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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lemoyne, PA: $80.08

Avg. Paid

$80.08

Range

$0.00 – $148.45

Total Claims

16,118

Providers

21

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 Lemoyne, PA

Provider Avg. Paid Claims Patients
Philip W Moore

716 State St

 $64.72 3,752 2,825
Bach-Mai Vu-Boast

3 Walnut St Ste 205

 $128.34 2,726 2,594
Cimy Susan Jacob

Upmc Childrens Specialist- Neurology

 $41.33 2,628 2,485
Larissa V Sachs

3 Walnut St

 $53.41 2,139 2,097
Dale King

3 Walnut St Ste 205

 $148.45 1,810 1,802
Elena Kozochonok

550 N 12Th St

 $52.80 875 867
Kara Hughan

3 Walnut St Ste 205

 $130.05 661 658
Charles S Yanofsky

550 N 12Th St

 $43.21 554 539
Daniel Mark Williams

550 N 12Th St

 $62.72 189 186
Shawn David Safford

3 Walnut St Ste 205

 $61.71 168 150
Shira Novack

3 Walnut St Ste 205

 $61.52 163 161
Jessica Rose Clabaugh

1 Lemoyne Sq Ste 201

 $27.21 121 115
Monica Brown-Luke

3 Walnut St

 $39.92 62 60
Emily Jean Geiman

1 Lemoyne Sq

 $54.09 56 50
Melissa J Salter

108 Lowther St

 $0.00 52 49
Indranil Sau

3 Walnut St Ste 205

 $68.11 48 48
Sarah G Peterman

50 N 12Th St

 $59.81 39 39
John D Chukwudifu

550 N 12Th St

 $41.81 32 32
Vanessa Amoah Oti- Akenten

600 N 12Th St Ste 100

 $69.59 15 15
Michael J Stefanski

50 N 12Th St

 $77.29 14 13
Bozho Todorich

20 Erford Rd Ste 110

 $23.82 14 13

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 Lemoyne, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lemoyne, PA is $80.08 per claim, based on 16,118 claims from 21 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 Lemoyne, PA?

There are 21 Medicaid providers offering Office Visit related services in Lemoyne, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Lemoyne, PA ranges from $0.00 to $148.45 per claim, with an average of $80.08. 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 Lemoyne, PA

Durable Medical Equipment (DME)

Avg $30.86

7,142 claims

Blood Work & Lab Tests

Avg $11.73

5,695 claims

Nursing Facility Care

Avg $4.25

4,518 claims

Ambulance Transport

Avg $87.31

3,569 claims

Physical Therapy

Avg $14.47

3,164 claims

Substance Abuse Treatment

Avg $0.22

1,078 claims

Eye Exam

Avg $16.55

1,071 claims

Urinalysis & Urine Tests

Avg $4.17

797 claims