Average Medicaid Office Visit Payments in East Stroudsburg, PA: $51.74
Avg. Paid
$51.74
Range
$3.05 – $150.61
Total Claims
178,807
Providers
86
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 East Stroudsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Catalina Dinu
175 E Brown St |
$67.85 | 31,747 | 25,843 |
|
Mayuri K Sedani
200 Plaza Ct |
$31.10 | 16,424 | 15,911 |
|
Faiza Qureshi
5195 Seven Bridges Road |
$75.29 | 12,308 | 11,272 |
|
Jose R Bordas
175 E Brown St |
$44.12 | 10,305 | 9,659 |
|
Vladimir Nikiforouk
175 E Brown St |
$48.37 | 9,174 | 8,293 |
|
Nina Bhambhani
505 Independence Rd |
$81.75 | 6,165 | 6,048 |
|
Mary Jane B. Torres
175 E Brown St |
$44.86 | 5,756 | 5,428 |
|
Uchenna Rebecca Ufondu
302 E Brown St |
$41.14 | 4,913 | 4,097 |
|
Samer Alkhuja
175 E Brown St Ste 203 |
$49.45 | 4,440 | 4,260 |
|
Hussain G Malik
296 E Brown St |
$35.80 | 4,413 | 4,329 |
|
Solibe Chikaodili Ufondu
302 E Brown St |
$49.08 | 4,296 | 3,953 |
|
Ramlah Mohyuddin Vahanvaty
419 King St |
$42.09 | 3,667 | 3,462 |
|
Nicolas Teleo
175 E Brown St |
$39.63 | 3,487 | 3,397 |
|
Shadi Kayed
179 Independence Road |
$51.19 | 3,406 | 3,093 |
|
Garry A. Hamilton
175 E Brown St Ste 108 |
$43.82 | 3,122 | 2,959 |
|
Vanessa Lin
179 Independence Rd Fl 2 |
$40.21 | 2,653 | 2,586 |
|
Shubha Neboori
179 Independence Rd |
$17.29 | 2,440 | 2,405 |
|
Stella Ferker
206 E Brown St |
$55.13 | 2,378 | 2,270 |
|
Jonathan A Goldner
500 Plaza Court |
$46.42 | 2,354 | 2,298 |
|
Jared M Nothstein
125 Smithfield Ln Fl 2 |
$41.35 | 2,216 | 2,132 |
|
Kimberly Downes
175 E Brown St |
$39.26 | 2,079 | 1,950 |
|
Ravikumari Gollapalli
500 Plaza Ct |
$36.91 | 2,029 | 1,923 |
|
Allister R. Williams
600 Plaza Ct Ste C |
$60.64 | 1,935 | 1,859 |
|
Family Care Centers Inc
200 E Brown St |
$39.20 | 1,782 | 1,574 |
|
Patrick R. Mcdonald
600 Plaza Ct. C |
$26.47 | 1,676 | 1,595 |
|
Gregory A Formanek
205 E Brown St |
$39.68 | 1,567 | 1,413 |
|
Karthik Sheka
500 Plaza Court, Suite A |
$56.31 | 1,549 | 1,519 |
|
Daying Zhang
175 East Brown Street |
$49.41 | 1,534 | 1,368 |
|
Charles K Herman
100 Plaza Ct |
$36.51 | 1,470 | 1,434 |
|
Ralph D Hawks
500 Plaza Court |
$38.84 | 1,400 | 1,324 |
|
Connie Chang
206 E Brown St |
$150.61 | 1,308 | 1,258 |
|
Robert James Malcolm
239 E Brown St |
$67.03 | 1,200 | 1,193 |
|
Samantha Hogan
206 E Brown St |
$49.33 | 1,132 | 1,032 |
|
Ramani Gosala
239 E Brown St |
$43.32 | 1,115 | 1,087 |
|
Patricia A Rylko
500 Plaza Court, Suite A |
$48.69 | 1,078 | 1,040 |
|
Brian F Mcdonald
239 E Brown St |
$34.94 | 972 | 931 |
|
Stephen Strohlein
9090 Franklin Hill Rd Ste 201 |
$88.81 | 947 | 931 |
|
Anil Gupta
500 Plaza Court, Suite A |
$48.86 | 940 | 918 |
|
Diana Tenpenny
179 Independence Rd |
$48.08 | 904 | 889 |
|
Philip H. Lawrence
175 E Brown St |
$44.45 | 851 | 817 |
|
Bhavana Pendurthi Singh
181 E Brown St |
$49.10 | 786 | 732 |
|
Rachel Elise Shiver
175 E Brown St |
$51.90 | 775 | 735 |
|
Jeffrey Costanzo
175 E Brown St |
$62.84 | 752 | 734 |
|
John Joseph Sobuto
400 Plaza Ct Ste A |
$60.91 | 729 | 724 |
|
Raj L Katara
3 Parkinson Rd |
$48.79 | 714 | 704 |
|
Tanjila Matin
109 Seven Bridges Rd |
$32.39 | 663 | 621 |
|
Jason Ohlstein
296 E Brown St Ste A |
$62.92 | 652 | 639 |
|
Alan Ira Westheim
239 East Brown St |
$45.83 | 650 | 640 |
|
Luis A Cervantes
500 Plaza Court |
$60.57 | 644 | 628 |
|
Peter T. Yaswinski
369 E Brown St |
$35.71 | 640 | 630 |
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 East Stroudsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Stroudsburg, PA is $51.74 per claim, based on 178,807 claims from 86 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 East Stroudsburg, PA?
There are 86 Medicaid providers offering Office Visit related services in East Stroudsburg, PA according to public payment data.
What is the price range for Office Visit in East Stroudsburg, PA?
Medicaid reimbursement for Office Visit in East Stroudsburg, PA ranges from $3.05 to $150.61 per claim, with an average of $51.74. 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 East Stroudsburg, PA
Emergency Room Visit
Avg $121.03
49,927 claims
Home Health Visit
Avg $179.15
45,338 claims
EKG / ECG (Electrocardiogram)
Avg $7.87
40,825 claims
Blood Work & Lab Tests
Avg $7.02
32,585 claims
X-Ray
Avg $10.84
24,449 claims
Vaccines & Immunizations
Avg $12.22
24,448 claims
CT Scan (Computed Tomography)
Avg $47.83
20,570 claims
Physical Therapy
Avg $21.87
17,720 claims