Average Medicaid Office Visit Payments in Lewisburg, PA: $41.79
Avg. Paid
$41.79
Range
$0.00 – $102.99
Total Claims
86,689
Providers
67
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 Lewisburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frederick Carlton Lapp
7095 Westbranch Hwy Ste 1100 |
$34.98 | 21,567 | 20,164 |
|
Shakuntala Y Varhade
55 Medical Park Dr |
$45.51 | 8,694 | 8,189 |
|
Mark Lloyd
250 Reitz Blvd |
$38.17 | 5,038 | 4,800 |
|
Mary Beth Ann O'Hara
121 Jpm Rd |
$38.71 | 4,282 | 3,690 |
|
Joshua David Hottenstein
130 Buffalo Rd Ste 207 |
$35.58 | 3,934 | 3,528 |
|
Dana Marie Smith
55 Medical Park Dr |
$42.84 | 3,904 | 3,719 |
|
James R. Patterson
3 Hospital Dr Ste 214 |
$65.54 | 3,863 | 3,659 |
|
Ashley M Lewis
250 Reitz Blvd |
$40.83 | 3,032 | 2,905 |
|
Michael D Brown
98 Reitz Blvd |
$65.30 | 2,888 | 2,659 |
|
David M Castellan
55 Medical Park Dr |
$38.08 | 2,818 | 2,721 |
|
Allison A Mcowen
3 Hospital Dr Ste 312 |
$37.41 | 2,374 | 2,149 |
|
Shalini Khurana
55 Medical Park Dr |
$40.18 | 2,334 | 2,259 |
|
Kaitlyn Noel Tyrie
3 Hospital Dr Ste 312 |
$36.89 | 2,175 | 2,027 |
|
Russell J Stankiewicz
3 Hospital Dr Ste 312 |
$35.97 | 1,984 | 1,837 |
|
James Stephen Callaghan
7095 Westbranch Hwy Ste 1100 |
$56.98 | 1,618 | 1,535 |
|
Michael L Adler
80 Medical Park Dr |
$32.13 | 1,472 | 1,448 |
|
Suzanne Greb
7095 Westbranch Hwy Ste 1100 |
$77.20 | 1,374 | 1,311 |
|
Claudia Corona
75 Medical Park Drive |
$42.74 | 1,073 | 874 |
|
Danny Hyun Cho
131 Jpm Rd |
$38.08 | 1,019 | 959 |
|
Lisa Anne Mucciolo
80 Medical Park Dr |
$40.06 | 837 | 820 |
|
Jessica L Dietz
3 Hospital Dr Ste 312 |
$30.88 | 751 | 552 |
|
Thomas L Martin
210 Jpm Rd Ste 300 |
$37.22 | 742 | 723 |
|
John Patrick Furia
210 Jpm Rd Ste 300 |
$33.00 | 701 | 670 |
|
David Mark Zelechoski
7055 Westbranch Hwy |
$55.71 | 668 | 620 |
|
Amelia Ann-Marie Swartzbaugh
121 Jpm Rd |
$60.11 | 627 | 598 |
|
Carol Ann Salatti
3 Hospital Dr |
$65.07 | 537 | 420 |
|
James L. Stefanelli
3 Hospital Dr Ste 318 |
$55.10 | 498 | 492 |
|
Paul Stephen Lin
210 Jpm Rd Ste 300 |
$26.50 | 484 | 451 |
|
Phillip Longnecker
7095 Westbranch Hwy Ste 1000 |
$42.91 | 450 | 440 |
|
Matthew William Reish
210 Jpm Rd Ste 300 |
$32.30 | 360 | 337 |
|
Gerard J. Cush
210 Jpm Rd Ste 300 |
$39.01 | 352 | 333 |
|
Susan K. Arisumi
250 Reitz Blvd |
$35.83 | 305 | 302 |
|
Julia E Redcay
3 Hospital Dr Ste 312 |
$33.19 | 297 | 275 |
|
Jordan Southern
3 Hospital Dr |
$23.11 | 290 | 285 |
|
Family Planning Services Of Sun/ Women'S Health Services Of Mj
4612 Westbranch Hwy |
$60.78 | 267 | 260 |
|
William B Bruce
80 Medical Park Dr |
$42.13 | 249 | 233 |
|
Lisa S Ayers
25 Lystra Rogers Drive |
$42.12 | 238 | 232 |
|
Darshan Kumar Bhangdia
3 Hospital Dr |
$50.27 | 234 | 227 |
|
Anuradha Tunuguntla
1 Hospital Dr |
$34.36 | 211 | 205 |
|
Lukasz Chebes
7095 Westbranch Hwy Ste 1400 |
$42.06 | 209 | 198 |
|
John Michael Weston
131 Jpm Rd |
$34.03 | 195 | 168 |
|
Dennis R Smith
131 Jpm Rd |
$25.06 | 169 | 166 |
|
Mark R. Speake
250 Reitz Blvd |
$22.44 | 165 | 133 |
|
David Bradley Gray
131 Jpm Rd Ste A |
$37.38 | 153 | 147 |
|
Matthew R. Eager
210 Jpm Rd Ste 300 |
$29.52 | 126 | 121 |
|
John F Turner
25 Lystra Rogers Drive |
$39.53 | 109 | 104 |
|
Mark Andrew Blakeslee
3 Hospital Dr Ste 212 |
$26.51 | 103 | 101 |
|
Thomas F Dominick
210 Jpm Rd Ste 300 |
$24.86 | 101 | 95 |
|
Saquib Siddiqi
3 Hospital Dr Ste 100 |
$45.79 | 100 | 96 |
|
Nicholas J Gorski
2370 Old Turnpike Rd Ste 1 |
$56.19 | 93 | 86 |
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 Lewisburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lewisburg, PA is $41.79 per claim, based on 86,689 claims from 67 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 Lewisburg, PA?
There are 67 Medicaid providers offering Office Visit related services in Lewisburg, PA according to public payment data.
What is the price range for Office Visit in Lewisburg, PA?
Medicaid reimbursement for Office Visit in Lewisburg, PA ranges from $0.00 to $102.99 per claim, with an average of $41.79. 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 Lewisburg, PA
Emergency Room Visit
Avg $75.50
38,407 claims
Vaccines & Immunizations
Avg $10.78
26,005 claims
Blood Work & Lab Tests
Avg $7.40
20,606 claims
EKG / ECG (Electrocardiogram)
Avg $8.30
18,945 claims
Eye Exam
Avg $20.49
9,529 claims
Speech Therapy
Avg $107.57
7,785 claims
Hearing Test (Audiometry)
Avg $4.83
6,619 claims
Ambulance Transport
Avg $171.64
5,165 claims