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Based on public Medicaid payment data.

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

Other Procedures in Lewistown, PA