Average Medicaid Office Visit Payments in Hershey, PA: $62.32
Avg. Paid
$62.32
Range
$0.00 – $374.99
Total Claims
300,551
Providers
483
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 Hershey, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kaylee Hollern Keiper
500 University Dr |
$47.86 | 14,092 | 13,650 |
|
The Milton S. Hershey Medical Center Physicians Group
500 University Dive |
$76.76 | 10,898 | 10,137 |
|
Thomas E Terndrup
Department Of Emergency Medicine |
$46.08 | 10,707 | 9,968 |
|
The Milton S Hershey Medical Center
500 University Dr |
$28.03 | 9,180 | 8,267 |
|
Hamzeh Nasri
500 University Dr |
$7.73 | 6,842 | 6,254 |
|
Andrea L Zaenglein
500 University Dr |
$68.59 | 6,609 | 6,491 |
|
Stacey Lynn Milunic
500 University Dr |
$87.08 | 6,322 | 6,081 |
|
Daniel Esten Hale
905 W Governor Rd |
$108.68 | 5,434 | 5,383 |
|
Sarah K Horvath
35 Hope Drive |
$57.06 | 5,040 | 4,933 |
|
Douglas G Armstrong
30 Hope Dr Ste 2200 |
$63.02 | 4,936 | 4,857 |
|
Pamela A. Clark
35 Hope Dr Ste 104 |
$79.37 | 4,869 | 4,464 |
|
Andrea O'Brien
35 Hope Dr Ste 102 |
$5.89 | 4,165 | 3,826 |
|
Ali Mahmoud Ziada
500 University Dr |
$64.61 | 3,834 | 3,705 |
|
Marybeth Christine Rudy
500 University Dr |
$59.72 | 3,728 | 3,307 |
|
Randolph Y. Chang
500 University Dr |
$36.85 | 3,354 | 2,472 |
|
Susan Henning
500 University Dr |
$47.09 | 3,031 | 2,745 |
|
Mark E. Whitaker
500 University Dr |
$64.75 | 2,934 | 2,836 |
|
Gavin R Graff
500 University Dr |
$109.99 | 2,868 | 2,840 |
|
Samik Banerjee
30 Hope Dr |
$52.23 | 2,730 | 2,651 |
|
Mark Clayton
905 W Governor Rd Ste 320 |
$88.25 | 2,681 | 2,605 |
|
Natalia Orduz
500 University Dr |
$88.50 | 2,471 | 2,334 |
|
Paul Howard Smith
500 University Dr |
$52.18 | 2,424 | 2,362 |
|
Ross M Decter
500 University Dr |
$56.75 | 2,408 | 2,374 |
|
Penny A Porter
500 University Dr |
$84.24 | 2,385 | 2,261 |
|
Kerry L Bayes
500 University Drive |
$81.09 | 2,259 | 1,979 |
|
Douglas G Field
500 University Dr |
$80.16 | 2,224 | 2,200 |
|
Matthew James Aungst
500 University Dr |
$39.77 | 2,208 | 1,930 |
|
Paul Nelson Williams
1150 Cocoa Ave |
$31.51 | 2,179 | 2,023 |
|
Ayodele Ganiyu Ayoola
500 University Dr |
$61.27 | 2,153 | 1,853 |
|
Melissa Danielle Haslam
500 University Dr |
$55.77 | 2,092 | 1,930 |
|
Christina T Deangelis
35 Hope Dr |
$45.43 | 2,044 | 1,935 |
|
Rosemary Claire Roden
905 W Governor Rd |
$81.89 | 1,989 | 1,514 |
|
Walter Armando Castro
500 University Dr |
$83.16 | 1,973 | 1,926 |
|
Anita Denise Charles
500 University Dr |
$77.18 | 1,960 | 1,864 |
|
Daniel S Rifkin
500 University Dr |
$114.69 | 1,917 | 1,903 |
|
Heidi Erdman
500 University Dr |
$60.61 | 1,914 | 1,811 |
|
Deepti Narla
500 University Dr |
$92.40 | 1,868 | 1,810 |
|
Gayatra Mainali
500 University Dr |
$96.76 | 1,841 | 1,819 |
|
Tonya S Wright
35 Hope Dr |
$44.12 | 1,825 | 1,679 |
|
Kelly R Leite
35 Hope Dr |
$43.44 | 1,756 | 1,666 |
|
Jacqueline Bissonette
500 University Dr |
$50.84 | 1,742 | 1,616 |
|
David Minh Nguyen
500 University Dr |
$48.49 | 1,737 | 1,608 |
|
Alyssa Egland
500 University Dr |
$18.67 | 1,719 | 1,631 |
|
Ryan Spotts
35 Hope Dr Ste 102 |
$58.82 | 1,690 | 1,646 |
|
Nandini Nair
500 University Dr |
$34.84 | 1,682 | 1,373 |
|
Joseph Laurence Petfield
30 Hope Dr Ste 2200 |
$65.78 | 1,682 | 1,633 |
|
Binu-John Sankoorikal
500 University Dr |
$115.69 | 1,672 | 1,663 |
|
Sabeen Y Habib
500 University Dr |
$77.87 | 1,656 | 1,578 |
|
Kristen Marie Lutzkanin
500 University Dr |
$97.20 | 1,645 | 1,610 |
|
Leah Duke Kaye
500 University Dr |
$63.78 | 1,606 | 1,572 |
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 Hershey, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hershey, PA is $62.32 per claim, based on 300,551 claims from 483 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 Hershey, PA?
There are 483 Medicaid providers offering Office Visit related services in Hershey, PA according to public payment data.
What is the price range for Office Visit in Hershey, PA?
Medicaid reimbursement for Office Visit in Hershey, PA ranges from $0.00 to $374.99 per claim, with an average of $62.32. 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 Hershey, PA
Emergency Room Visit
Avg $130.02
405,079 claims
X-Ray
Avg $10.45
223,386 claims
Blood Work & Lab Tests
Avg $6.23
186,537 claims
EKG / ECG (Electrocardiogram)
Avg $10.99
89,735 claims
Ultrasound
Avg $54.53
55,479 claims
Eye Exam
Avg $34.52
39,468 claims
Urinalysis & Urine Tests
Avg $4.29
35,907 claims
CT Scan (Computed Tomography)
Avg $53.17
35,058 claims