Average Medicaid Office Visit Payments in Elizabethtown, PA: $49.36
Avg. Paid
$49.36
Range
$0.00 – $78.32
Total Claims
23,343
Providers
37
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 Elizabethtown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Danielle Hazard
300 Continental Dr |
$30.26 | 14 | 14 |
|
Christopher David Brabazon
300 Maytown Rd |
$67.85 | 15 | 15 |
|
Alice Zhang
1 Continental Dr |
$77.31 | 17 | 17 |
|
Sarah Anne Satriale
1 Continental Dr |
$35.24 | 25 | 25 |
|
Glenda J Cook
418 Cloverleaf Rd |
$40.07 | 27 | 25 |
|
Neal S Harnly
418 Cloverleaf Rd |
$52.53 | 42 | 41 |
|
Alyssa Kate Anderson
1 Continental Dr |
$71.68 | 48 | 48 |
|
Jessica Ann Fox
432 Cloverleaf Rd |
$36.59 | 49 | 44 |
|
Lancaster General Medical Group
432 Cloverleaf Rd |
$54.42 | 75 | 70 |
|
Mary Ginder
300 Maytown Rd |
$67.03 | 89 | 80 |
|
Nikki A Devito
1 Continental Dr |
$16.04 | 101 | 88 |
|
John Hoover
418 Cloverleaf Rd |
$43.85 | 103 | 99 |
|
Katelyn Marie Roberts
1 Continental Dr |
$36.55 | 111 | 107 |
|
Patrick Edward Gilhool
300 Maytown Rd |
$32.48 | 130 | 123 |
|
Carlton Philip Baer
99 Masonic Dr Ste 101 |
$58.39 | 132 | 127 |
|
James P Navalkowsky
418 Cloverleaf Rd |
$33.28 | 141 | 138 |
|
Anna Catherine Catalano
418 Cloverleaf Rd |
$66.58 | 145 | 129 |
|
Zachary David Martin
1 Continental Dr |
$36.13 | 189 | 178 |
|
Matthew Francis Regan
418 Cloverleaf Rd |
$53.53 | 264 | 240 |
|
Jeffrey B Rittenhouse
418 Cloverleaf Rd |
$46.87 | 411 | 387 |
|
Richard C Yunginger
418 Cloverleaf Rd |
$46.06 | 461 | 430 |
|
Kelsey O, Pappas
99 Masonic Dr |
$55.58 | 481 | 448 |
|
Jay A. Zimmermann
1 Continental Dr |
$59.02 | 495 | 479 |
|
Sally L Craig
1 Continental Dr |
$41.86 | 501 | 498 |
|
Taylor Belser Yinger
418 Cloverleaf Rd |
$40.71 | 526 | 499 |
|
Luna Metayer Belizaire
1 Continental Dr |
$0.00 | 561 | 546 |
|
John J Yoder
418 Cloverleaf Rd |
$42.46 | 574 | 563 |
|
Scott C Conley
418 Cloverleaf Rd |
$46.14 | 1,011 | 961 |
|
Denise L Telford-Wren
1 Continental Dr |
$58.77 | 1,048 | 1,015 |
|
Caitlin Amanda Basile
418 Cloverleaf Rd |
$45.98 | 1,151 | 1,097 |
|
Punitha S William
1 Continental Dr |
$68.35 | 1,216 | 1,176 |
|
Valerie Lou Belmont
4748 E Harrisburg Pike |
$7.17 | 1,406 | 1,222 |
|
Lisa C Carlson
1 Continental Dr |
$58.28 | 1,449 | 1,405 |
|
Eric L Esch
418 Cloverleaf Rd |
$45.18 | 1,537 | 1,444 |
|
Lara Thompson
418 Cloverleaf Rd |
$48.42 | 1,561 | 1,449 |
|
Andrew J Wren
1 Continental Dr |
$78.32 | 2,960 | 2,829 |
|
Christopher Michael Washington
432 Cloverleaf Rd |
$45.31 | 4,277 | 4,184 |
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 Elizabethtown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elizabethtown, PA is $49.36 per claim, based on 23,343 claims from 37 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 Elizabethtown, PA?
There are 37 Medicaid providers offering Office Visit related services in Elizabethtown, PA according to public payment data.
What is the price range for Office Visit in Elizabethtown, PA?
Medicaid reimbursement for Office Visit in Elizabethtown, PA ranges from $0.00 to $78.32 per claim, with an average of $49.36. 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 Elizabethtown, PA
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Avg $14.46
9,071 claims
Speech Therapy
Avg $73.27
6,943 claims
Ambulance Transport
Avg $206.15
5,272 claims
Dental Cleaning & Exam
Avg $30.55
2,499 claims
Nursing Facility Care
Avg $7.98
1,978 claims
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Avg $5.96
358 claims
Home Health Visit
Avg $73.49
328 claims
Dental Filling
Avg $77.56
305 claims