Average Medicaid Office Visit Payments in Muncy, PA: $38.91
Avg. Paid
$38.91
Range
$28.25 – $74.84
Total Claims
12,109
Providers
13
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 Muncy, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven Edward Yordy
151 John Brady Dr |
$38.01 | 6,207 | 5,463 |
|
Dilip Kumar Elangbam
10 Shady Ln |
$38.73 | 3,166 | 2,572 |
|
Matthew Gregory Fanelli
255 Route 220 Hwy Ste 205 |
$46.63 | 1,075 | 1,015 |
|
Sabreena Arif
10 Shady Ln |
$34.20 | 668 | 658 |
|
Nathaniel Evan Eldredge
255 Route 220 Hwy |
$39.59 | 357 | 345 |
|
Gladys Onojobi
255 Route 220 Hwy |
$28.25 | 190 | 181 |
|
Lauren Cooper
255 Route 220 Hwy Ste 211 |
$46.52 | 133 | 130 |
|
Sameer B Shetty
255 Route 220 Hwy |
$39.25 | 124 | 96 |
|
Elizabeth J Hotaling
255 Route 220 Hwy |
$41.62 | 103 | 65 |
|
Dominick Olivo
255 Route 220 Hwy Ste 205 |
$74.84 | 27 | 27 |
|
James Eric Kasenchak
255 Route 220 Hwy Ste 203 |
$37.97 | 24 | 24 |
|
Geisinger-Hm Joint Venture Llc
255 Route 220 Highway |
$60.11 | 18 | 16 |
|
Elizabeth Grace Yordy
151 John Brady Dr |
$45.78 | 17 | 14 |
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 Muncy, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Muncy, PA is $38.91 per claim, based on 12,109 claims from 13 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 Muncy, PA?
There are 13 Medicaid providers offering Office Visit related services in Muncy, PA according to public payment data.
What is the price range for Office Visit in Muncy, PA?
Medicaid reimbursement for Office Visit in Muncy, PA ranges from $28.25 to $74.84 per claim, with an average of $38.91. 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 Muncy, PA
Emergency Room Visit
Avg $75.38
10,367 claims
Eye Exam
Avg $26.77
7,796 claims
Home Health Visit
Avg $213.35
7,350 claims
Chiropractic Care
Avg $11.35
4,676 claims
EKG / ECG (Electrocardiogram)
Avg $5.90
3,693 claims
Nursing Facility Care
Avg $9.51
3,467 claims
Blood Work & Lab Tests
Avg $9.01
1,718 claims
Speech Therapy
Avg $128.88
1,357 claims