Average Medicaid Office Visit Payments in Enola, PA: $48.87
Avg. Paid
$48.87
Range
$1.15 – $79.78
Total Claims
19,032
Providers
46
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 Enola, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Svetlana Igorevna Kriegel
1824 Good Hope Rd |
$34.33 | 2,215 | 2,073 |
|
Mounika Sankaramaddi
310 E Penn Dr |
$68.69 | 1,805 | 1,739 |
|
Christina M Griffith
1824 Good Hope Rd |
$54.84 | 1,657 | 1,582 |
|
Robert Paul Matsko
1824 Good Hope Rd |
$50.94 | 1,257 | 1,211 |
|
Ashad Shahid Syed
1824 Good Hope Rd |
$49.01 | 1,200 | 1,161 |
|
Sheenu Agarwal
310 E Penn Dr |
$58.06 | 1,180 | 1,121 |
|
Amruta Dutia
310 E Penn Dr |
$67.14 | 991 | 933 |
|
Oumou Belemou
1830 Good Hope Rd |
$37.91 | 925 | 870 |
|
Jdc Pediatrics
1824 Good Hope Road |
$70.99 | 841 | 674 |
|
Jeffery Jude Dunkelberger
325 N Enola Rd |
$44.41 | 667 | 568 |
|
Richard Keene
310 E Penn Dr. |
$79.78 | 622 | 598 |
|
Ernest Michael Josef
1824 Good Hope Road |
$52.18 | 579 | 556 |
|
Michele Trosclair
1824 Good Hope Rd |
$29.71 | 565 | 500 |
|
Rebecca Lynn Rider
325 N Enola Rd |
$30.72 | 555 | 493 |
|
Naomi Miriam Whittaker
1824 Good Hope Rd |
$38.72 | 549 | 520 |
|
Suzanne Kay Hopper
1824 Good Hope Rd |
$1.15 | 342 | 337 |
|
H. Brad Henken
1824 Good Hope Road |
$27.67 | 329 | 312 |
|
James E Mosher
1824 Good Hope Rd Ste 201 |
$26.95 | 276 | 263 |
|
Diane R Ezekoye
1830 Good Hope Rd |
$39.65 | 260 | 246 |
|
Harry P Weber
1824 Good Hope Road |
$27.82 | 223 | 218 |
|
Kerry Lynn Altland
2200 Good Hope Rd |
$61.42 | 210 | 198 |
|
Timothy Kaminsky
1824 Good Hope Rd |
$29.34 | 181 | 168 |
|
Allison Carrie Ray
1824 Good Hope Road |
$27.13 | 170 | 162 |
|
Colleen L Marshall
4510 Marketplace Way |
$62.91 | 160 | 158 |
|
Firdausi Matawalle
1824 Good Hope Rd |
$54.82 | 157 | 146 |
|
Sara Marie Mchugh
1824 Good Hope Rd Ste 201 |
$32.41 | 154 | 147 |
|
Thomas Chu
1830 Good Hope Rd |
$44.33 | 138 | 128 |
|
Mary Elizabeth Higgins
1824 Good Hope Rd |
$37.22 | 89 | 82 |
|
Vera Mielke
1824 Good Hope Rd |
$54.86 | 72 | 65 |
|
Nathan Karl Wool
1830 Good Hope Rd |
$43.62 | 70 | 70 |
|
Mackenna Marie Banks
1824 Good Hope Rd |
$67.43 | 64 | 60 |
|
Faith M Wilt
1824 Good Hope Road |
$27.06 | 63 | 58 |
|
Michael R Werner
1830 Good Hope Rd |
$26.94 | 54 | 51 |
|
Katie Watkins
2200 Good Hope Rd |
$63.01 | 52 | 49 |
|
Dana A Setzer
1824 Good Hope Road |
$32.73 | 50 | 49 |
|
Sherie L Love
1824 Good Hope Road |
$24.85 | 46 | 43 |
|
Janeann Kakalecz
1824 Good Hope Rd |
$58.14 | 46 | 41 |
|
Liana Sze-Weng Sgrignoli
1824 Good Hope Road |
$30.09 | 42 | 42 |
|
Karen R Richard
1824 Good Hope Rd |
$62.85 | 34 | 28 |
|
Jyoti Sharma
1830 Good Hope Rd |
$33.23 | 32 | 32 |
|
Maria P Papoutsis
1824 Good Hope Rd |
$57.46 | 25 | 25 |
|
Casey John Kiser
1830 Good Hope Rd |
$36.42 | 25 | 24 |
|
Agnieszka Gradzka
1824 Good Hope Road |
$33.59 | 18 | 15 |
|
Jessica L Logan
1824 Good Hope Rd |
$39.38 | 16 | 15 |
|
Jade Means
1824 Good Hope Rd |
$35.79 | 14 | 14 |
|
Andrea Lee Barbour
2200 Good Hope Rd |
$67.35 | 12 | 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 Enola, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Enola, PA is $48.87 per claim, based on 19,032 claims from 46 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 Enola, PA?
There are 46 Medicaid providers offering Office Visit related services in Enola, PA according to public payment data.
What is the price range for Office Visit in Enola, PA?
Medicaid reimbursement for Office Visit in Enola, PA ranges from $1.15 to $79.78 per claim, with an average of $48.87. 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 Enola, PA
Eye Exam
Avg $48.54
7,088 claims
Physical Therapy
Avg $78.89
3,616 claims
Blood Work & Lab Tests
Avg $13.57
2,878 claims
Vaccines & Immunizations
Avg $10.99
2,171 claims
Ambulance Transport
Avg $156.14
816 claims
Hearing Test (Audiometry)
Avg $3.96
778 claims
Podiatry (Foot Care)
Avg $12.49
412 claims
Allergy Testing
Avg $59.64
89 claims