Average Medicaid Office Visit Payments in Lock Haven, PA: $42.44
Avg. Paid
$42.44
Range
$0.00 – $83.90
Total Claims
79,766
Providers
30
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 Lock Haven, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eddie Rodriguez-Lopez
955 Bellefonte Ave |
$37.48 | 18,261 | 17,186 |
|
Dennis Scott Probst
1 Outlet Ln |
$46.54 | 10,520 | 9,886 |
|
Elena Ackah
955 Bellefonte Ave |
$36.49 | 8,955 | 8,495 |
|
Adrienne Christine Tounsel
68 Spring St |
$39.82 | 5,805 | 5,307 |
|
Kortnee Michelle Koziara
68 Spring St |
$39.39 | 4,286 | 4,097 |
|
Amit Mehta
68 Spring St |
$36.30 | 4,078 | 3,886 |
|
Michael Alexander Germano
68 Spring St |
$43.19 | 3,816 | 3,652 |
|
Bharat G Adroja
930 Bellefonte Ave |
$31.87 | 3,305 | 2,980 |
|
Taylor Sierra Koch
560 Mcelhattan Dr. |
$83.90 | 3,252 | 3,146 |
|
Ghazala Sabeeh
529 High St |
$46.90 | 3,168 | 2,912 |
|
Carrie Ann Timko
610 High St |
$42.05 | 2,438 | 2,297 |
|
Sarah Mcelroy
610 High St |
$44.75 | 2,304 | 2,172 |
|
Cory Lesher
68 Spring St |
$77.79 | 1,650 | 1,573 |
|
Marcus D Powers
610 High St |
$44.91 | 1,182 | 1,128 |
|
Pravinchandra G. Chapla
1 Outlet Ln Ste 380 |
$39.25 | 1,036 | 953 |
|
John Hunter
24 Cree Dr Fl 3 |
$19.67 | 960 | 821 |
|
Shannon Seeland
68 Spring St |
$41.51 | 934 | 874 |
|
Sunkesula Krishnasai Kaushik Sagar
68 Spring St |
$46.87 | 815 | 779 |
|
James F. Young
529 High St |
$38.76 | 765 | 691 |
|
Elizabeth Marie Hart
955 Bellefonte Ave |
$38.27 | 544 | 532 |
|
John E Rodaitis
68 Spring St |
$54.36 | 440 | 412 |
|
Geisinger-Hm Joint Venture, Llc
68 Spring Street |
$41.59 | 384 | 335 |
|
Charles V Ackley
955 Bellefonte Ave |
$47.15 | 334 | 328 |
|
Rajesh J Patel
1 Outlet Ln Ste 380 |
$26.97 | 188 | 145 |
|
Laura May Smith
610 High St |
$52.98 | 120 | 109 |
|
River Valley Health
124 E Walnut St Ste 2 |
$0.00 | 94 | 82 |
|
Prafulchandra U Bhatt
955 Bellefonte Ave |
$46.94 | 62 | 61 |
|
Mitchell Charles Rossman
930 Bellefonte Ave |
$1.40 | 25 | 25 |
|
Boris Gabinskiy
955 Bellefonte Ave |
$52.03 | 23 | 23 |
|
Susquehanna Physician Services
610 High St |
$3.18 | 22 | 16 |
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 Lock Haven, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lock Haven, PA is $42.44 per claim, based on 79,766 claims from 30 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 Lock Haven, PA?
There are 30 Medicaid providers offering Office Visit related services in Lock Haven, PA according to public payment data.
What is the price range for Office Visit in Lock Haven, PA?
Medicaid reimbursement for Office Visit in Lock Haven, PA ranges from $0.00 to $83.90 per claim, with an average of $42.44. 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 Lock Haven, PA
Blood Work & Lab Tests
Avg $8.49
22,807 claims
Home Health Visit
Avg $208.88
18,327 claims
Physical Therapy
Avg $90.31
8,218 claims
Speech Therapy
Avg $17.91
6,601 claims
Emergency Room Visit
Avg $182.14
5,910 claims
Chiropractic Care
Avg $11.51
5,035 claims
Urinalysis & Urine Tests
Avg $4.24
3,395 claims
Ambulance Transport
Avg $125.57
3,154 claims