Average Medicaid Office Visit Payments in Montoursville, PA: $39.05
Avg. Paid
$39.05
Range
$0.00 – $108.77
Total Claims
45,489
Providers
20
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 Montoursville, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kate Bomar
780 Broad St |
$108.77 | 12 | 12 |
|
Tamoor Shahid
10 Choate Cir |
$46.33 | 15 | 15 |
|
David Benjamin Kuhns
1500 Broad St |
$2.47 | 56 | 53 |
|
Sandra C. Beall
780 Broad St |
$50.84 | 97 | 94 |
|
Brittany J. Todd
900 Plaza Dr |
$63.90 | 194 | 186 |
|
Robert E. Purcell
10 Choate Cir |
$55.63 | 357 | 353 |
|
Michael Forrest Wright
900 Plaza Dr |
$51.18 | 362 | 359 |
|
Mehulaben Patel
780 Broad St Ste 4 |
$49.15 | 364 | 351 |
|
Collier Bussey Nix
1500 Broad St |
$34.12 | 573 | 529 |
|
Robert Leopold Muller
1500 Broad St |
$35.77 | 692 | 645 |
|
Ingrid O. Donato
900 Plaza Dr |
$0.00 | 1,040 | 1,011 |
|
Namita Gupta
780 Broad St |
$74.52 | 1,048 | 1,018 |
|
Sam Stea
1660 Sycamore Rd |
$36.82 | 1,430 | 1,325 |
|
Elizabeth Klucka
900 Plaza Dr |
$48.52 | 1,457 | 1,370 |
|
Robert Anthony Donato
780 Broad St |
$34.69 | 1,693 | 1,587 |
|
Tara Welsh
780 Broad St |
$36.04 | 4,055 | 3,697 |
|
Alexandra Katherine Jones
780 Broad St |
$38.94 | 4,768 | 4,489 |
|
Gwendolyn Alexandria Bodkin
780 Broad St |
$42.82 | 5,436 | 5,149 |
|
Timothy Hogan
780 Broad St |
$38.13 | 7,647 | 7,213 |
|
Jill A Sharer
780 Broad St Ste 4 |
$38.05 | 14,193 | 13,492 |
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 Montoursville, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Montoursville, PA is $39.05 per claim, based on 45,489 claims from 20 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 Montoursville, PA?
There are 20 Medicaid providers offering Office Visit related services in Montoursville, PA according to public payment data.
What is the price range for Office Visit in Montoursville, PA?
Medicaid reimbursement for Office Visit in Montoursville, PA ranges from $0.00 to $108.77 per claim, with an average of $39.05. 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 Montoursville, PA
Physical Therapy
Avg $22.35
16,493 claims
Durable Medical Equipment (DME)
Avg $39.83
16,275 claims
Speech Therapy
Avg $8.72
7,531 claims
Blood Work & Lab Tests
Avg $6.09
7,178 claims
Vaccines & Immunizations
Avg $9.97
4,476 claims
Ambulance Transport
Avg $48.50
2,222 claims
Hearing Test (Audiometry)
Avg $0.67
1,531 claims
Nursing Facility Care
Avg $16.47
1,087 claims