Based on public Medicaid payment data.

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

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
Christine Meyer 200 E Brown St	$8.69	12	12
Mahesh D Chhabria 3 Parkinson Rd	$23.99	13	13
Israel Rose Moore 300 Plaza Ct Ste A	$84.72	16	16
Veena Kumar 3 Parkinsons Rd	$97.55	17	16
Agnes Wane-Slory 200 E Brown St	$4.92	25	25
Susheer Gandotra 175 E Brown St	$54.14	26	25
Gordon W Fried 200 Plaza Ct	$27.21	26	24
Kimberly Ann Fuss 206 E Brown St	$3.05	29	29
Annette Vazquez-Aran 9090 Franklin Hill Rd Ste 201	$30.90	29	28
Gerald J Negvesky 300 Plaza Court Suite A	$29.02	30	29
Vincent Francescangeli 500 Plaza Ct	$45.41	30	30
Garth J. Willis 300 Plaza Ct	$34.28	48	48
Pocono Adult & Pediatric Medical Group Llc 302 E Brown St	$43.39	50	37
Shaun R Craig 505 Independence Rd	$22.06	53	48
Alanna Gerhardt 179 Independence Rd Ste 103	$44.94	67	66
Derek J Pyle 300 Plaza Court	$49.62	68	68
Georgine Helene Sibbering 5221 Milford Rd	$25.69	131	126
Michael A Eufemio 422 Normal Street	$34.73	175	162
Rachel Ella Kinney 181 E Brown St	$58.07	191	176
William T Kesselring 500 Plaza Ct	$45.94	207	204
Shandurai Teurai Takavarasha 175 E Brown St	$12.36	208	157
Simon Alexander Gringut 179 Independence Rd	$45.54	234	228
Vidyashankar Ramaswamy Ponnathpur 235 E Brown St	$42.05	241	238
Mark Francis Indzonka 505 Independence Rd	$28.41	290	283
Nicholas Feo Lehigh Valley Health Network	$38.23	345	324
Gregory J Menio 600 Plaza Ct, C	$63.15	453	429
Murhaf Eissa Naddour 206 E Brown St	$36.18	481	386
Omar Shaikh 179 Independence Rd	$31.21	519	499
Praveer Jain 500 Plaza Court, Suite A	$43.27	539	516
Mikhail J Artamonov 391 E Brown St	$31.59	541	455
Paula S. Youngdahl 206 E Brown St	$43.06	576	536
Roger Massa Componovo 600 Plaza Ct Ste C	$49.34	576	560
Matthew Gonzalez 505 Independence Rd	$53.08	578	552
Arjinder Pal Singh Sethi 235 E Brown St	$43.37	582	571
Hikaru Nakajima 181 E Brown St	$49.94	631	622
Douglas A Degler 239 E Brown St	$39.83	633	601
Peter T. Yaswinski 369 E Brown St	$35.71	640	630
Luis A Cervantes 500 Plaza Court	$60.57	644	628
Alan Ira Westheim 239 East Brown St	$45.83	650	640
Jason Ohlstein 296 E Brown St Ste A	$62.92	652	639
Tanjila Matin 109 Seven Bridges Rd	$32.39	663	621
Raj L Katara 3 Parkinson Rd	$48.79	714	704
John Joseph Sobuto 400 Plaza Ct Ste A	$60.91	729	724
Jeffrey Costanzo 175 E Brown St	$62.84	752	734
Rachel Elise Shiver 175 E Brown St	$51.90	775	735
Bhavana Pendurthi Singh 181 E Brown St	$49.10	786	732
Philip H. Lawrence 175 E Brown St	$44.45	851	817
Diana Tenpenny 179 Independence Rd	$48.08	904	889
Anil Gupta 500 Plaza Court, Suite A	$48.86	940	918
Stephen Strohlein 9090 Franklin Hill Rd Ste 201	$88.81	947	931

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.

Average Medicaid Office Visit Payments in East Stroudsburg, PA: $51.74

Providers Offering Office Visit in East Stroudsburg, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in East Stroudsburg, PA

Emergency Room Visit

Home Health Visit

EKG / ECG (Electrocardiogram)

Blood Work & Lab Tests

X-Ray

Vaccines & Immunizations

CT Scan (Computed Tomography)

Physical Therapy