Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Ephrata, PA: $39.20

Avg. Paid

$39.20

Range

$0.00 – $180.97

Total Claims

74,582

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 Ephrata, PA

Provider	Avg. Paid	Claims	Patients
Giuseppe Lancellotti 159 North Reading Rd	$26.67	12,094	9,221
Cristopher B Posadas 446 N Reading Rd	$8.33	9,442	8,939
Justin R Fisher 207 W Fulton St	$47.10	3,672	3,568
Paul G Avadanian 136 A&B Lake Street	$54.17	3,174	2,929
Ericka Lynn Berger 446 N Reading Rd	$11.24	3,123	3,012
Jason B Snavely 136 Lake St	$58.27	2,395	2,242
Marina Tilich 895 E Main St	$43.03	2,214	2,189
Peter S Oh 4131A Oregon Pike	$59.36	2,042	1,931
Jonathan Musyt 101 Larkspur Ln	$46.96	1,965	1,828
Andrew Stein 207 W Fulton St	$94.49	1,877	1,848
Joseph J Irwin 207 W Fulton St	$43.02	1,836	1,729
Darya Heim 136 Lake St, Brossman Center For Health	$54.49	1,809	1,737
Celerina Mary Joyce Liwag 159 North Reading Rd	$51.14	1,512	1,328
Mandy R Fannin 136 Lake St	$42.82	1,397	1,336
Jonathan A Sneller 4131A Oregon Pike	$24.27	1,287	1,206
John T. Coates 4131A Oregon Pike	$44.04	1,196	1,128
Cary L Campanella 4131A Oregon Pike	$60.02	1,162	1,092
Nick Orachukwu Onyemeke 460 N Reading Rd	$68.04	1,144	987
Christopher James Gallagher 169 Martin Ave	$79.82	1,017	987
Zachary Geidel 4131 Oregon Pike	$49.50	962	915
Tony Vanetesse 808 Pleasantview Dr	$25.64	936	809
Curtis L Hershey 101 Larkspur Ln	$45.43	896	850
James D Herr 895 E Main St	$43.11	891	887
Joseph G. Degenhard 808 Pleasantview Dr	$41.83	844	804
Marino D Mallozzi 446 N Reading Rd	$45.90	836	758
Sharon M Szychowski 169 Martin Ave	$45.33	804	796
Brian Taylor Lockhart 808 Pleasantview Dr	$48.69	720	692
Nicole Denise Zimmerman 44 Lancaster Ave	$52.40	674	635
Elsy Lucia Santizo Deleon 4131A Oregon Pike	$53.49	655	582
Mary Ann Sarker 446 N Reading Rd	$8.65	639	623
Sandra Lynn Minnick 136 A&B Lake Street	$46.32	618	567
James M Kelly 101 Larkspur Lane	$43.49	617	595
Brooke Clark 4131A Oregon Pike	$43.94	612	580
Jonathan Adam Youngwirth 4131A Oregon Pike	$55.30	567	512
Jaylaine Ghoubrial 175 Martin Ave Ste 125	$53.60	556	506
Baca Pediatrics 159 N Reading Rd	$33.10	536	441
Tanya O'Connor 175 Martin Ave	$41.14	461	444
Julia A Stern 175 Martin Ave	$42.56	410	397
Shivani Bista 175 Martin Ave Ste 125	$59.36	397	382
Michael Paul Delacruz 446 N Reading Rd	$25.73	392	348
John Carini 175 Martin Ave	$28.77	392	362
Carl Richard Hankel 4237 Oregon Pike	$52.22	357	349
James E Stephenson 4131A Oregon Pike	$50.25	327	314
Lancaster General Medical Group 895 East Main Street	$70.43	297	281
Ashley Anne Kempsell 1635 W Main St	$48.53	292	282
Wellspan Medical Group 446 N Reading Rd	$47.89	285	236
Bandhu Paudyal 207 W Fulton St	$50.75	279	276
Il Jun Chon 446 N Reading Rd	$64.43	248	227
Shirani David Rajan 207 W Fulton St	$69.65	247	233
Eliyahu E Fuchs 175 Martin Avenue	$39.69	242	228

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 Ephrata, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ephrata, PA is $39.20 per claim, based on 74,582 claims from 87 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 Ephrata, PA?

There are 87 Medicaid providers offering Office Visit related services in Ephrata, PA according to public payment data.

What is the price range for Office Visit in Ephrata, PA?

Medicaid reimbursement for Office Visit in Ephrata, PA ranges from $0.00 to $180.97 per claim, with an average of $39.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Ephrata, PA: $39.20

Providers Offering Office Visit in Ephrata, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Ephrata, PA

Emergency Room Visit

Physical Therapy

Blood Work & Lab Tests

X-Ray

Speech Therapy

Home Health Visit

Durable Medical Equipment (DME)

EKG / ECG (Electrocardiogram)