Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lancaster, PA: $39.75

Avg. Paid

$39.75

Range

$0.00 – $265.97

Total Claims

607,480

Providers

496

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 Lancaster, PA

Provider	Avg. Paid	Claims	Patients
Philip Martin Bayliss 694 Good Dr Ste 23	$39.95	12	12
Michael Paul St. Onge 231 Granite Run Dr	$51.65	12	12
Heather Lynn Sholtis 694 Good Dr Ste 11	$57.94	12	12
Asma Ghafoor 233 College Ave Ste 302	$133.26	12	12
Pamela Martin Hershner 694 Good Dr	$32.38	12	12
Heena Patel Shah 1871 Santa Barbara Dr Ste 1	$45.15	12	12
Edwin Campoverde Hernandez 555 North Duke Street	$57.57	12	12
Daniel C Wimer 540 N Duke St	$26.25	12	12
Patrick J. Fitzsimmons 802 New Holland Ave	$40.47	12	12
Daniel C Connell 2112 Harrisburg Pike Ste 202	$19.18	12	12
Bruce A Brod 1650 Crooked Oak Dr	$71.31	12	12
Don Quang Nguyen 1625 Oregon Pike	$38.91	12	12
Eric L Zimmerman 170 N Pointe Blvd	$50.55	12	12
Kenneth D Lessans 2106 Harrisburg Pike	$101.69	13	13
Daryl George Bodner 810 Plaza Blvd	$94.76	13	13
James A Groff 2112 Harrisburg Pike	$45.14	13	12
Hiep C Phan 2119 Marietta Ave	$150.08	13	13
Farhan Huq 800 New Holland Ave Ste A	$102.57	13	13
Marcelino Oliveri 231 Granite Run Drive	$26.32	13	13
Andrew Eddie Lee 2112 Harrisburg Pike Ste 202	$0.00	13	13
Anurag Walia 2121 Oregon Pike	$44.88	13	13
Ajay R. Marwaha 217 Harrisburg Ave	$63.17	14	14
Lauren Beth Witmer 690 Good Dr	$30.50	14	14
Peter Benjamin Kingsley 810 Plaza Blvd	$36.98	14	14
Andrew S Hostetter 625 S Duke St	$0.00	14	13
Thomas Foley 1929 Lincoln Hwy E Ste 100	$0.00	14	14
Susan K Ciampaglia 2112 Harrisburg Pike	$42.65	14	14
Emily Maul 2118 Spring Valley Rd	$59.55	15	15
Charles H Rodenberger 2112 Harrisburg Pike	$16.06	15	15
Tuc To 2110 Harrisburg Pike Ste 100	$44.23	15	14
Alicia Bonsall 1507 Lititz Pike	$32.97	15	15
Kara F Jones 694 Good Dr	$69.06	16	12
Ashley Anne Evans 625 S Duke St	$36.46	16	16
Rachel C Dever 217 Harrisburg Ave	$35.36	16	16
T.W. Ponessa & Associates Counseling Services, Inc. 410 N. Prince Street	$23.46	16	16
Glenn A Kline 90 Good Dr	$28.44	16	13
Annie Elizabeth Rakos 555 North Duke Street	$59.24	18	17
Jessica Ashley Quirin 2110 Harrisburg Pike	$36.32	18	17
Melissa Smith Eline 485 Royer Dr Ste 103	$21.00	20	14
Dina M Khateeb 2160 State Rd Ste 1840	$31.80	21	21
Arianne Theodorous Train 2102 Harrisburg Pike	$87.13	24	24
Rajiv Sharma 2112 Harrisburg Pike	$43.56	24	24
Justin J Harberson 2112 Harrisburg Pike	$51.30	24	24
Robert D Hong 2106 Harrisburg Pike	$35.96	24	24
Stephen Schwartz 313 W Liberty St Ste 237	$265.97	24	22
Douglas Christopher Gohn 217 Harrisburg Ave	$37.93	25	24
Adriana Webber 2110 Harrisburg Pike Ste 100	$58.76	25	23
Brooke Horrigan Beuler 540 N Duke St	$58.96	25	25
Michael Sasso 2106 Harrisburg Pike	$21.61	25	25
Ellen Johnson 2100 Harrisburg Pike	$46.94	25	25

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 Lancaster, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lancaster, PA is $39.75 per claim, based on 607,480 claims from 496 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 Lancaster, PA?

There are 496 Medicaid providers offering Office Visit related services in Lancaster, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Lancaster, PA ranges from $0.00 to $265.97 per claim, with an average of $39.75. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lancaster, PA: $39.75

Providers Offering Office Visit in Lancaster, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Lancaster, PA

Dental Cleaning & Exam

Emergency Room Visit

Case Management Services

EKG / ECG (Electrocardiogram)

Physical Therapy

Speech Therapy

Blood Work & Lab Tests

Home Health Visit