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Based on public Medicaid payment data.

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
Paul C Metzger

334 Main St

$26.25 15 13
Joshua David Wilbur

334 Main St

$53.77 29 27
Blondek Center For Pediatric Health & Wellness Pc

247 Main Street

$8.88 40 36
Express Urgent Care, Llc

449 Scranton Carbondale Hwy

$94.77 47 40
Eugene P Grady

334 Main St

$58.89 51 51
Christopher Chadwick Ghigiarelli

334 Main St

$35.56 112 109
Carol Armstrong

334 Main St

$31.52 143 132
Rourke Douglas Decker

890 Viewmont Dr

$77.46 176 173
Ignacio Campa-Garcia

334 Main St

$9.38 187 123
Peter A Cognetti

334 Main St

$39.08 189 185
Thomas W. Jordan

334 Main St

$42.55 210 201
John T Rich

334 Main St

$43.88 215 204
Christopher Patrick Henderson

334 Main St

$54.05 260 256
Timothy J Siebecker

334 Main St

$24.40 311 308
John Henzes

334 Main St

$53.07 324 312
Shawn Bifano

334 Main St

$42.19 412 390
Alan P Gillick

334 Main St

$37.77 472 459
Pediatrics Of Nepa, Pc

920 Viewmont Drive

$64.29 1,358 1,157
Christopher William Urbanek

334 Main St

$44.25 1,634 1,415
Niriksha Madanlal Chandrani

703 Martin F Gibbons Blvd

$47.93 3,002 2,766
Debra S Georgetti

920 Viewmont Drive

$36.89 3,752 3,579
Kathleen A Tigue

920 Viewmont Dr

$38.89 4,124 3,927
John H Marx

920 Viewmont Drive

$39.34 4,219 4,018
Timothy D Welby

920 Viewmont Dr

$38.29 4,219 4,021
April Troy

920 Viewmont Dr

$39.94 4,396 4,130

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

Other Procedures in Dickson City, PA