Average Medicaid Office Visit Payments in Orwigsburg, PA: $45.29
Avg. Paid
$45.29
Range
$11.26 – $78.33
Total Claims
16,593
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 Orwigsburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Benjamin P. Darhun
300 Hollywood Blvd |
$41.75 | 2,775 | 2,679 |
|
Kamini Gupta
300 Hollywood Blvd |
$45.62 | 2,705 | 2,626 |
|
Jeanne Lorraine Gricoski
300 Hollywood Blvd |
$48.66 | 2,634 | 2,527 |
|
Charles Allen Wagner
300 Hollywood Blvd |
$42.24 | 2,077 | 2,004 |
|
Donald Durand Diverio
1165 Centre Tpke |
$60.87 | 1,815 | 1,683 |
|
Richard Alan Greco
1165 Centre Tpke |
$33.71 | 1,623 | 1,502 |
|
Anita E. Kozlowski
300 Hollywood Blvd |
$47.07 | 1,485 | 1,423 |
|
Daniel Adam Cohen
1165 Centre Turpike |
$44.57 | 732 | 694 |
|
Crystal Maksimik
1260 Centre Tpke Ste 107 |
$46.71 | 252 | 246 |
|
Calogero Dimaggio
100 Paramount Blvd |
$42.57 | 177 | 175 |
|
Waqas Ahmed
1165 Centre Tpke |
$31.03 | 166 | 152 |
|
Emma Heller
1165 Centre Tpke |
$11.26 | 114 | 113 |
|
Saif A Bella
1165 Centre Tpke |
$78.33 | 38 | 38 |
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 Orwigsburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Orwigsburg, PA is $45.29 per claim, based on 16,593 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 Orwigsburg, PA?
There are 13 Medicaid providers offering Office Visit related services in Orwigsburg, PA according to public payment data.
What is the price range for Office Visit in Orwigsburg, PA?
Medicaid reimbursement for Office Visit in Orwigsburg, PA ranges from $11.26 to $78.33 per claim, with an average of $45.29. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Orwigsburg, PA
Physical Therapy
Avg $121.50
26,477 claims
Blood Work & Lab Tests
Avg $9.52
7,015 claims
Emergency Room Visit
Avg $106.07
5,757 claims
Speech Therapy
Avg $45.03
5,392 claims
EKG / ECG (Electrocardiogram)
Avg $8.06
3,143 claims
Home Health Visit
Avg $22.16
2,653 claims
Ambulance Transport
Avg $12.25
1,946 claims
Urinalysis & Urine Tests
Avg $2.79
717 claims