Average Medicaid Office Visit Payments in Mechanicsburg, PA: $69.27
Avg. Paid
$69.27
Range
$0.00 – $661.01
Total Claims
98,988
Providers
114
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 Mechanicsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Paul Paczynski
2005 Technology Pkwy Ste 400 |
$49.53 | 7,841 | 6,415 |
|
Javed Ahmad
335 Lambs Gap Rd |
$73.46 | 4,676 | 4,463 |
|
Likitha Kanuganti
21 Waterford Dr |
$44.61 | 4,352 | 4,111 |
|
Ann M Bogdan
140 Old Willow Mill Rd |
$76.54 | 4,102 | 3,927 |
|
Stephen Christopher Phillips
107 S Sporting Hill Rd |
$0.27 | 3,845 | 3,606 |
|
Amanpreet S. Sandhu
2005 Technology Pkwy Ste 245 |
$40.77 | 3,721 | 3,495 |
|
Kevin J Poole
21 Waterford Dr |
$47.40 | 3,700 | 3,529 |
|
John Charles Green
6481 Carlisle Pike |
$42.54 | 3,501 | 3,450 |
|
Brian M Uniacke
21 Waterford Dr |
$48.68 | 3,462 | 3,252 |
|
Mary Catharine Sneider
6481 Carlisle Pike |
$42.09 | 3,352 | 3,284 |
|
Marlys J Pike
6481 Carlisle Pike |
$44.16 | 3,169 | 3,129 |
|
Rachael Elizabeth Youngblood
2005 Technology Pkwy |
$661.01 | 2,756 | 2,408 |
|
Kristin Marie Hammond Fielding
5070 Ritter Rd |
$78.26 | 2,618 | 2,318 |
|
Caissa Fernando Troutman
107 S Sporting Hill Rd |
$60.94 | 2,133 | 2,018 |
|
Banani Saha
2140 Fisher Rd |
$55.54 | 2,056 | 1,950 |
|
Sanam Anwer
2005 Technology Pkwy Ste 400 |
$50.57 | 1,940 | 1,846 |
|
Peter Lee Kang
6481 Carlisle Pike |
$43.35 | 1,816 | 1,800 |
|
Charles L Lowe
310 Lambs Gap Road |
$57.65 | 1,592 | 1,521 |
|
Renu Joshi
2005 Technology Pkwy |
$49.33 | 1,554 | 1,530 |
|
Lisa Marie Duffy-Reckner
2106 Aspen Dr |
$68.33 | 1,545 | 1,491 |
|
Larisa Buyantseva Fritz
21 Waterford Dr |
$64.78 | 1,449 | 1,422 |
|
Gary Marc Schwartz
2140 Fisher Rd |
$49.15 | 1,368 | 1,304 |
|
Sasan Salimian
2005 Technology Pkwy Ste 400 |
$52.02 | 1,285 | 1,270 |
|
Kaitlyn Iaccarino
2106 Aspen Dr |
$66.43 | 1,282 | 1,208 |
|
Anthony Arlotti
2106 Aspen Dr |
$70.60 | 1,269 | 1,213 |
|
Kiran Sharma
910 Century Dr Ste 150 |
$46.18 | 1,221 | 1,171 |
|
Kapil Pruthi
2140 Fisher Rd |
$51.69 | 1,183 | 1,127 |
|
Ammar Shahid
1819 S Market St |
$87.94 | 1,133 | 1,062 |
|
Jason M Sweeley
1300 Bent Creek Blvd Ste 101 |
$38.27 | 1,121 | 1,079 |
|
Pamela T. Hartman
2106 Aspen Dr |
$68.67 | 1,118 | 1,073 |
|
Olga Vinshtok
107 S Sporting Hill Rd |
$0.60 | 1,077 | 1,055 |
|
Angela F Brubaker
310 Lambs Gap Rd |
$0.00 | 1,073 | 932 |
|
Alexander V Rovner
2005 Technology Pkwy Ste 400 |
$72.84 | 987 | 983 |
|
Pramod K Tripathi
2005 Technology Pkwy Ste 440 |
$52.48 | 955 | 944 |
|
Soni Srivastav
2005 Technology Pkwy |
$50.27 | 914 | 895 |
|
Anita Yang
910 Century Dr |
$53.06 | 870 | 833 |
|
William K Jens
2005 Technology Pkwy Ste 400 |
$63.71 | 852 | 833 |
|
Carrie Beth Ent
1 University Ave |
$104.58 | 848 | 835 |
|
John Mario Levri
2005 Technology Pkwy Ste 400 |
$68.80 | 826 | 817 |
|
Hassan Tariq
2035 Technology Pkwy Ste 200 |
$59.50 | 772 | 750 |
|
Peter Joseph Mccarthy
2140 Fisher Rd |
$48.11 | 647 | 608 |
|
Thomas R Wojda
2140 Fisher Rd |
$28.37 | 634 | 620 |
|
Abby N Flinchbaugh
6481 Carlisle Pike |
$197.03 | 621 | 606 |
|
Emily Elizabeth Schuchardt
2140 Fisher Rd |
$51.75 | 611 | 567 |
|
Brian Michael Corbally
2020 Technology Pkwy Ste 201 |
$41.47 | 601 | 570 |
|
Benjamin Bradley Pollock
2005 Technology Pkwy Ste 400 |
$42.60 | 512 | 500 |
|
Hong Tran Bich Vu
105 S Sporting Hill Rd |
$13.32 | 483 | 446 |
|
Uche Ogochukwu Eneanya
175 Lancaster Blvd |
$69.59 | 483 | 452 |
|
James S Thompson
910 Century Dr |
$51.95 | 477 | 447 |
|
Jessica Lynn Pasko
107 S Sporting Hill Rd |
$77.24 | 401 | 387 |
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 Mechanicsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mechanicsburg, PA is $69.27 per claim, based on 98,988 claims from 114 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 Mechanicsburg, PA?
There are 114 Medicaid providers offering Office Visit related services in Mechanicsburg, PA according to public payment data.
What is the price range for Office Visit in Mechanicsburg, PA?
Medicaid reimbursement for Office Visit in Mechanicsburg, PA ranges from $0.00 to $661.01 per claim, with an average of $69.27. 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 Mechanicsburg, PA
Physical Therapy
Avg $78.77
31,880 claims
Speech Therapy
Avg $28.75
27,971 claims
Durable Medical Equipment (DME)
Avg $52.88
26,270 claims
Emergency Room Visit
Avg $77.84
24,872 claims
Nursing Facility Care
Avg $25.22
13,946 claims
Chiropractic Care
Avg $16.76
13,748 claims
Blood Work & Lab Tests
Avg $8.93
12,800 claims
Eye Exam
Avg $35.56
9,775 claims