Average Medicaid Office Visit Payments in Hanover, PA: $44.79
Avg. Paid
$44.79
Range
$0.00 – $124.44
Total Claims
94,639
Providers
95
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 Hanover, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Douglas Joseph Masucci
217 Broadway |
$36.48 | 10,179 | 9,113 |
|
Kaejin Kim
217 Broadway |
$36.57 | 8,128 | 7,242 |
|
Melissa Parker Lavallee
217 Broadway |
$37.93 | 7,468 | 6,795 |
|
John R. Schwartz
2201 Brunswick Dr Ste 1300 |
$50.31 | 5,655 | 5,300 |
|
Louis Duchin
625 W Elm Ave |
$52.85 | 4,713 | 3,351 |
|
Gattu Panisri Rao
1227 Baltimore St |
$58.16 | 4,117 | 3,815 |
|
Raymond Eric Mathews
1230 High St |
$0.27 | 4,003 | 3,720 |
|
Bryan R Hess
2201 Brunswick Dr Ste 1200 |
$48.46 | 3,666 | 3,503 |
|
Lisa Marie Bollinger
100 Frederick St Ste 101 |
$54.72 | 3,615 | 3,425 |
|
Susan D Peck
300 Frederick St |
$63.70 | 3,588 | 3,396 |
|
Francis X Kilkelly
1227 Baltimore St |
$48.28 | 2,888 | 2,762 |
|
Linda Ying Lin
864 Broadway |
$86.22 | 2,822 | 2,584 |
|
Esther S Ajjarapu
1227 Baltimore St |
$34.59 | 2,568 | 1,995 |
|
Nina Eshaghi
2201 Brunswick Dr Ste 1300 |
$39.80 | 2,066 | 1,869 |
|
Hanover Pediatric Associates, P.C.
217 Broadway |
$61.00 | 1,861 | 1,329 |
|
Amber Rickrode
100 Frederick St Ste 101 |
$55.79 | 1,489 | 1,439 |
|
Stephen Andrew Naymick
20 North St |
$54.30 | 1,384 | 1,275 |
|
William Richard Mcdermott
100 Frederick St Ste 101 |
$56.46 | 1,267 | 1,189 |
|
Colleen Victoria Webb
1230 High St |
$41.20 | 1,266 | 1,118 |
|
Erika L Nichelson
20 North St |
$59.40 | 1,259 | 1,051 |
|
Vipul B Shah
2201 Brunswick Dr Ste 1300 |
$56.63 | 1,257 | 1,170 |
|
Valerie Bennett
100 Eisenhower Dr |
$0.87 | 1,047 | 1,025 |
|
Matthew James Mccarl
1227 Baltimore St |
$51.57 | 1,031 | 981 |
|
Claudia P Twum
1227 Baltimore St |
$43.98 | 920 | 793 |
|
Jessica Lauren Wirth Tocks
1227 Baltimore St |
$38.11 | 902 | 860 |
|
Andrew Rowland
1227 Baltimore St |
$36.29 | 833 | 812 |
|
James Allen Dicke
2201 Brunswick Dr Ste 2300 |
$48.59 | 785 | 767 |
|
Jeannette A Stambaugh
100 Eisenhower Dr |
$2.02 | 759 | 743 |
|
Daniel F P Victoria
20 North St |
$50.26 | 721 | 669 |
|
Anganette Perkins
1227 Baltimore St |
$49.42 | 676 | 555 |
|
Brian C. Knop
310 Stock St |
$51.53 | 675 | 645 |
|
Larissa Crownover
20 North St |
$56.74 | 558 | 481 |
|
Robert J Bischoff
1227 Baltimore St |
$42.13 | 508 | 482 |
|
Jesse R. Welter
470 Eisenhower Dr |
$38.86 | 469 | 439 |
|
Kelly A Deah
100 Eisenhower Dr |
$0.36 | 432 | 424 |
|
Adam Barnathan
300 Highland Ave |
$62.84 | 415 | 371 |
|
Samuel George Hall
425 Westminster Ave |
$53.47 | 398 | 388 |
|
Heidi Miles
100 Frederick St |
$62.54 | 382 | 364 |
|
Ziad Rohayem
250 Fame Ave Ste 201 |
$47.77 | 381 | 375 |
|
Christine A Phillips
3130 Grandview Rd |
$57.61 | 356 | 350 |
|
Wellspan Medical Group
100 Eisenhower Dr Ste 360 |
$47.02 | 337 | 293 |
|
James Adam Fenwick
207 Blooming Grove Rd |
$35.72 | 335 | 320 |
|
Gurpal Singh
310 Stock St |
$38.92 | 316 | 305 |
|
Jessica Ann Quiggle
2201 Brunswick Dr Ste 1200 |
$46.83 | 315 | 310 |
|
Courtney Leigh Mujic
20 North St |
$52.02 | 297 | 269 |
|
John W Lunsford
112 Clover Ln |
$63.59 | 291 | 262 |
|
Erin M. Roberts
310 Stock St |
$57.83 | 287 | 269 |
|
Moushumi Kundu
250 Fame Ave Ste 206A |
$58.39 | 263 | 254 |
|
Mateo Cindric
300 Highland Ave |
$53.43 | 255 | 245 |
|
Samuel D D'Agata
1227 Baltimore St |
$42.36 | 255 | 243 |
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 Hanover, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hanover, PA is $44.79 per claim, based on 94,639 claims from 95 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 Hanover, PA?
There are 95 Medicaid providers offering Office Visit related services in Hanover, PA according to public payment data.
What is the price range for Office Visit in Hanover, PA?
Medicaid reimbursement for Office Visit in Hanover, PA ranges from $0.00 to $124.44 per claim, with an average of $44.79. 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 Hanover, PA
Emergency Room Visit
Avg $86.22
53,401 claims
Blood Work & Lab Tests
Avg $8.73
25,405 claims
EKG / ECG (Electrocardiogram)
Avg $8.93
16,927 claims
Dental Cleaning & Exam
Avg $30.19
10,338 claims
Speech Therapy
Avg $17.80
9,139 claims
Hearing Test (Audiometry)
Avg $5.70
7,095 claims
Physical Therapy
Avg $132.12
6,272 claims
Durable Medical Equipment (DME)
Avg $31.02
6,013 claims