Average Medicaid Office Visit Payments in Duncansville, PA: $41.71
Avg. Paid
$41.71
Range
$1.50 – $53.00
Total Claims
19,573
Providers
12
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 Duncansville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chelsea Marie Lattieri
1894 Plank Rd |
$53.00 | 12,945 | 10,177 |
|
James Fredrick Frommer
125 Carson Valley Rd |
$12.23 | 1,821 | 1,659 |
|
Alan Kivitz
175 Meadowbrook Ln |
$20.51 | 1,677 | 1,634 |
|
Frederick T Murphy
175 Meadowbrook Ln |
$20.47 | 1,163 | 1,130 |
|
Angela D Gregg
111 Deville Dr |
$52.00 | 630 | 600 |
|
Susan Beth Hainley
153 Bradley Way |
$1.50 | 570 | 529 |
|
Lori A Lavelle
175 Meadowbrook Ln |
$21.87 | 471 | 460 |
|
Jason Gerald Bankert
175 Meadowbrook Ln |
$16.84 | 203 | 191 |
|
Leslie Ann Krug
Altoona Arthritis And Osteoporosis Center |
$37.07 | 35 | 34 |
|
Martha Diane Klingbeil
1798 Plank Rd Ste 201 |
$16.88 | 26 | 25 |
|
Becky Ross
111 Deville Dr |
$29.44 | 17 | 15 |
|
Bridget Olivia Corey
1798 Plank Rd Ste 201 |
$13.67 | 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 Duncansville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Duncansville, PA is $41.71 per claim, based on 19,573 claims from 12 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 Duncansville, PA?
There are 12 Medicaid providers offering Office Visit related services in Duncansville, PA according to public payment data.
What is the price range for Office Visit in Duncansville, PA?
Medicaid reimbursement for Office Visit in Duncansville, PA ranges from $1.50 to $53.00 per claim, with an average of $41.71. 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 Duncansville, PA
Physical Therapy
Avg $27.60
8,622 claims
Chiropractic Care
Avg $11.34
5,576 claims
Blood Work & Lab Tests
Avg $6.75
4,616 claims
Home Health Visit
Avg $225.68
4,286 claims
Nursing Facility Care
Avg $2.68
2,410 claims
Dental Cleaning & Exam
Avg $26.52
2,374 claims
Ambulance Transport
Avg $230.22
2,272 claims
Pathology & Lab Services
Avg $50.65
2,020 claims