Average Medicaid Office Visit Payments in Fountain Hill, PA: $50.56
Avg. Paid
$50.56
Range
$0.00 – $151.55
Total Claims
26,928
Providers
57
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 Fountain Hill, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Wayock
701 Ostrum St |
$48.06 | 2,724 | 2,659 |
|
Craig T Haytmanek
735 Delaware Ave |
$29.29 | 2,331 | 2,152 |
|
Joseph G. Bell
701 Ostrum St |
$50.10 | 1,978 | 1,938 |
|
Jodi L. Schucker
701 Ostrum St |
$52.40 | 1,566 | 1,532 |
|
Hannah Brotzman Anastasio
701 Ostrum St Ste 303 |
$50.09 | 1,472 | 1,434 |
|
Meredith L. Birsner
701 Ostrum St Ste 303 |
$49.33 | 1,440 | 1,418 |
|
Diana Marie Jaiyeola
701 Ostrum St Ste 201 |
$72.59 | 1,437 | 1,416 |
|
Subhash C Proothi
701 Ostrum St |
$42.67 | 1,290 | 1,244 |
|
Jorge Enrique Tolosa
701 Ostrum St Ste 303 |
$46.99 | 1,074 | 1,053 |
|
Lauren Kristen Sulovski
701 Ostrum St |
$10.30 | 1,042 | 1,000 |
|
Hiralal Natvarlal Rana
1130 Delaware Ave |
$38.27 | 982 | 925 |
|
Heidar J Albandar
701 Ostrum St Ste 501 |
$58.48 | 807 | 752 |
|
Gurshawn Singh
701 Ostrum St Ste 201 |
$77.88 | 785 | 771 |
|
Abigail M. Richey
701 Ostrum St |
$76.65 | 677 | 645 |
|
Michael L. Bell
685 Delaware Ave |
$30.46 | 651 | 598 |
|
Noel B Martins
701 Ostrum St |
$64.90 | 591 | 581 |
|
Christine Ashley Talmage
701 Ostrum St |
$47.53 | 590 | 534 |
|
Ronak S Modi
701 Ostrum St |
$58.47 | 585 | 573 |
|
Vesselin T Tomov
701 Ostrum St Ste 201 |
$57.41 | 545 | 536 |
|
Berhanu M Geme
701 Ostrum St |
$53.50 | 514 | 502 |
|
Caitlin Foley
701 Ostrum St Ste 201 |
$77.82 | 441 | 439 |
|
Kimberly Jegel Chaput
701 Ostrum St |
$55.80 | 308 | 304 |
|
Christopher David Hibbard
701 Ostrum St Ste 201 |
$151.55 | 275 | 273 |
|
Carly Elizabeth Haddock
701 Ostrum St Ste 201 |
$49.01 | 257 | 231 |
|
Sarina Kapoor
701 Ostrum St Ste 201 |
$72.89 | 219 | 215 |
|
Giuseppe Guglielmello
709 Delaware Ave |
$57.27 | 215 | 209 |
|
St. Luke'S Physician Group, Inc.
801 Ostrum St |
$69.98 | 188 | 175 |
|
Loveleen Kaur Sidhu
701 Ostrum St |
$72.75 | 181 | 180 |
|
Neal Morgan Fitzpatrick
709 Delaware Ave |
$45.32 | 171 | 167 |
|
Kaushik Kundu
1130 Delaware Ave |
$32.59 | 155 | 153 |
|
Justice Owusu-Agyei
701 Ostrum St Ste 602 |
$39.48 | 147 | 141 |
|
Ayaz Matin
701 Ostrum St |
$52.53 | 139 | 139 |
|
Douglas S Corwin
709 Delaware Ave |
$39.83 | 118 | 115 |
|
Jocelyn Jarick
709 Delaware Ave |
$5.23 | 116 | 115 |
|
Dang Hai Zhang
701 Ostrum St |
$31.37 | 103 | 95 |
|
Robert Marron
685 Delaware Ave |
$46.76 | 95 | 95 |
|
Tiffany Jean Gonzales
701 Ostrum St |
$44.90 | 93 | 86 |
|
Gowtham Narla
701 Ostrum St Ste 203 |
$57.56 | 83 | 81 |
|
Deborah Marie Stahlnecker
709 Delaware Ave |
$38.43 | 79 | 78 |
|
Marian P. Mcdonald
800 Ostrum St |
$99.55 | 59 | 59 |
|
John James Lukaszczyk
701 Ostrum St |
$28.92 | 57 | 46 |
|
Ibrahim Ismail-Sayed
685 Delaware Ave |
$49.65 | 57 | 55 |
|
Sinan Kutty
701 Ostrum St |
$55.19 | 40 | 40 |
|
Lindsay Grier Arthur
701 Ostrum St Ste 102 |
$123.93 | 38 | 37 |
|
Israel Zighelboim
701 Ostrum St |
$57.12 | 28 | 24 |
|
Daniel O'Rourke
830 Ostrum St |
$29.06 | 27 | 25 |
|
Breanna Little
701 Ostrum St |
$37.94 | 25 | 24 |
|
Justin Thomas Baum
701 Ostrum St Ste 602 |
$71.06 | 19 | 19 |
|
Zheng Lin
701 Ostrum St |
$59.34 | 15 | 15 |
|
Rajeev Prasad
701 Ostrum St Ste 102 |
$46.65 | 14 | 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 Fountain Hill, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fountain Hill, PA is $50.56 per claim, based on 26,928 claims from 57 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 Fountain Hill, PA?
There are 57 Medicaid providers offering Office Visit related services in Fountain Hill, PA according to public payment data.
What is the price range for Office Visit in Fountain Hill, PA?
Medicaid reimbursement for Office Visit in Fountain Hill, PA ranges from $0.00 to $151.55 per claim, with an average of $50.56. 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 Fountain Hill, PA
Ultrasound
Avg $49.46
25,963 claims
Emergency Room Visit
Avg $76.02
24,240 claims
Blood Work & Lab Tests
Avg $11.30
5,569 claims
Dental Cleaning & Exam
Avg $27.11
4,487 claims
EKG / ECG (Electrocardiogram)
Avg $5.92
2,902 claims
Dental Filling
Avg $59.56
1,919 claims
Upper Endoscopy (EGD)
Avg $103.76
1,249 claims
Pulmonary Function Test
Avg $7.82
801 claims