Based on public Medicaid payment data.

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
Siddharth Goel 205 S Front St Upmc Pinnacle, Internal Medicine Residen	$79.26	12	12
Jadd Wadi Koury 3907 N Front St	$52.70	12	12
Victoria Trovillion 6100 Jonestown Rd	$29.87	12	12
Lewis E Harpster 815 Sir Thomas Ct Ste 200	$22.46	12	12
William E Byrne 2645 N 3Rd St	$42.90	12	12
Katrina Louise Mcalester 4700 Union Deposit Rd Ste 120	$32.78	12	12
Anthony B Dambro 121 N Nyes Rd	$71.83	12	12
Jaime Slotkin 4300 Londonderry Rd	$37.17	12	12
John Albert Wetherhold 235 Division St	$56.36	12	12
Miranda Jean Felty 110 S 17Th St	$25.67	12	12
Allan B. Grossman 4033 Linglestown Rd	$38.94	13	13
Thomas Ryan Stoner 4300 Londonderry Rd	$48.94	13	12
Ryan Vandermark 4300 Londonderry Rd	$68.11	13	13
Brandi Barrick 110 S 17Th St	$63.14	13	12
Jessica Marie Bell 4760 Union Deposit Rd Ste 100	$83.35	13	13
Kristen Hertzler 4230 Crums Mill Rd	$62.97	14	14
Bryna Curandell 4700 Union Deposit Rd Ste 140	$56.08	15	15
Timothy Boley 100 S 2Nd St Ste 4B	$114.39	15	15
Vinod Kumar Nookala 205 South Front Street	$27.90	15	15
Brian Swoyer 2505 N Front St	$34.32	15	14
Emelia N Bittenbinder 2808 Old Post Rd	$125.37	15	15
Phyllis Lynn Block 2151 Linglestown Rd	$54.58	16	13
Pinnacle Health Medical Services 2645 N 3Rd St	$42.06	16	13
Hamilton Health Center, Inc. 110 S 17Th St	$0.00	17	17
Patricia Lynn Himes 2310 Patton Rd	$56.84	17	17
Craig M Labuskes 5400 Chambers Hill Rd	$41.06	17	17
Darrell Robin Hoppes 6100 Old Jonestown Rd	$31.93	18	18
Kimberly Nguyen 4230 Crums Mill Rd	$15.12	19	16
Jack Holland Moody 805 Sir Thomas Ct	$42.88	24	24
Christopher Peter Collins 2501 N 3Rd St Fl 2	$32.15	26	24
Donna Ponchak 4310 Londonderry Rd Ste 202	$62.17	27	27
Nitin Jaluria 2808 Old Post Road	$48.23	27	26
Megan Mendez Miller 121 N Nyes Rd	$87.23	28	28
Katherine A Berry 2501 N 3Rd St Fl 2	$46.53	28	28
Healthy Starts Pediatrics 845 Sir Thomas Court	$69.07	28	24
Melanie Sue Myers 4700 Union Deposit Rd Ste 140	$38.86	28	28
Scott Gm King 820 Sir Thomas Ct	$23.90	29	27
Catherine Bongka Baye Easton 4310 Londonderry Rd Ste 101	$53.60	30	29
Eduardo Santiago Violago 2151 Linglestown Rd	$20.71	32	29
Subhra Banerjee 4387 Sturbridge Dr	$40.92	33	31
Christopher P Plummer 100 S 2Nd St Ste 4B	$33.74	34	12
Tammy Lynne Miceli 4000 Linglestown Rd	$37.06	34	34
Melissa M Sellars 4800 Linglestown Rd	$76.60	34	34
Jerry Emmett Robinson 820 Sir Thomas Ct	$47.26	38	37
Julianna Naccarato 121 N Nyes Rd	$90.35	38	38
Carlie Klingman 121 N Nyes Rd Ste F	$33.59	40	38
Miroslaw Gardyasz 845 Sir Thomas Court	$30.33	40	37
Emilee Sassani 4000 Linglestown Rd	$37.53	40	39
Leesha Alex Helm 121 N Nyes Rd Ste A	$66.95	43	41
Irina Vladimirovna Mishagina 205 S Front St Ste 3C	$58.30	43	43

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.

Average Medicaid Office Visit Payments in Harrisburg, PA: $39.02

Providers Offering Office Visit in Harrisburg, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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New York, NY

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Houston, TX

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Other Procedures in Harrisburg, PA

Home Health Visit

Emergency Room Visit

Physical Therapy

Blood Work & Lab Tests

Case Management Services

Psychiatric Evaluation

Ambulance Transport

Nursing Facility Care