Average Medicaid Office Visit Payments in Gettysburg, PA: $44.60
Avg. Paid
$44.60
Range
$0.00 – $111.14
Total Claims
68,425
Providers
98
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 Gettysburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Graham Albert Foose
455 S Washington St Ste 12 |
$25.72 | 6,797 | 6,548 |
|
David K Nelson
11 Hunters Trl |
$48.38 | 6,746 | 6,382 |
|
Gettysburg Pediatrics
11 Hunters Trl |
$60.20 | 6,109 | 5,321 |
|
Cathyrn L Karchner
11 Hunters Trl |
$47.28 | 4,774 | 4,557 |
|
Carol A Blank
11 Hunters Trl |
$62.44 | 2,530 | 2,404 |
|
Christopher Haas
1275 York Rd Ste 1 |
$53.19 | 2,524 | 1,757 |
|
Rebecca Reck
1311 Biglerville Rd |
$59.12 | 1,994 | 1,840 |
|
Sophia Nadine Hendricks
595 Biglerville Rd |
$54.44 | 1,827 | 1,614 |
|
Xi Lin
40 V-Twin Dr |
$72.09 | 1,778 | 1,725 |
|
Mark P Diehl
40 V-Twin Dr |
$55.81 | 1,711 | 1,672 |
|
Jason Gregory Houghton
455 S Washington St Ste 12 |
$3.15 | 1,479 | 1,462 |
|
Hallie Deardorff
250 W Broadway |
$1.01 | 1,469 | 1,430 |
|
Laura Snyder Pennings
147 Gettys St |
$57.40 | 1,430 | 1,360 |
|
Scott M Jaeger
11 Hunters Trl |
$51.37 | 1,345 | 1,307 |
|
Mitul Afiniwala
455 S Washington St |
$44.82 | 1,190 | 1,126 |
|
Jhansi Lakshmi Ganji
40 V Twin Dr Ste 205 |
$50.36 | 1,134 | 1,114 |
|
William J. Steinour
147 Gettys St |
$0.00 | 1,072 | 1,058 |
|
Luisa Buntin
455 S Washington St |
$0.91 | 1,056 | 1,029 |
|
Theresa Yankey Acquaah
450 S Washington St |
$41.60 | 980 | 861 |
|
Damara L Van Irvin
450 S Washington St Ste B |
$37.54 | 958 | 823 |
|
Meghan Natalie Wilson
508 S Washington St |
$68.60 | 950 | 937 |
|
Lawrence Douglas Bailes
18 Deatrick Dr |
$51.07 | 946 | 848 |
|
John C Sefter
18 Deatrick Dr |
$33.27 | 828 | 793 |
|
George Nicholas Logothetis
450 S Washington St Ste A |
$42.61 | 820 | 773 |
|
Eric D Nabors
18 Deatrick Dr |
$38.36 | 813 | 778 |
|
Robert C Gillis
18 Deatrick Dr |
$33.97 | 738 | 713 |
|
Lin Shen
18 Deatrick Dr |
$53.95 | 703 | 656 |
|
Ashley Neusbaum
820 Chambersburg Rd |
$53.71 | 702 | 661 |
|
Nesreen Sayed Awad Elkariem Hag Ahmed
40 V Twin Dr Ste 205 |
$35.45 | 678 | 609 |
|
Satish A Shah
20 Expedition Trl |
$41.49 | 665 | 484 |
|
Tasneem Shabnam Ahmed
450 S Washington St Ste B |
$50.44 | 586 | 550 |
|
Shubha R Acharya
40 V Twin Dr |
$62.05 | 512 | 482 |
|
Brittany Leigh Jackson
450 S Washington St Ste B |
$39.89 | 495 | 446 |
|
Beverly Ann Curtis
455 Glenwood Dr |
$0.00 | 462 | 441 |
|
Segun Toyin Dawodu
40 V Twin Dr |
$55.65 | 429 | 405 |
|
Nora Rose Sudarsan
40 V Twin Dr |
$97.72 | 413 | 341 |
|
Bradley R Hoch
11 Hunters Trl |
$42.81 | 397 | 368 |
|
Fleesa Renee Winters
11 Hunters Trl |
$42.02 | 396 | 358 |
|
James A Manning
508 S Washington St |
$40.24 | 380 | 362 |
|
Uzoma Nwakuche
40 V Twin Dr Ste 104 |
$64.90 | 378 | 338 |
|
Mohammed Zulfequar Ali
147 Gettys St |
$70.74 | 371 | 325 |
|
Bennett L Gentzler
11 Hunters Trl |
$40.74 | 365 | 335 |
|
Jennifer Ann Bishop
40 V Twin Dr |
$42.37 | 337 | 319 |
|
Catherine R Mauss
28 Apple Ave |
$0.00 | 321 | 276 |
|
Brian E Michael
20 Expedition Trl |
$42.75 | 317 | 311 |
|
Momina I Mastoor
450 S Washington St Ste A |
$48.67 | 279 | 268 |
|
Nikki Elizabeth Bailes
40 V Twin Dr |
$0.00 | 272 | 250 |
|
Todd Staub
40 V Twin Dr |
$87.28 | 258 | 257 |
|
Jason M. Fowler
455 S Washington St Ste 12 |
$0.00 | 256 | 255 |
|
Kelly Patrick Miller
423 S Washington St |
$50.54 | 231 | 225 |
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 Gettysburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gettysburg, PA is $44.60 per claim, based on 68,425 claims from 98 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 Gettysburg, PA?
There are 98 Medicaid providers offering Office Visit related services in Gettysburg, PA according to public payment data.
What is the price range for Office Visit in Gettysburg, PA?
Medicaid reimbursement for Office Visit in Gettysburg, PA ranges from $0.00 to $111.14 per claim, with an average of $44.60. 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 Gettysburg, PA
Emergency Room Visit
Avg $109.26
55,163 claims
Blood Work & Lab Tests
Avg $4.64
42,508 claims
EKG / ECG (Electrocardiogram)
Avg $7.34
35,341 claims
Dental Cleaning & Exam
Avg $40.39
29,033 claims
X-Ray
Avg $6.94
8,236 claims
Vaccines & Immunizations
Avg $9.39
7,692 claims
Eye Exam
Avg $47.78
5,948 claims
Nursing Facility Care
Avg $8.80
5,148 claims