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Based on public Medicaid payment data.

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

Other Procedures in Enola, PA