Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Kingston, PA: $41.62

Avg. Paid

$41.62

Range

$0.42 – $134.87

Total Claims

121,200

Providers

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 Kingston, PA

Provider	Avg. Paid	Claims	Patients
Robert George Szulborski 703 Rutter Ave	$36.84	13	13
Michael Allen Havrilla 703 Rutter Ave	$29.88	13	12
Joseph Michael Toole 421 Market St	$12.43	14	12
Elizabeth Anne Bordy 560 Pierce St	$6.26	15	14
Bruce H Saidman 382 Pierce St	$32.81	16	16
Michael C Raklewicz 390 Pierce St	$25.34	25	24
Richard E Roth 703 Rutter Ave	$22.37	26	26
Kyle Fetterolf 423 3Rd Ave Ste B	$34.17	27	27
Brian J Morris 421 Market St	$22.70	38	38
Arthur B Mitchell 141 S Maple Ave	$11.88	39	38
Ultra Care Urgent And Family Care 511 Pierce St	$46.69	50	50
Louis Joseph Mariotti 423 3Rd Ave	$33.78	63	59
Michael Harris Rittenberg 423 3Rd Ave	$21.71	81	77
Dhirendra Kumar 2 Sharpe St	$28.86	97	63
Louise Breakstone 610 Wyoming Ave	$18.88	98	94
Michael A Olenginski 423 3Rd Ave	$23.80	99	96
Sanjeev Garg 517 Pierce St	$25.82	128	117
Bradley D Fenster 610 Wyoming Ave	$21.76	128	126
Intermountain Medical Group, Inc 610 Wyoming Ave	$42.14	140	120
Daniel J Lutz 703 Rutter Ave	$26.11	150	148
Julie Ann Kane 445 Wyoming Ave	$30.88	158	155
Jeffrey Scott Empfield 703 Rutter Ave	$29.06	186	181
Jeffrey D'Andrea 517 Pierce St	$29.91	201	196
Maureen M Litchman 2 Sharpe Street	$12.76	204	195
Kathleen Bannerman 560 Pierce St	$46.90	225	220
Anthony P Andrews 703 Rutter Ave	$19.99	242	237
Dal S Sperazza 525 Rear Wyoming Ave	$0.42	260	253
Deborah A Spring 2 Sharpe Street	$12.33	293	270
James Andrew Tricarico 499 Wyoming Ave Ste 105	$43.07	379	377
Michael Richard Josefowicz 703 Rutter Ave	$34.03	411	379
Vijay Kishore Prasad 2 Sharpe St	$35.82	445	392
David W Greenwald 382 Pierce St	$32.55	459	389
Brent Keen 499 Wyoming Ave	$56.31	568	494
Daniel Joseph Saporito 421 Market St	$12.74	580	548
Katherine Arensmeyer 382 Pierce St	$126.03	728	544
Dante M Palumbo 390 Pierce St	$32.26	774	723
Michael E Fath 575 Pierce St Ste 101	$44.92	802	773
Stanley Michael Stanish 675 Wyoming Ave	$41.70	981	775
William P Charlton 390 Pierce St	$43.91	1,017	967
Javid Rohullah Amini 610 Wyoming Ave	$24.85	1,073	1,039
Maria Clavell 190 Welles St	$134.87	1,333	1,321
James M Mattucci 390 Pierce St	$26.09	1,349	1,283
Jacqueline Cain 610 Wyoming Ave	$41.13	1,496	1,423
Joseph Francis Daley 421 Market St	$17.90	1,577	1,374
Ira Vohra 610 Wyoming Ave Ste 1	$32.61	1,625	1,504
Tara Briane Churilla 451 3Rd Ave Ste 1	$36.99	2,023	1,916
Pediatric Associates Of Kingston, Llc 451 3Rd Ave Ste 1	$43.54	2,048	1,715
Danita Renelsa Fox 2 Sharpe Street	$72.58	2,124	2,074
Michael Joseph Paglia 190 Welles St	$43.82	2,191	2,111
John G. Citti 610 Wyoming Ave	$34.92	2,204	2,098

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 Kingston, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingston, PA is $41.62 per claim, based on 121,200 claims from 66 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 Kingston, PA?

There are 66 Medicaid providers offering Office Visit related services in Kingston, PA according to public payment data.

What is the price range for Office Visit in Kingston, PA?

Medicaid reimbursement for Office Visit in Kingston, PA ranges from $0.42 to $134.87 per claim, with an average of $41.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Kingston, PA: $41.62

Providers Offering Office Visit in Kingston, 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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Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Kingston, PA

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Eye Exam

Physical Therapy

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Ultrasound

Vaccines & Immunizations

Dental Cleaning & Exam

Nursing Facility Care