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 |
|---|---|---|---|
|
Ayman A. Bishay
250 Fame Ave |
$31.02 | 12 | 12 |
|
Nicolas Habib
250 Fame Ave |
$38.18 | 12 | 12 |
|
Ayoola O Akinbamowo
1227 Baltimore St |
$28.06 | 12 | 12 |
|
Natasha R Hewitt
250 Fame Ave Ste 220 |
$26.73 | 12 | 12 |
|
Javed Iqbal Memon
250 Fame Ave Ste 202 |
$46.66 | 12 | 12 |
|
Wendy Ann Hood
2201 Brunswick Dr Ste 1200 |
$42.58 | 13 | 13 |
|
Hanover Health Corporation
300 Highland Avenue |
$41.42 | 16 | 14 |
|
Shelby Jean Bare
111 Penn St Ste 1 |
$59.92 | 17 | 14 |
|
Gagandeep S Gurm
310 Stock St |
$50.97 | 25 | 24 |
|
Jenna Nicole Waltimyer
100 Eisenhower Dr # A |
$43.01 | 25 | 25 |
|
Ann K Biser
1227 Baltimore St |
$54.67 | 26 | 15 |
|
Ankur Patel
1227 Baltimore St |
$51.09 | 29 | 28 |
|
Imran Unal
2201 Brunswick Dr Ste 2300 |
$85.71 | 32 | 32 |
|
Zaher Srour
864 Broadway Ste 101 |
$15.06 | 32 | 27 |
|
Katherine Edna Johnson
20 North St |
$41.83 | 35 | 30 |
|
Alison Rae Mcmaster
250 Fame Ave Ste 206A |
$53.10 | 39 | 39 |
|
Dana A Yealy
848 Broadway |
$59.15 | 40 | 37 |
|
Brandi M Musselman
18 North St |
$47.54 | 41 | 40 |
|
Alexis Shanabrook
20 North St |
$35.15 | 41 | 38 |
|
Stacie Carrillo
100 Eisenhower Dr |
$0.00 | 45 | 45 |
|
Janene Boyette Ireland
100 Frederick St Ste 101 |
$49.83 | 54 | 53 |
|
Eric James Jackson
470 Eisenhower Dr |
$32.87 | 57 | 55 |
|
Pamela L Gordon
848 Broadway |
$57.65 | 61 | 60 |
|
Alexander John Kish
470 Eisenhower Dr |
$40.48 | 64 | 60 |
|
Magis Mandapathil
250 Fame Ave Ste 201 |
$49.62 | 67 | 67 |
|
Todd A Zeno
470 Eisenhower Dr |
$27.80 | 101 | 92 |
|
Gregg J Reis
310 Stock St Ste 3 |
$30.75 | 115 | 114 |
|
Robert J Henke
848 Broadway |
$42.95 | 127 | 114 |
|
J. Andre Garabedian
310 Stock St |
$27.31 | 132 | 127 |
|
Pinnacle Health Medical Services
2201 Brunswick Dr Ste 1200 |
$46.77 | 132 | 99 |
|
Jason A Williams
250 Fame Avenue |
$124.44 | 137 | 136 |
|
Maureen Eisenberg
111 Penn St |
$61.44 | 139 | 128 |
|
Alison Lynn Smith
100 Frederick St Ste 101 |
$114.03 | 140 | 120 |
|
Kulin N Oza
3130 Grandview Rd Ste 1 |
$20.33 | 152 | 105 |
|
David M Gilbert
195 Stock St Ste 305 |
$28.67 | 162 | 147 |
|
Chintamani Bhaskar Gokhale
310 Stock St Ste 83 |
$25.64 | 164 | 164 |
|
Hanover Health Corporation
1404 Baltimore St |
$45.87 | 166 | 142 |
|
Luciene D Borowik
250 Fame Ave Ste 206A |
$64.73 | 175 | 167 |
|
Andrea J Smith
100 Frederick St Ste 101 |
$60.31 | 177 | 170 |
|
Ashok K Subramanian
300 Highland Ave |
$54.19 | 181 | 170 |
|
Allison Johns Geiman
3130 Grandview Rd Ste 2 |
$37.49 | 186 | 178 |
|
Bertrand Njume Mukete
310 Stock St Ste 3 |
$45.35 | 229 | 220 |
|
Chelsea Erin Marks
20 North St |
$2.23 | 246 | 227 |
|
Danilo V Diaz
1227 Baltimore St |
$60.84 | 250 | 247 |
|
Olufemi Awosika
300 Highland Ave |
$2.04 | 251 | 217 |
|
Samuel D D'Agata
1227 Baltimore St |
$42.36 | 255 | 243 |
|
Mateo Cindric
300 Highland Ave |
$53.43 | 255 | 245 |
|
Moushumi Kundu
250 Fame Ave Ste 206A |
$58.39 | 263 | 254 |
|
Erin M. Roberts
310 Stock St |
$57.83 | 287 | 269 |
|
John W Lunsford
112 Clover Ln |
$63.59 | 291 | 262 |
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