Average Medicaid Office Visit Payments in Harrisburg, PA: $39.02
Avg. Paid
$39.02
Range
$0.00 – $251.30
Total Claims
379,411
Providers
297
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 Harrisburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristina M Wagner
775 S Arlington Ave |
$49.57 | 38,691 | 37,392 |
|
Arthur Leroy Williams
1821 Fulton St |
$0.00 | 15,419 | 14,515 |
|
Dierich Mark Kaiser
2501 N 3Rd St |
$49.93 | 10,970 | 9,595 |
|
Bolanle Asuni Limann
110 S 17Th St |
$0.09 | 10,558 | 10,061 |
|
Greg S Swartzentruber
111 S Front St |
$54.89 | 10,279 | 8,990 |
|
Douglas Edward Halbert
4302 N Victoria Way |
$48.71 | 7,738 | 7,028 |
|
Charles D Gerlach
805 Sir Thomas Ct |
$49.22 | 7,388 | 7,048 |
|
Michael Paul Van Scoy
205 S Front St Ste 3C |
$44.69 | 6,910 | 6,447 |
|
Raselette Agatha Hunt
2292 Forest Ln |
$5.49 | 6,872 | 4,151 |
|
Taral Kirankumar Parikh
110 S 17Th St |
$8.90 | 6,045 | 5,607 |
|
Khem Kumar Adhikari
3601 North Progress Ave. |
$55.90 | 6,029 | 5,862 |
|
Hamilton Health Center, Inc.
110 S 17Th St |
$1.03 | 5,924 | 5,027 |
|
Julia Maria Lara
110 S 17Th St |
$0.07 | 5,847 | 5,563 |
|
Mavis Sesay
110 S 17Th St |
$0.01 | 5,831 | 5,521 |
|
Christopher Ryan Scheid
4000 Linglestown Rd |
$42.23 | 5,781 | 5,365 |
|
Anne C Kantner
1711 N Front St |
$71.41 | 5,741 | 5,559 |
|
Ivona Pesek Diamond
1821 Fulton St |
$0.13 | 5,194 | 4,929 |
|
Potacia Wynette Francis
110 S 17Th St |
$0.08 | 5,191 | 4,246 |
|
Kara Garcia
4700 Union Deposit Rd |
$0.00 | 4,908 | 4,554 |
|
Pinnacle Health Medical Services
409 S 2Nd St |
$73.16 | 4,544 | 4,029 |
|
Barbara A Black
1821 Fulton St |
$0.46 | 4,456 | 4,086 |
|
Rory Michael O'Neill
111 S Front St |
$43.94 | 4,406 | 4,343 |
|
Brendan Scot Tanner
111 S Front St |
$19.36 | 4,143 | 4,063 |
|
Denise F Montisano
805 Sir Thomas Ct |
$47.26 | 3,924 | 3,758 |
|
Tiandra Williams
5001 Jonestown Rd Ste A |
$0.03 | 3,883 | 3,710 |
|
Glen Nelson Wheeler
110 S 17Th St |
$2.73 | 3,879 | 3,667 |
|
Kenneth J Oken
4700 Union Deposit Rd |
$48.71 | 3,461 | 3,184 |
|
Pamela May
1617 N Front St |
$6.27 | 3,394 | 2,977 |
|
Irina G Veytsman
4300 Londonderry Rd |
$55.35 | 3,280 | 2,329 |
|
Hanford Ndlovu
100 S 2Nd St Ste 4A |
$50.25 | 3,124 | 2,561 |
|
Kai H Moy
2645 N 3Rd St |
$0.67 | 3,118 | 2,885 |
|
Rahul Shenoy
5400 Chambers Hill Rd |
$39.52 | 3,076 | 2,848 |
|
John Grandrimo
820 Sir Thomas Ct |
$47.88 | 3,030 | 2,925 |
|
Jaclyn Mirault
2645 N 3Rd St Fl 4 |
$45.82 | 2,915 | 2,646 |
|
Michael John Mullen
2645 N 3Rd St |
$47.63 | 2,852 | 2,469 |
|
Adenike Yetunde Awotundun
110 S 17Th St |
$0.08 | 2,837 | 2,679 |
|
Lisa Tkatch
810 Sir Thomas Ct |
$52.96 | 2,816 | 2,750 |
|
Tarun Saha
2645 N 3Rd St |
$62.75 | 2,760 | 2,623 |
|
Amber C O'Leary
121 N Nyes Rd Ste C |
$45.31 | 2,702 | 2,456 |
|
Don A Dearmitt
2310 Patton Road |
$46.07 | 2,622 | 2,544 |
|
Beverley A Hall-Ndlovu
100 S 2Nd St Ste 4A |
$55.83 | 2,586 | 2,101 |
|
Sarah Ines Ramirez
2626 N 3Rd St |
$73.53 | 2,319 | 2,127 |
|
Mihailo Popovic
815 Sir Thomas Ct Ste 200 |
$23.05 | 2,152 | 1,698 |
|
Glen Roy Daughtry
2850 Commerce Dr Ste 300 |
$41.01 | 2,093 | 1,978 |
|
Matthew John Espenshade
820 Sir Thomas Ct |
$37.32 | 2,064 | 1,973 |
|
Ayodeji Olumuyiwa Bakare
2645 N 3Rd St Fl 4 |
$52.66 | 2,047 | 1,452 |
|
Youth Advocate Programs, Inc.
3899 North Front St. |
$111.11 | 2,043 | 1,912 |
|
Mark Louis Mascari
8012 Bretz Dr |
$50.42 | 2,025 | 1,963 |
|
Bettina M Aprile
2626 N 3Rd St |
$74.93 | 2,025 | 1,970 |
|
Anas M Atrash
205 South Front Street |
$45.08 | 1,989 | 1,946 |
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 Harrisburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Harrisburg, PA is $39.02 per claim, based on 379,411 claims from 297 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 Harrisburg, PA?
There are 297 Medicaid providers offering Office Visit related services in Harrisburg, PA according to public payment data.
What is the price range for Office Visit in Harrisburg, PA?
Medicaid reimbursement for Office Visit in Harrisburg, PA ranges from $0.00 to $251.30 per claim, with an average of $39.02. 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 Harrisburg, PA
Home Health Visit
Avg $217.30
393,856 claims
Emergency Room Visit
Avg $86.13
246,565 claims
Physical Therapy
Avg $31.14
165,092 claims
Blood Work & Lab Tests
Avg $6.69
146,270 claims
Case Management Services
Avg $81.88
106,524 claims
Psychiatric Evaluation
Avg $72.15
98,980 claims
Ambulance Transport
Avg $226.42
90,259 claims
Nursing Facility Care
Avg $19.22
87,654 claims