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 |
|---|---|---|---|
|
Rajat P Malik
37 N 5Th St |
$39.70 | 12 | 12 |
|
Keith R Young
40 V Twin Dr Ste 205 |
$88.31 | 12 | 12 |
|
Timothy R Mckee
450 S Washington St |
$83.26 | 13 | 13 |
|
Lydia Danso
450 S Washington St Ste A |
$41.87 | 13 | 12 |
|
Ashok K Kuruvilla
40 V Twin Dr |
$39.95 | 15 | 12 |
|
Robyn Michelle Morgan
40 V Twin Dr Ste 205 |
$17.72 | 16 | 15 |
|
Thomas A Little
371 E. Water St |
$27.40 | 16 | 13 |
|
Asif Quyyum
450 S Washington St Fl 3 |
$45.19 | 17 | 13 |
|
Orville Glenn Mcbeth
820 Chambersburg Rd |
$38.05 | 17 | 16 |
|
Adam Ira Wasserman
524 S Washington St |
$31.10 | 26 | 26 |
|
Elizabeth Dicampli
450 S Washington St Ste B |
$48.59 | 28 | 26 |
|
Tod J Fusia
450 S Washington St Ste E |
$45.87 | 30 | 26 |
|
Francis Gregory Grillo
25 Brigadier Ct |
$9.80 | 32 | 12 |
|
Bilal Aslam Chaudhry
147 Gettys St |
$78.76 | 34 | 12 |
|
Tina Ashley Khair
20 Expedition Trl |
$35.70 | 35 | 25 |
|
Ruby Risal
40 V Twin Dr Ste 205 |
$38.69 | 44 | 43 |
|
Syed Zia Manzoor
40 V Twin Dr Ste 202 |
$96.89 | 44 | 43 |
|
Wellspan Medical Group
40 V Twin Dr Ste 204 |
$27.57 | 47 | 35 |
|
James Philip
20 Expedition Trl Ste 203 |
$0.00 | 48 | 44 |
|
Hannah H Macintyre
455 S Washington St |
$70.49 | 58 | 56 |
|
Anokhi Patel
20 Expedition Trl Ste 101 |
$111.14 | 58 | 52 |
|
Chris Tobin Wetzel
312 Baltimore St |
$51.86 | 72 | 67 |
|
Stephanie Kekulawela
450 S Washington St Fl 3 |
$41.20 | 77 | 75 |
|
Maureen Roye
450 S Washington St Ste B |
$47.81 | 79 | 72 |
|
Dion M Pastick
455 S Washington St |
$0.00 | 81 | 79 |
|
Tomarra M Dalton
423 S Washington St |
$50.89 | 81 | 75 |
|
Louisa Rahner
524 S Washington St |
$48.80 | 84 | 79 |
|
Joanne E Smith
40 V Twin Dr Ste 204 |
$52.45 | 88 | 77 |
|
Akindele James Aluko
820 Chambersburg Rd |
$50.75 | 89 | 84 |
|
Kyle J. Messick
18 Deatrick Drive |
$32.10 | 98 | 86 |
|
Kimberly Sue Chandler
423 S Washington St |
$65.23 | 98 | 93 |
|
Patrick Quinlan
423 S Washington St |
$49.39 | 99 | 98 |
|
Bishow Chandra Shrestha
40 V Twin Dr Ste 205 |
$53.47 | 116 | 113 |
|
Nancy Reinhart
450 S Washington St Ste B |
$60.93 | 117 | 107 |
|
Neal Shah
20 Expedition Trl Ste 101 |
$31.41 | 118 | 116 |
|
Lavonne Lynn Johnson
7 Dinwiddie Ct |
$88.33 | 123 | 105 |
|
Kristen L Shafer
455 S Washington St Ste 12 |
$17.81 | 125 | 125 |
|
Karen Lee Gordon
455 S Washington St Ste 12 |
$3.96 | 141 | 139 |
|
Angela Louise Borger
40 V Twin Dr Ste 205 |
$60.14 | 164 | 161 |
|
Jon A Dubin
455 S Washington St Ste 12 |
$1.61 | 174 | 170 |
|
Amanda Pittman
820 Chambersburg Rd |
$8.18 | 174 | 173 |
|
Saeeda W. Shah
40 V Twin Dr |
$46.40 | 190 | 172 |
|
Ikechukwu Immanuel Akunyili
40 V Twin Dr |
$68.93 | 190 | 168 |
|
Kayode C. Lawrence
40 V Twin Dr |
$42.85 | 191 | 180 |
|
Paul J Quesenberry
524 S Washington St |
$43.68 | 191 | 110 |
|
Charles Hale Marks
450 S Washington St |
$38.73 | 209 | 188 |
|
Boriana Kamenova
40 V Twin Dr |
$30.90 | 217 | 212 |
|
Wellspan Medical Group
455 S Washington St |
$61.48 | 223 | 182 |
|
Kelly Patrick Miller
423 S Washington St |
$50.54 | 231 | 225 |
|
Jason M. Fowler
455 S Washington St Ste 12 |
$0.00 | 256 | 255 |
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