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 |
|---|---|---|---|
|
Lorrin Petrole
2005 Technology Pkwy Ste 400 |
$58.49 | 12 | 12 |
|
Suzanne Elizabeth Shiley
2140 Fisher Rd |
$82.53 | 12 | 12 |
|
Andrea Benton
2025 Technology Pkwy Ste 108 |
$57.68 | 12 | 12 |
|
Jennifer Richelle Ibanez
21 Waterford Dr |
$68.03 | 13 | 12 |
|
Kyo Ung Chu
2025 Technology Pkwy Ste 201 |
$39.31 | 13 | 13 |
|
Francis Joseph Janton
2005 Technology Pkwy |
$51.80 | 13 | 13 |
|
Raghavendra Srinivasa
3 Flowers Dr |
$95.20 | 13 | 13 |
|
Parul J Kakaria
2005 Technology Pkwy Ste 440 |
$39.54 | 13 | 12 |
|
Courtney Renee Haines
910 Century Dr Ste 150 |
$34.38 | 14 | 13 |
|
Jennifer Oboza Heller
9 Flowers Dr |
$37.29 | 14 | 14 |
|
Jeffrey Alan Matzoni
6 Market Plaza Way |
$36.75 | 15 | 13 |
|
Valentine M Osborn
2025 Technology Pkwy Ste G07 |
$96.39 | 15 | 13 |
|
Yolanda Marion Michetti
2025 Technology Pkwy Ste G07 |
$26.18 | 16 | 12 |
|
Theresa Marguerite Lee
2020 Technology Pkwy Ste 3200 |
$50.63 | 17 | 12 |
|
Vinod Kumar Nagabhairu
503 Shaw St |
$54.66 | 29 | 27 |
|
Robert Anthony Malizia
2035 Technology Pkwy Ste 201 |
$14.67 | 30 | 30 |
|
Christine M Buckley
2140 Fisher Rd |
$56.00 | 35 | 30 |
|
Sharon Ann-Romano Fitzgerald
2035 Technology Pkwy Ste 201 |
$50.82 | 42 | 39 |
|
Christopher Jakubowski
2035 Technology Pkwy |
$82.40 | 48 | 41 |
|
Elizebeth Edmister
335 Lambs Gap Rd |
$65.34 | 48 | 46 |
|
Atul Mangla
2005 Technology Pkwy Ste 400 |
$68.40 | 52 | 52 |
|
Santosh Kumar Nepal
2005 Technology Pkwy Ste 300 |
$38.95 | 54 | 52 |
|
Joanna Paula Sta. Cruz
2005 Technology Pkwy Ste 300 |
$51.63 | 55 | 54 |
|
Meagan Lynne Reeves
2005 Technology Pkwy Ste 440 |
$56.59 | 62 | 61 |
|
Jennifer Young
4 Flowers Dr Ste 2 |
$34.67 | 69 | 61 |
|
Benjamin Greb
21 Waterford Dr |
$54.22 | 70 | 67 |
|
Callista Costopoulos Morris
856 Century Dr |
$71.81 | 72 | 67 |
|
Matthew G Mcclellan
107 S Sporting Hill Rd |
$1.08 | 79 | 79 |
|
Kristen Slinkard
140 Old Willow Mill Rd |
$62.26 | 88 | 85 |
|
Kelly R Mccracken
6481 Carlisle Pike |
$79.68 | 90 | 88 |
|
Sandeep Kumar Kakaria
2005 Technology Pkwy |
$11.49 | 95 | 68 |
|
Sabrina E.B. Martyr
2035 Technology Pkwy |
$55.49 | 95 | 88 |
|
Timothy Deimling
2025 Technology Pkwy Ste 108 |
$39.37 | 112 | 100 |
|
Todd C Campbell
880 Century Drive |
$3.37 | 113 | 57 |
|
Pinnacle Health Abc Llc
6481 Carlisle Pike |
$93.64 | 132 | 117 |
|
Stuart Druckman
1010 Wesley Dr |
$4.42 | 141 | 138 |
|
Elizabeth Ann Karns
100 N Walnut St |
$32.43 | 143 | 140 |
|
Sarah Elaine Stovar
2140 Fisher Rd |
$40.43 | 144 | 131 |
|
Parul Aneja
2005 Technology Pkwy Ste 400 |
$72.70 | 146 | 142 |
|
Haleigh Rae Noldon
6 Bella Vista Dr |
$70.34 | 149 | 146 |
|
Shauna Filson
2035 Technology Pkwy Ste 201 |
$36.84 | 156 | 143 |
|
Brady Michael Wahlberg
856 Century Dr |
$47.86 | 160 | 147 |
|
Penn State Health Community Medical Group, Llc
1819 S. Market Street |
$77.10 | 164 | 144 |
|
Sadler Health Center Corporation
5210 E Trindle Rd |
$0.00 | 164 | 134 |
|
Andrew V Kriegel
950 Woodland St |
$45.97 | 173 | 154 |
|
Marianna Antonopoulou
2005 Technology Pkwy |
$52.28 | 176 | 173 |
|
John P Rogers
2025 Technology Pkwy |
$25.31 | 187 | 137 |
|
Sandra D Rybacki
2005 Technology Pkwy Ste 400 |
$42.32 | 188 | 183 |
|
Lindsay Marie Gilbert
2005 Technology Pkwy |
$42.53 | 200 | 200 |
|
Gerald J Harkins
2025 Technology Pkwy Ste 108 |
$38.42 | 223 | 217 |
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