Average Medicaid Office Visit Payments in Lewistown, PA: $41.68
Avg. Paid
$41.68
Range
$0.00 – $117.48
Total Claims
79,452
Providers
65
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 Lewistown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nancy J Hepler
21 Geisinger Ln |
$4.54 | 12 | 12 |
|
Colt Brackbill
21 Geisinger Ln |
$8.37 | 13 | 12 |
|
Patricia Logan Farley
106 Derry Heights Blvd |
$0.00 | 13 | 13 |
|
Jyotish Grover
400 Highland Ave |
$25.67 | 15 | 13 |
|
Magdalena Morkis-Madaj
400 Highland Ave |
$92.36 | 15 | 13 |
|
Colleen Theresa Risley
310 Electric Ave |
$64.81 | 26 | 24 |
|
Brenda L Yohn
400 Highland Ave |
$19.70 | 27 | 27 |
|
Darlis Janelle Sunderland
400 Highland Ave |
$48.42 | 28 | 26 |
|
Michelle S. Melvin
400 Highland Ave |
$11.87 | 33 | 30 |
|
Alan D Gordon
27 Sandy Ln Ste 220 |
$34.13 | 40 | 40 |
|
Ishmail Saccoh
400 Highland Ave |
$49.83 | 42 | 39 |
|
Mary M. Weisbrod
400 Highland Ave |
$45.94 | 43 | 40 |
|
Rachel Battey
400 Highland Ave |
$38.26 | 47 | 43 |
|
Roshan Mainali
21 Geisinger Ln |
$33.54 | 67 | 66 |
|
Natalia Maria Mccliment
6 N Dorcas St |
$0.00 | 76 | 50 |
|
Primary Health Network
106 Derry Heights Blvd |
$0.00 | 78 | 75 |
|
Nitin V Sheth Md Llc
6 N Dorcas St |
$19.30 | 93 | 71 |
|
Sarah Lynn Strickland
27 Sandy Ln |
$61.92 | 117 | 115 |
|
Nitin Vasantrai Sheth
6 N Dorcas St |
$21.47 | 124 | 99 |
|
Kathleen Mary Zazzali
400 Highland Ave |
$47.35 | 147 | 144 |
|
Kasandra Nichole Trott
27 Sandy Ln |
$46.70 | 163 | 157 |
|
Howard I Miller
27 Sandy Ln |
$25.18 | 178 | 174 |
|
Jonathan J Hsu
400 Highland Ave |
$81.25 | 181 | 180 |
|
Paul H. Nancollas
21 Geisinger Ln |
$23.27 | 191 | 185 |
|
Victoria Ashleigh Bzik
400 Highland Ave |
$35.86 | 202 | 193 |
|
Shahzad Ahmed
400 Highland Ave |
$37.12 | 215 | 208 |
|
Jawed Akhtar
400 Highland Ave |
$35.59 | 217 | 215 |
|
Chelsea Rothrock
134 W Market St |
$0.00 | 232 | 188 |
|
Japheth E Mukaya
21 Geisinger Ln |
$29.44 | 285 | 279 |
|
Rachel Heisler
134 W Market St |
$1.07 | 288 | 230 |
|
Benjamin Alexander Silverman
400 Highland Ave |
$45.96 | 344 | 336 |
|
Geisinger Clinic
21 Geisinger Ln |
$117.48 | 347 | 300 |
|
Karanvir Singh
21 Geisinger Ln |
$43.83 | 513 | 488 |
|
Sarah Scott
400 Highland Ave |
$57.76 | 606 | 364 |
|
Charles Edward Zaleski
27 Sandy Ln |
$31.09 | 645 | 626 |
|
Roy Allen Williams
400 Highland Ave |
$36.59 | 646 | 564 |
|
Ireneusz Szulawski
21 Geisinger Ln |
$32.99 | 662 | 635 |
|
Harry Heasley Dinsmore
310 Electric Ave |
$28.71 | 693 | 673 |
|
Dennis M Devita
310 Electric Ave |
$26.66 | 702 | 665 |
|
Rachel S. Kish
400 Highland Ave |
$36.57 | 714 | 670 |
|
Dana Leigh Wiesenfeld
6 N Dorcas St |
$2.80 | 747 | 264 |
|
Kiran Reddy Rayalam
21 Geisinger Ln |
$49.60 | 784 | 758 |
|
Olamide Kolade
400 Highland Ave |
$36.88 | 947 | 882 |
|
Jessica L Souchet
21 Geisinger Ln |
$67.67 | 1,098 | 1,008 |
|
Siddharth Ashok Badve
310 Electric Ave |
$42.99 | 1,145 | 1,108 |
|
Joseph Kyle Betz
21 Geisinger Ln |
$49.83 | 1,210 | 1,177 |
|
Michael David Sobolewski
310 Electric Ave Ste 240 |
$33.05 | 1,258 | 1,212 |
|
Karina Henriquez
400 Highland Ave |
$39.77 | 1,360 | 1,340 |
|
Sean David Burke
16 W Market St |
$45.05 | 1,708 | 1,618 |
|
Suresh Shripat Patil
310 Electric Ave Ste 240 |
$37.85 | 1,858 | 1,791 |
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 Lewistown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lewistown, PA is $41.68 per claim, based on 79,452 claims from 65 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 Lewistown, PA?
There are 65 Medicaid providers offering Office Visit related services in Lewistown, PA according to public payment data.
What is the price range for Office Visit in Lewistown, PA?
Medicaid reimbursement for Office Visit in Lewistown, PA ranges from $0.00 to $117.48 per claim, with an average of $41.68. 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 Lewistown, PA
Emergency Room Visit
Avg $84.64
83,358 claims
Blood Work & Lab Tests
Avg $7.16
60,494 claims
Physical Therapy
Avg $22.68
49,329 claims
EKG / ECG (Electrocardiogram)
Avg $7.31
19,045 claims
X-Ray
Avg $6.29
14,891 claims
Ambulance Transport
Avg $168.02
10,200 claims
Urinalysis & Urine Tests
Avg $3.15
9,901 claims
Speech Therapy
Avg $15.68
9,760 claims