Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Dunmore, PA: $39.72

Avg. Paid

$39.72

Range

$10.82 – $97.19

Total Claims

48,386

Providers

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 Dunmore, PA

Provider	Avg. Paid	Claims	Patients
Donna M Eget 1208 O'Neill Hwy	$51.64	9,014	8,246
Mark Albert 1208 Oneill Hwy	$53.08	7,046	6,664
Stanley W Blondek 1000 Meade Street	$32.91	4,850	4,313
Jeffrey M Zero 1000 Meade St Ste 204	$23.45	4,289	3,832
Padmaja Reddy Bojanapally 1100 Meade St	$40.83	3,198	2,762
Michael Stuart Levy 1000 Meade St	$34.36	2,493	2,248
Vithalbhai D Dhaduk 121 S Apple St	$40.43	2,487	2,437
Gregory E. Cali 1000 Meade St	$28.22	1,665	1,654
Pyone Myat Mon 521 Ash St	$36.59	1,522	1,440
Kishori Veerabhadrappa 1100 Meade St	$35.80	1,425	1,303
Elmo William Baldassari 1439 Monroe Ave Ste 3	$19.56	1,384	1,291
Carl Barsigian 1100 Meade St	$36.35	1,248	1,130
Lisa C Thomas 1100 Meade St	$42.85	1,166	1,069
Paul Anthony Tomcykoski 516 N Blakely St	$29.02	1,081	1,016
Thaddeus A Piotrowski 769 Keystone Industrial Park	$46.01	959	949
Avner R Griver 414 E Drinker St Rear	$26.18	941	921
Yvonne Galella 521 Ash St	$39.50	924	864
Kristin Molly Liptock 1100 Meade Street	$34.69	728	677
Michael Anthony Mandarano 1141 Clay Ave	$31.30	638	591
James M Haggerty 521 Ash Street	$18.28	349	306
Catherine Michael Patrick 1140 Quincy Ave	$38.06	310	300
Kevin Beltre 1000 Meade St	$45.28	203	188
Donna Eget Pc 1208 Oneill Hwy	$97.19	87	82
Zero Pediatrics Pllc 1000 Meade St Ste 204	$51.64	81	64
Elaine A Odonnell 414 E Drinker St	$21.72	68	63
Jeffrey Francis Gryn 1100 Meade St	$10.82	59	55
Dana E. Klush 414 E Drinker St	$25.40	56	53
Joseph P Greco 521 Ash St	$30.03	40	37
William J Heim 1100 Meade St	$26.37	32	29
Jonaid Aslam 1000 Meade St Ste 205	$39.32	30	29
Nanny'S Eye Care For Kids, P.C. 625 E Drinker St Ste 1	$53.81	13	12

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 Dunmore, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Dunmore, PA is $39.72 per claim, based on 48,386 claims from 31 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 Dunmore, PA?

There are 31 Medicaid providers offering Office Visit related services in Dunmore, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Dunmore, PA ranges from $10.82 to $97.19 per claim, with an average of $39.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Dunmore, PA: $39.72

Providers Offering Office Visit in Dunmore, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Dunmore, PA

Ambulance Transport

Blood Work & Lab Tests

Home Health Visit

Emergency Room Visit

Pathology & Lab Services

X-Ray

Chiropractic Care

EKG / ECG (Electrocardiogram)