Average Medicaid Office Visit Payments in Honesdale, PA: $15.53
Avg. Paid
$15.53
Range
$0.00 – $88.05
Total Claims
82,755
Providers
43
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 Honesdale, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paula Rickard Bennett
1839 Fair Ave |
$0.42 | 8,563 | 7,713 |
|
Wayne Memorial Community Health Centers
1839 Fair Ave |
$0.58 | 8,213 | 7,406 |
|
Meredith Lynne Hellstern
1837 Fair Ave |
$1.24 | 6,249 | 5,486 |
|
Wayne Memorial Community Health Centers
1837 Fair Ave |
$4.60 | 6,214 | 5,184 |
|
Wayne Memorial Community Health Centers
273 Grandview Ave |
$1.18 | 5,704 | 5,284 |
|
Paul M Diamond
1837 Fair Ave |
$0.85 | 5,433 | 4,973 |
|
Wayne Memorial Community Health Centers
626 Park St |
$0.99 | 4,983 | 3,823 |
|
James Garland Cruse
600 Maple Ave Ste 2 |
$1.64 | 3,348 | 3,159 |
|
Susan Koslowski
1839 Fair Ave |
$54.65 | 3,222 | 2,364 |
|
Melissa Lyn Jones
1831 Fair Ave |
$88.05 | 3,049 | 2,734 |
|
Sean Kevin Mcveigh
600 Maple Ave |
$25.60 | 2,850 | 2,761 |
|
Wayne Memorial Community Health Centers
601 Park St |
$42.99 | 2,684 | 2,193 |
|
Wayne Memorial Community Health Centers
600 Maple Ave |
$0.33 | 2,594 | 2,426 |
|
Scott K. Epstein
601 Park St |
$26.34 | 2,372 | 2,298 |
|
Matthew James Downey
1860 Fair Avenue |
$44.48 | 2,336 | 2,291 |
|
Marla Osborne Dempsey
600 Maple Ave Ste 2 |
$38.74 | 1,769 | 1,691 |
|
Philip G Liu
650 Park Street |
$27.31 | 1,580 | 1,547 |
|
David J Caucci
3202 Lake Ariel Hwy |
$38.04 | 1,301 | 1,232 |
|
Clifford Carrol
601 Park St |
$62.32 | 1,150 | 1,045 |
|
Carley Brooke Neinas
273 Grandview Ave |
$17.26 | 1,114 | 1,102 |
|
Joseph Laureti
601 Park St |
$41.17 | 979 | 935 |
|
William Russell Dewar
1839 Fair Ave |
$0.18 | 923 | 864 |
|
Joseph Charles Seprosky
1839 Fair Ave |
$0.63 | 885 | 826 |
|
David Dewitt Reynolds
1860 Fair Ave. |
$38.24 | 813 | 785 |
|
Donald W Henderson
3306 Lake Ariel Hwy |
$27.35 | 738 | 656 |
|
Alberto Marante
601 Park St # 1445 |
$40.11 | 644 | 624 |
|
Wayne Memorial Community Health Centers
601 Park St |
$2.18 | 528 | 485 |
|
Joanne F Pellicane
110 Park St |
$0.97 | 497 | 487 |
|
Eric Ray Rittenhouse
626 Park St |
$5.83 | 355 | 346 |
|
Leonard T Walsh
1860 Fair Ave Ste A |
$57.41 | 318 | 304 |
|
Alexis Helena Felsman
626 Park St |
$2.88 | 247 | 228 |
|
Cyriacus Uzoma Anaele
601 Park St |
$19.73 | 200 | 187 |
|
Walid Mohamed Hassan
601 Park St |
$32.75 | 157 | 150 |
|
Edward L Murray
304 Willow Ave |
$17.86 | 157 | 151 |
|
Julianne Jean Oboyle
600 Maple Ave |
$20.24 | 133 | 131 |
|
Pediatric Practices Of Northeastern Pa
1837 Fair Ave |
$60.86 | 113 | 73 |
|
Wayne Memorial Community Health Centers
600 Maple Ave Ste 4 |
$0.20 | 89 | 84 |
|
Glenn Christopher Woodley
3355 Lake Ariel Hwy |
$17.34 | 86 | 74 |
|
Louis C D'Oro
600 Maple Ave Ste 1 |
$23.76 | 83 | 72 |
|
Wayne Memorial Hospital
601 Park St |
$0.00 | 27 | 13 |
|
Anthony Gabriel Brutico
Honesdale Podiatry |
$25.52 | 24 | 24 |
|
Walter J Kaniefski
601 Park St |
$30.28 | 16 | 16 |
|
Denise C Viola
110 Park St |
$0.00 | 15 | 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 Honesdale, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Honesdale, PA is $15.53 per claim, based on 82,755 claims from 43 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 Honesdale, PA?
There are 43 Medicaid providers offering Office Visit related services in Honesdale, PA according to public payment data.
What is the price range for Office Visit in Honesdale, PA?
Medicaid reimbursement for Office Visit in Honesdale, PA ranges from $0.00 to $88.05 per claim, with an average of $15.53. 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 Honesdale, PA
Physical Therapy
Avg $15.50
22,242 claims
Case Management Services
Avg $80.50
19,917 claims
Dental Cleaning & Exam
Avg $9.91
16,451 claims
Speech Therapy
Avg $12.56
12,707 claims
Eye Exam
Avg $25.81
9,200 claims
Blood Work & Lab Tests
Avg $11.15
6,125 claims
Durable Medical Equipment (DME)
Avg $51.48
6,053 claims
Ambulance Transport
Avg $24.83
5,485 claims