Average Medicaid Office Visit Payments in Greencastle, PA: $39.05
Avg. Paid
$39.05
Range
$0.00 – $88.49
Total Claims
27,345
Providers
22
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 Greencastle, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jacqueline Marie Fignar
24 Antrim Commons Dr |
$13.83 | 7,973 | 7,541 |
|
Sandra Fowler
24 Antrim Commons Dr |
$48.45 | 5,260 | 3,961 |
|
Vincent Barnhart
24 Antrim Commons Dr |
$46.01 | 4,758 | 4,385 |
|
Bonita L Deloach
24 Antrim Commons Dr |
$88.49 | 2,753 | 2,373 |
|
Susan Geraline Painter
50 Eastern Ave |
$65.18 | 1,365 | 1,350 |
|
Nathan T. Derstine
50 Eastern Ave |
$35.30 | 914 | 857 |
|
Kent E Copeland
50 Eastern Ave Ste 135 |
$14.52 | 755 | 595 |
|
Nina Friant Geiger
24 Antrim Commons Dr |
$58.70 | 710 | 681 |
|
Leanna Hollingshead
24 Antrim Commons Dr |
$46.90 | 479 | 456 |
|
Jena Helen Daihl
24 Antrim Commons Dr |
$1.79 | 450 | 434 |
|
Jill Marie Zimmerman
24 Antrim Commons Dr |
$1.45 | 351 | 345 |
|
Umar Razzaq
24 Antrim Commons Dr |
$43.76 | 341 | 311 |
|
Candace Vera Deverell
24 Antrim Commons Dr |
$0.30 | 292 | 278 |
|
Susan K Arnoult
50 Eastern Ave |
$68.90 | 288 | 280 |
|
Rebecca Lynne Pound
50 Eastern Ave Ste 144 |
$7.07 | 167 | 166 |
|
Kimberly Michelle Rhodes
24 Antrim Commons Dr |
$1.62 | 166 | 166 |
|
Rachael Anne Defarias
24 Antrim Commons Dr |
$0.00 | 116 | 114 |
|
Michael Stephen Fitzpatrick
50 Eastern Ave |
$34.02 | 76 | 72 |
|
Duane E. Sipes
50 Eastern Ave |
$36.26 | 60 | 56 |
|
Kayla Jace Sholes
50 Eastern Ave Ste 135 |
$18.46 | 40 | 34 |
|
Greencastle Family Practice Pc
50 Eastern Ave |
$50.87 | 17 | 15 |
|
Alicia Hey
24 Antrim Commons Dr |
$0.00 | 14 | 14 |
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 Greencastle, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Greencastle, PA is $39.05 per claim, based on 27,345 claims from 22 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 Greencastle, PA?
There are 22 Medicaid providers offering Office Visit related services in Greencastle, PA according to public payment data.
What is the price range for Office Visit in Greencastle, PA?
Medicaid reimbursement for Office Visit in Greencastle, PA ranges from $0.00 to $88.49 per claim, with an average of $39.05. 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 Greencastle, PA
Physical Therapy
Avg $59.34
7,922 claims
Eye Exam
Avg $33.59
3,557 claims
Chiropractic Care
Avg $23.62
1,920 claims
Blood Work & Lab Tests
Avg $5.12
943 claims
Ambulance Transport
Avg $126.11
699 claims
Nursing Facility Care
Avg $9.76
582 claims
Vaccines & Immunizations
Avg $9.53
428 claims
Urinalysis & Urine Tests
Avg $2.03
220 claims