Average Medicaid Office Visit Payments in Lititz, PA: $46.94
Avg. Paid
$46.94
Range
$0.00 – $132.84
Total Claims
76,801
Providers
77
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 Lititz, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shelley A Rohde
1575 Highlands Dr Ste 101 |
$60.85 | 12 | 12 |
|
Angela Marie Montalvo
1500 Highlands Dr |
$41.98 | 12 | 12 |
|
Breanna Marie Ober
101 W Airport Rd |
$0.00 | 12 | 12 |
|
John D Ginder
116B W Airport Rd |
$83.20 | 13 | 13 |
|
Wellspan Medical Group
101 W Airport Rd |
$58.11 | 14 | 13 |
|
Peter A Hurtubise
1535 Highlands Dr Ste 100 |
$45.52 | 16 | 16 |
|
Kimberly Ann Slusser
6 W Newport Rd |
$76.93 | 16 | 15 |
|
Jessica M Walker
51 Peters Rd |
$30.35 | 17 | 13 |
|
Abby Elizabeth Gandolfi
300 W Lemon St |
$49.46 | 18 | 16 |
|
Jennifer Eldridge
1575 Highlands Dr Ste 101 |
$24.06 | 18 | 18 |
|
Anne K. Rettig
51 Peters Rd Ste 200-201 |
$67.90 | 26 | 24 |
|
Jonathan Darren Lehman
2320 Rothsville Rd |
$57.74 | 29 | 27 |
|
Kimberly Good Ibarra
6 W Newport Rd |
$64.48 | 31 | 30 |
|
Terri Ann Mccormick
1575 Highlands Dr |
$56.56 | 42 | 39 |
|
Jennifer M Payne
51 Peters Rd |
$46.08 | 43 | 38 |
|
Alice E Riden
6 W Newport Rd |
$82.31 | 44 | 43 |
|
Esther F Mast
1575 Highlands Dr Ste 101 |
$61.08 | 56 | 54 |
|
Nehal Dhirendra Patel
1555 Highlands Dr |
$50.86 | 74 | 74 |
|
Jessica Maguire
1575 Highlands Dr |
$132.84 | 77 | 74 |
|
Caitlin Marie Handwerk
6 W Newport Rd |
$75.03 | 92 | 89 |
|
Lancaster General Medical Group
51 Peters Rd Ste 101 |
$82.15 | 94 | 85 |
|
Patrick J Moreno
51 Peters Rd Ste 200-201 |
$31.00 | 104 | 93 |
|
Dorine Lantimo-Vetter
1535 Highlands Dr Ste 100 |
$56.51 | 153 | 139 |
|
Rebecca Lynne Schilling
2320 Rothsville Rd Ste 200 |
$43.57 | 153 | 149 |
|
Wellspan Medical Group
2320 Rothsville Rd |
$88.48 | 166 | 153 |
|
Angela C Sprunger
1575 Highlands Dr Ste 101 |
$60.65 | 175 | 161 |
|
Douglas R Morrissey
6 W Newport Rd |
$85.10 | 236 | 229 |
|
Stephen W Tifft
51 Peters Road |
$31.34 | 242 | 230 |
|
Megan E Jones
101 W Airport Rd |
$0.27 | 246 | 243 |
|
Jennifer L. Robertshaw
300 W Lemon St |
$54.75 | 258 | 249 |
|
Michelle Lee Fegley
1575 Highlands Dr Ste 101 |
$50.95 | 260 | 246 |
|
Ryan Christopher Wennell
51 Peters Rd Ste 200-201 |
$36.13 | 262 | 248 |
|
Trudie Jane Ellenberger
1500 Highlands Dr |
$106.45 | 264 | 262 |
|
Dean Louis Quimby
6 W Newport Rd |
$74.62 | 268 | 258 |
|
Elizabeth Mary Fowler
1500 Highlands Dr |
$38.75 | 270 | 260 |
|
Madeline Cingle
51 Peters Road |
$39.77 | 274 | 257 |
|
Carolyn S Esterly
6 W Newport Rd |
$51.49 | 284 | 259 |
|
Martha Elizabeth Hostetler
2320 Rothsville Rd Ste 200 |
$52.43 | 301 | 281 |
|
Sharee L. Livingston
1575 Highlands Dr |
$45.39 | 302 | 279 |
|
Laura Dipaolo
51 Peters Rd Ste 200-201 |
$51.55 | 311 | 280 |
|
Venkatachalam Mangeshkumar
640 East Oregon Road |
$11.57 | 334 | 323 |
|
Jonathan D Hostetter
6 W Newport Rd |
$76.15 | 400 | 390 |
|
Scott Charles Osborn
6 W Newport Rd |
$89.70 | 404 | 381 |
|
Marc S Russo
562 W 2Nd Ave |
$51.69 | 416 | 398 |
|
Tracey Smith
562 W 2Nd Ave |
$19.17 | 461 | 431 |
|
Daniel Alexander Russo
562 W 2Nd Ave |
$55.76 | 466 | 451 |
|
Jennifer S Ammons
51 Peters Road |
$35.52 | 498 | 483 |
|
Melanie French Stone
1575 Highlands Dr Ste 101 |
$50.46 | 522 | 508 |
|
Sameera M Syed
1575 Highlands Dr Ste 101 |
$48.38 | 528 | 508 |
|
Dale W Sailer
562 W 2Nd Ave |
$46.79 | 538 | 514 |
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 Lititz, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lititz, PA is $46.94 per claim, based on 76,801 claims from 77 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 Lititz, PA?
There are 77 Medicaid providers offering Office Visit related services in Lititz, PA according to public payment data.
What is the price range for Office Visit in Lititz, PA?
Medicaid reimbursement for Office Visit in Lititz, PA ranges from $0.00 to $132.84 per claim, with an average of $46.94. 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 Lititz, PA
Physical Therapy
Avg $121.19
10,775 claims
Emergency Room Visit
Avg $84.95
9,277 claims
X-Ray
Avg $6.79
9,168 claims
Speech Therapy
Avg $104.91
7,821 claims
Blood Work & Lab Tests
Avg $7.09
5,490 claims
EKG / ECG (Electrocardiogram)
Avg $6.05
4,365 claims
CT Scan (Computed Tomography)
Avg $25.23
3,085 claims
Home Health Visit
Avg $98.32
2,108 claims