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 |
|---|---|---|---|
|
Kamalpreet Sidhu
500 University Dr |
$65.00 | 12 | 12 |
|
Jennifer Lynn Pagani-Smith
500 University Dr |
$28.89 | 12 | 12 |
|
Mario D Gonzalez
500 University Dr |
$54.74 | 12 | 12 |
|
Gretchen Louise Hackett
500 University Dr |
$77.62 | 12 | 12 |
|
Natalya Elaine Gaffney
500 University Dr |
$96.99 | 12 | 12 |
|
David P Rabago
845 Fishburn Rd |
$82.22 | 12 | 12 |
|
Alex Borzok
500 University Dr |
$102.37 | 12 | 12 |
|
Rebecca Lynn Moore
905 W Governor Rd |
$36.37 | 12 | 12 |
|
Janis Lynn Green
500 University Dr |
$65.68 | 12 | 12 |
|
Ann Ouyang
500 University Dr |
$48.60 | 12 | 12 |
|
Margaret M Fitzsimons
500 University Dr |
$54.70 | 12 | 12 |
|
Shelley Ronnell Hankins
500 University Drive |
$2.70 | 12 | 12 |
|
John Spence Reid
30 Hope Dr Ste 2400 |
$85.48 | 12 | 12 |
|
Joseph J Drabick
500 University Dr |
$63.98 | 12 | 12 |
|
Elaine Joan Mcginty
500 University Dr |
$33.99 | 12 | 12 |
|
Jennifer Susan Mccall-Hosenfeld
500 University Dr |
$53.92 | 12 | 12 |
|
Richard Carl Bernstein
500 University Dr |
$62.18 | 12 | 12 |
|
Ning Wu
500 University Dr |
$110.62 | 12 | 12 |
|
Meg Amadon
500 University Dr |
$32.17 | 12 | 12 |
|
David H Silber
500 University Dr |
$73.85 | 12 | 12 |
|
Colin Macneill
670 Cherry Dr |
$374.99 | 12 | 12 |
|
John C Elfar
30 Hope Dr Ste 2400 |
$68.52 | 12 | 12 |
|
Ashley Hewlett Snyder
500 University Dr |
$50.22 | 12 | 12 |
|
Amanda Lynn Kovar
500 University Dr |
$128.46 | 13 | 13 |
|
Madison L Travor
35 Hope Dr Ste 104 |
$39.88 | 13 | 13 |
|
Preeti K Tekchandani
500 University Dr |
$36.61 | 13 | 13 |
|
Alexandra Flamm
500 University Dr |
$44.60 | 13 | 13 |
|
Giovanna Rosina Biles
35 Hope Dr Ste 202-204 |
$53.97 | 13 | 12 |
|
John Michael Roberts
500 University Dr |
$72.70 | 13 | 13 |
|
John P Boehmer
500 University Dr |
$49.00 | 13 | 13 |
|
Meghan C. Shutte
845 Fishburn Rd |
$61.51 | 13 | 12 |
|
Nicholas J Brandmeir
500 University Dr |
$38.75 | 13 | 13 |
|
Kelli Diodato
35 Hope Drive |
$28.50 | 13 | 12 |
|
Sarah Samuel Boyd
35 Hope Drive |
$49.23 | 13 | 13 |
|
Michelle Tierney Kautz-Wheeler
35 Hope Dr Ste 104 |
$36.29 | 13 | 12 |
|
Sarah Osterhoudt
121 Towne Square Dr Ste 301 |
$38.54 | 13 | 13 |
|
Scott Alan Lynch
30 Hope Dr |
$61.76 | 13 | 13 |
|
Bright Edoseghe Izekor
500 University Dr |
$16.05 | 13 | 12 |
|
Mark S Shahin
500 University Dr |
$41.38 | 13 | 13 |
|
David A Macaluso
500 University Dr |
$99.57 | 13 | 13 |
|
Sadie E Smith
500 University Dr |
$53.87 | 13 | 13 |
|
Sarah Louise Bright
441 E Chocolate Ave |
$66.68 | 13 | 12 |
|
Joseph Lawrence Enama
500 University Dr |
$81.61 | 13 | 13 |
|
Marianne E Boltz
500 University Dr |
$50.20 | 13 | 13 |
|
Tanuja Devaraj
35 Hope Drive |
$58.91 | 13 | 13 |
|
Lisa B Wilhite
500 University Dr |
$16.41 | 13 | 13 |
|
Stephanie A Mnich
500 University Drive |
$36.89 | 14 | 13 |
|
Mark S Dias
500 University Dr |
$54.18 | 14 | 14 |
|
Robert David Aronoff
500 University Dr |
$42.53 | 14 | 12 |
|
Loretta Harvey
500 University Dr |
$66.17 | 14 | 14 |
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