Average Medicaid Office Visit Payments in Nanticoke, PA: $37.09
Avg. Paid
$37.09
Range
$2.50 – $54.93
Total Claims
16,913
Providers
10
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 Nanticoke, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Susan Ashton Werner
128 E Main St |
$43.93 | 7,222 | 6,915 |
|
Janusz F Wolanin
233 S Prospect St |
$22.74 | 5,206 | 4,644 |
|
Jon J Olenginski
128 E Main St |
$45.18 | 3,716 | 3,587 |
|
Richard A Hiscox
128 W Washington St |
$10.57 | 309 | 298 |
|
David Peter Mouallem
4 E Main St |
$46.59 | 237 | 233 |
|
Angela Gerona
128 E Main St |
$54.93 | 152 | 149 |
|
Northeast Counseling Services
24-26 East Broad St. |
$19.12 | 27 | 27 |
|
Carol A Medura
233 S Prospect St |
$33.06 | 18 | 18 |
|
Jacob Luke Hummel
109 W Green St |
$2.50 | 14 | 14 |
|
John Peter Jurta
33 E Green Street |
$4.13 | 12 | 12 |
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 Nanticoke, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nanticoke, PA is $37.09 per claim, based on 16,913 claims from 10 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 Nanticoke, PA?
There are 10 Medicaid providers offering Office Visit related services in Nanticoke, PA according to public payment data.
What is the price range for Office Visit in Nanticoke, PA?
Medicaid reimbursement for Office Visit in Nanticoke, PA ranges from $2.50 to $54.93 per claim, with an average of $37.09. 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 Nanticoke, PA
Blood Work & Lab Tests
Avg $9.55
9,943 claims
Physical Therapy
Avg $45.26
4,806 claims
Speech Therapy
Avg $15.28
4,333 claims
Ambulance Transport
Avg $224.40
3,416 claims
Nursing Facility Care
Avg $9.57
2,469 claims
Eye Exam
Avg $21.11
1,739 claims
Dialysis
Avg $5.66
1,097 claims
Podiatry (Foot Care)
Avg $1.78
358 claims