Average Medicaid Office Visit Payments in Hazleton, PA: $47.66
Avg. Paid
$47.66
Range
$0.00 – $222.24
Total Claims
95,425
Providers
49
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 Hazleton, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul J Tayoun
101 S Church St |
$39.90 | 14,987 | 14,334 |
|
Pedro Guzman
141 N Cedar St |
$31.13 | 7,880 | 7,623 |
|
Scott Douglas Muir
1000 Alliance Dr |
$46.62 | 7,173 | 6,493 |
|
Raveena Gandhi
426 Airport Road |
$55.65 | 6,541 | 6,144 |
|
Tequilla Tavockious Ayinla
141 N Vine St |
$31.71 | 6,034 | 5,832 |
|
Amr Ahmed Elmeki
564 W Broad St |
$94.43 | 6,016 | 5,703 |
|
Jude Francis Sidari
235 W Chestnut St |
$5.45 | 4,092 | 3,388 |
|
Leocadia T Prawdzik
1090 N Church St |
$39.22 | 3,943 | 3,757 |
|
Vadim Loshakov
1000 Alliance Dr |
$136.47 | 3,871 | 2,812 |
|
Jose I Castillo
1740 E Broad St |
$44.47 | 3,719 | 3,531 |
|
Jodi Washinsky Lenko
1000 Alliance Dr |
$39.70 | 3,305 | 3,168 |
|
Shu-Guang Xu
50 Moisey Drive |
$54.01 | 3,080 | 2,989 |
|
Patricia Rosati
1740 E Broad St |
$44.01 | 2,822 | 2,293 |
|
Nicole Lee Balchune
1000 Alliance Dr |
$49.76 | 2,679 | 2,545 |
|
Yaqoob Mohyuddin
50 Moisey Drive |
$41.90 | 2,527 | 2,468 |
|
Michael Socher
1000 Alliance Dr |
$35.33 | 2,326 | 1,731 |
|
Graciela Catalina Bianco
426 Airport Road Ste 134 |
$1.63 | 2,030 | 1,940 |
|
Stephen N Shoemaker
217 E 9Th St |
$35.56 | 1,731 | 1,660 |
|
Bassam Faiz Bittar
564 W. Broad St. |
$31.77 | 1,546 | 1,438 |
|
Diego De Jesus Gonzalez
564 W Broad St |
$34.03 | 1,461 | 1,287 |
|
Patrick Fiero
1000 Alliance Dr |
$222.24 | 1,107 | 764 |
|
Linda R Weinberg
20 N Laurel St Ste 2A |
$18.46 | 730 | 586 |
|
Robert Yamulla
128 West 14Th St |
$48.28 | 568 | 557 |
|
Dorothy A Perillo
750 E Broad St |
$0.22 | 540 | 477 |
|
Hazleton Professional Services
700 East Broad Street |
$38.02 | 488 | 445 |
|
Jennifer Ruch
1000 Alliance Dr |
$69.88 | 468 | 381 |
|
Robert Victor Decker
772 E Broad St |
$58.94 | 455 | 381 |
|
Ashok V Bhalodi
140 N Sherman Ct |
$24.93 | 379 | 304 |
|
Rural Health Corporation Of Northeastern Pennsylvania
1730 E Broad St Ste 2 |
$0.00 | 297 | 271 |
|
Mark Paul Grohol
1720 E Broad St |
$35.60 | 269 | 254 |
|
Nicholas J Barna
1060 N Church St |
$10.04 | 259 | 255 |
|
Arvind Srinivasan
140 N. Sherman Ct |
$43.33 | 242 | 233 |
|
Chandra M Mohan
141 N Vine St |
$39.95 | 233 | 228 |
|
Michele M Holincheck
1000 Alliance Dr Ste 1 |
$44.97 | 229 | 211 |
|
Heather Ann Sugarman
149 N Vine St |
$41.13 | 200 | 190 |
|
Thomas J Ciotola
141 N Vine St |
$40.36 | 169 | 166 |
|
Timothy J. Atkinson
1201 N Church St # A |
$68.62 | 128 | 124 |
|
Renee Maria Dougherty
1000 Alliance Dr |
$49.77 | 121 | 108 |
|
Allison Lynn Rostocki
128 W 14Th St |
$28.14 | 118 | 116 |
|
Theresa Mary Baseski
1000 Alliance Dr Ste 10 |
$43.83 | 115 | 81 |
|
Dilipkumar J. Patel
851 Mcnair St |
$9.21 | 108 | 106 |
|
Robert W. Childs, Md, And Associates
1730 E Broad St |
$28.01 | 105 | 82 |
|
Vanessa Velez
41 Colony Dr |
$41.41 | 82 | 82 |
|
Lehigh Valley Physician Group
564 W Broad St |
$48.66 | 70 | 57 |
|
Michael A Palermo
1730 E Broad St |
$33.36 | 68 | 68 |
|
Nicole T Homan
140 N Sherman Ct |
$3.40 | 59 | 57 |
|
Jennifer Marie Jordan
564 W Broad St |
$41.81 | 28 | 27 |
|
Richard Gene Ashford
1740 E Broad St |
$0.00 | 15 | 15 |
|
Nalan Reibschied
700 E Broad St |
$36.46 | 12 | 12 |
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 Hazleton, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hazleton, PA is $47.66 per claim, based on 95,425 claims from 49 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 Hazleton, PA?
There are 49 Medicaid providers offering Office Visit related services in Hazleton, PA according to public payment data.
What is the price range for Office Visit in Hazleton, PA?
Medicaid reimbursement for Office Visit in Hazleton, PA ranges from $0.00 to $222.24 per claim, with an average of $47.66. 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 Hazleton, PA
Dental Cleaning & Exam
Avg $34.00
99,497 claims
Speech Therapy
Avg $17.42
85,232 claims
Emergency Room Visit
Avg $99.23
72,608 claims
Chiropractic Care
Avg $11.64
52,897 claims
Physical Therapy
Avg $23.52
52,074 claims
Blood Work & Lab Tests
Avg $7.37
36,776 claims
Ambulance Transport
Avg $33.61
30,599 claims
EKG / ECG (Electrocardiogram)
Avg $7.80
27,067 claims