 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 Dickson City, PA?
There are 25 Medicaid providers offering Office Visit related services in Dickson City, PA according to public payment data.
What is the price range for Office Visit in Dickson City, PA?
Medicaid reimbursement for Office Visit in Dickson City, PA ranges from $8.88 to $94.77 per claim, with an average of $41.44. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Dickson City, PA
Durable Medical Equipment (DME)
Avg $49.23
17,135 claims
Physical Therapy
Avg $40.85
14,393 claims
Speech Therapy
Avg $19.53
5,645 claims
Emergency Room Visit
Avg $121.25
4,792 claims
Chiropractic Care
Avg $11.89
4,600 claims
Blood Work & Lab Tests
Avg $14.84
4,377 claims
Podiatry (Foot Care)
Avg $2.44
1,414 claims
Chemotherapy
Avg $144.83
1,287 claims