Average Medicaid Office Visit Payments in Lebanon, PA: $43.43
Avg. Paid
$43.43
Range
$0.00 – $167.84
Total Claims
143,245
Providers
143
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 Lebanon, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert James Meisner
252 S 4Th St Fl 2 |
$22.51 | 12 | 12 |
|
Beth Grier Townsend
220 E Lehman St |
$0.00 | 12 | 12 |
|
Yael Nahir Pinero Colon
958 Isabel Dr |
$92.91 | 12 | 12 |
|
Ambreen Umer
850 Tuck St |
$35.87 | 13 | 12 |
|
Terra Sholley
775 Norman Dr |
$52.40 | 13 | 13 |
|
Renee Desmond Houser
758 Cumberland St |
$33.79 | 13 | 13 |
|
Wendy Babitt
850 Tuck St |
$25.98 | 13 | 13 |
|
Stephen Michael Waters
974 Isabel Dr |
$0.00 | 13 | 12 |
|
Emily Nicole Stoltzfus
101 Fairview Cir |
$50.52 | 13 | 12 |
|
Ben Z Roitberg
956 Isabel Dr |
$34.87 | 13 | 13 |
|
Amy Jo Krall
912 Russell Dr |
$47.06 | 13 | 12 |
|
Javed S Yasin
960 Church Street |
$8.57 | 14 | 14 |
|
Elizabeth Lynne Tupper
30 N 4Th St |
$42.33 | 16 | 16 |
|
Bryan Patrick Carter
958 Isabel Dr |
$17.88 | 16 | 15 |
|
Jonathan Mark Norton
775 Norman Dr |
$48.97 | 19 | 18 |
|
Sirish Kumar Kondabolu
912 Russell Dr |
$44.99 | 24 | 24 |
|
Thomas D Kohl
1701 Cornwall Rd |
$43.67 | 24 | 24 |
|
Andrea Levine
30 N 4Th St |
$0.00 | 24 | 24 |
|
Lisa M Helfrich
252 S 4Th St |
$67.35 | 26 | 26 |
|
Joann M Brower
30 N 4Th St |
$36.47 | 26 | 26 |
|
Iryna Sophia Hepburn
954 Isabel Dr |
$50.83 | 27 | 27 |
|
Atul Bhardwaj
954 Isabel Dr |
$48.23 | 27 | 25 |
|
Lancaster General Medical Group
1701 Cornwall Rd Ste 101 |
$53.65 | 28 | 27 |
|
Efkan Mustafa Colpan
956 Isabel Dr |
$44.33 | 29 | 27 |
|
Wellspan Medical Group
30 N 4Th St # 2 |
$65.69 | 35 | 28 |
|
Mobeena Arif
252 S 4Th St Fl 2 |
$45.46 | 41 | 38 |
|
Wellspan Medical Group
720 Norman Dr |
$22.61 | 43 | 41 |
|
Hannah Osborne
845 Helen Drive |
$43.76 | 49 | 49 |
|
Philhaven
283 S Butler Rd |
$51.94 | 50 | 50 |
|
Patrick Lello
755 Norman Dr |
$132.12 | 51 | 51 |
|
Patrice A. Mckenney
775 Norman Dr |
$49.09 | 54 | 53 |
|
David J Overholt
912 Russell Dr |
$28.21 | 61 | 59 |
|
Andrew P. Chodos
775 Norman Dr |
$38.19 | 63 | 60 |
|
Edwin Mark Kase
755 Norman Dr |
$17.06 | 63 | 63 |
|
Christopher Breen
850 Tuck St |
$51.37 | 68 | 65 |
|
Francis J. Gallagher
755 Norman Drive |
$35.79 | 68 | 65 |
|
Nisha Gupta
775 Norman Dr |
$55.87 | 76 | 75 |
|
Daniel G Zavadak
923 Russell Dr |
$42.92 | 76 | 75 |
|
Robert T. Stevenson
775 Norman Dr |
$46.87 | 77 | 74 |
|
Sheila Ramgopal
845 Helen Dr |
$33.89 | 85 | 73 |
|
Edward Jospeh Tadajweski
775 Norman Dr |
$39.08 | 91 | 87 |
|
Zainab Anwar
30 N 4Th St |
$54.79 | 98 | 98 |
|
H. Edward Collier
775 Norman Dr |
$39.95 | 102 | 97 |
|
Courtney Greiner
252 S 4Th St Fl 2 |
$5.61 | 103 | 99 |
|
Gene P Otto
1570 Cornwall Rd |
$45.90 | 104 | 94 |
|
Lydia Evelyn Murphy-Althouse
850 Tuck St |
$57.15 | 110 | 109 |
|
Frank L. Cuce
912 Russell Dr |
$46.56 | 111 | 104 |
|
Manish Rai
1700 S Lincoln Ave |
$28.81 | 112 | 107 |
|
Hanisha Rajlakshmi Manickavasagan
954 Isabel Dr |
$50.67 | 114 | 113 |
|
Jessica N Smith
252 S 4Th St |
$0.00 | 119 | 117 |
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 Lebanon, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lebanon, PA is $43.43 per claim, based on 143,245 claims from 143 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 Lebanon, PA?
There are 143 Medicaid providers offering Office Visit related services in Lebanon, PA according to public payment data.
What is the price range for Office Visit in Lebanon, PA?
Medicaid reimbursement for Office Visit in Lebanon, PA ranges from $0.00 to $167.84 per claim, with an average of $43.43. 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 Lebanon, PA
Emergency Room Visit
Avg $116.77
118,548 claims
Blood Work & Lab Tests
Avg $6.32
81,556 claims
EKG / ECG (Electrocardiogram)
Avg $6.85
38,241 claims
Physical Therapy
Avg $29.94
26,493 claims
Ambulance Transport
Avg $155.03
24,970 claims
Urinalysis & Urine Tests
Avg $2.17
18,163 claims
X-Ray
Avg $8.35
16,933 claims
Speech Therapy
Avg $15.33
13,230 claims