Average Medicaid Office Visit Payments in New Oxford, PA: $41.68
Avg. Paid
$41.68
Range
$12.59 – $64.97
Total Claims
3,780
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 Oxford, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Svetlana Belikova
5615 York Rd |
$46.54 | 1,473 | 1,432 |
|
Sandra Patchel
2900 Carlisle Pike |
$12.59 | 593 | 575 |
|
Stephanie Ann Johnson Marrero
2900 Carlisle Pike |
$47.45 | 466 | 424 |
|
Pinnacle Health Medical Services
5615 York Rd |
$64.97 | 341 | 305 |
|
Nichole Hyatt
5615 York Rd |
$50.78 | 274 | 258 |
|
Cynthia Marie Class-Mcgrew
5615 York Rd |
$37.29 | 225 | 215 |
|
Marsha Snyder
5615 York Rd |
$25.45 | 110 | 95 |
|
Rebecca R Wright
5615 York Rd |
$40.32 | 98 | 93 |
|
Alexa Jean Sharr
65 Billerbeck St |
$30.29 | 64 | 63 |
|
Coman A Thomas
5615 York Rd |
$48.13 | 61 | 50 |
|
Ronda M Harris
5615 York Rd |
$47.31 | 48 | 47 |
|
Krista L Rafferty
5615 York Rd |
$38.89 | 27 | 27 |
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 Oxford, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in New Oxford, PA is $41.68 per claim, based on 3,780 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 Oxford, PA?
There are 12 Medicaid providers offering Office Visit related services in New Oxford, PA according to public payment data.
What is the price range for Office Visit in New Oxford, PA?
Medicaid reimbursement for Office Visit in New Oxford, PA ranges from $12.59 to $64.97 per claim, with an average of $41.68. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in New Oxford, PA
Speech Therapy
Avg $18.13
149,526 claims
Physical Therapy
Avg $34.74
72,050 claims
Home Health Visit
Avg $72.69
39,026 claims
Ambulance Transport
Avg $54.84
28,787 claims
Hearing Test (Audiometry)
Avg $0.52
31 claims
Blood Work & Lab Tests
Avg $7.97
28 claims
Urinalysis & Urine Tests
Avg $3.58
26 claims