Average Medicaid Office Visit Payments in New Freedom, PA: $53.49
Avg. Paid
$53.49
Range
$33.75 – $123.50
Total Claims
6,702
Providers
12
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 New Freedom, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lauren Renee Smith-Leed
13515 Wolfe Rd |
$41.71 | 1,568 | 1,386 |
|
Michelle Rabinovich
13515 Wolfe Rd Ste C |
$56.32 | 865 | 824 |
|
Nicholas Adam Lumsden
13515 Wolfe Rd |
$58.67 | 862 | 830 |
|
Brian J Taylor
13515 Wolfe Rd |
$58.97 | 810 | 773 |
|
Jenny Zhu
13515 Wolfe Rd Ste C |
$54.47 | 674 | 651 |
|
Douglas H Prince
13515 Wolfe Rd |
$55.96 | 463 | 450 |
|
Derek Liang
13515 Wolfe Rd |
$46.96 | 457 | 382 |
|
Mary O Keperling
13515 Wolfe Rd |
$40.63 | 353 | 329 |
|
Barbara Ann Hofmeister
13515 Wolfe Rd Ste C |
$45.15 | 257 | 247 |
|
Amara Zubair Burney
13515 Wolfe Rd |
$123.50 | 252 | 230 |
|
Samuel Boateng
13515 Wolfe Rd Ste C |
$33.75 | 128 | 124 |
|
Patricia Chen
13515 Wolfe Rd Ste C |
$41.00 | 13 | 13 |
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 New Freedom, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Freedom, PA is $53.49 per claim, based on 6,702 claims from 12 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 New Freedom, PA?
There are 12 Medicaid providers offering Office Visit related services in New Freedom, PA according to public payment data.
What is the price range for Office Visit in New Freedom, PA?
Medicaid reimbursement for Office Visit in New Freedom, PA ranges from $33.75 to $123.50 per claim, with an average of $53.49. 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