Average Medicaid Office Visit Payments in Scranton, PA: $32.17
Avg. Paid
$32.17
Range
$0.00 – $508.72
Total Claims
570,589
Providers
260
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 Scranton, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Wright Center Medical Group
501 S Washington Ave |
$0.97 | 120,813 | 108,084 |
|
Mark William Bohn
1020 W Lackawanna Ave |
$51.28 | 27,086 | 21,061 |
|
Shahroon Riaz Choudhry
449 Scranton Carbondale Hwy |
$50.44 | 24,557 | 23,460 |
|
Jing Deng
501 Madison Ave |
$0.21 | 18,897 | 17,312 |
|
Jila Kaberi-Otarod
1800 Mulberry St |
$36.11 | 17,929 | 17,428 |
|
Benjamin Kum
3 W Olive St |
$31.62 | 13,327 | 9,747 |
|
Marlaina Burns
930 Quincy Ave |
$46.62 | 12,663 | 9,311 |
|
Joseph E. Stella
531 Mt Pleasant Dr |
$37.52 | 11,585 | 11,116 |
|
Kaila Alexandra Queen
531 Mt Pleasant Dr |
$43.00 | 10,511 | 10,202 |
|
James J. Mckenna
531 Mt Pleasant Dr |
$36.22 | 10,331 | 10,087 |
|
Chelsea M. Didonato-Vilello
531 Mount Pleasant Dr. |
$39.66 | 9,473 | 9,144 |
|
Rayhan Alam
531 Mt Pleasant Dr |
$41.29 | 8,056 | 7,756 |
|
Jill Kissolovege
1141 Moosic St |
$44.49 | 7,885 | 6,667 |
|
Elizabeth Anne Carey
1800 Mulberry St |
$17.11 | 7,070 | 2,414 |
|
Diane M Ciaglia
531 Mt Pleasant Dr |
$39.98 | 6,969 | 6,767 |
|
Julie Ann Ohara
1020 W Lackawanna Ave |
$41.97 | 6,230 | 5,275 |
|
Carmen Marie Hope
605 Eynon St |
$49.88 | 5,981 | 4,523 |
|
Marc Howard Rabin
521 Mt Pleasant Dr |
$41.99 | 5,959 | 4,876 |
|
Marie S Lena
531 Mt Pleasant Dr |
$42.94 | 5,663 | 5,369 |
|
Christine Marie Stroka
531 Mt Pleasant Dr |
$39.12 | 5,123 | 4,941 |
|
Steven Sluck
531 Mount Pleasant Drive |
$40.59 | 4,860 | 4,720 |
|
Shivang Desai
1800 Mulberry St |
$58.28 | 4,770 | 4,620 |
|
Richard A. Martin
531 Mt Pleasant Dr |
$30.95 | 4,741 | 4,624 |
|
John J Sirotnak
3 W Olive St |
$55.02 | 4,270 | 4,171 |
|
Christine Burke
959 Wyoming Ave |
$0.59 | 4,153 | 3,961 |
|
Sarah Marie Sitoski
5 Morgan Hwy Ste 6 |
$39.51 | 4,000 | 3,676 |
|
Douglas Zaruta
1800 Mulberry St |
$55.99 | 3,808 | 3,705 |
|
Scranton Primary Health Care Center, Inc.
959 Wyoming Ave |
$0.79 | 3,757 | 3,605 |
|
Paul Stoko
5 Morgan Hwy Ste 4 |
$45.04 | 3,677 | 3,554 |
|
John Robert Guzek
700 Quincy Ave |
$48.45 | 3,634 | 3,012 |
|
Julio A Ramos
501 Madison Ave |
$44.75 | 3,552 | 3,452 |
|
Jill F Mccoy
5 Morgan Hwy Ste 6 |
$36.64 | 3,445 | 3,215 |
|
Elizabeth Karazim-Horchos
5 Morgan Hwy |
$35.46 | 3,368 | 3,245 |
|
Kathleen I Walsh
5 Morgan Hwy Ste 6 |
$35.18 | 3,323 | 3,100 |
|
Alana Rickard
531 Mt Pleasant Dr |
$45.68 | 3,305 | 3,161 |
|
Paul W. Horchos
5 Morgan Hwy |
$33.46 | 3,267 | 3,157 |
|
Aaron Wey
3 W Olive St |
$63.94 | 3,165 | 3,068 |
|
Kimberly Ann Grzybowski
1020 W Lackawanna Ave |
$48.70 | 3,101 | 2,284 |
|
Keith Michael Pritchyk
300 Lackawanna Ave Ste 200 |
$41.10 | 3,095 | 3,008 |
|
Jeffrey Gillette
3 W Olive St |
$53.24 | 3,083 | 3,024 |
|
Michael Rogan
2232 Pittston Ave |
$33.90 | 3,076 | 2,718 |
|
Vincent Luciano Ross
442 N Main Ave |
$30.22 | 3,050 | 2,582 |
|
Brian J Murray
531 Mt Pleasant Dr |
$40.63 | 2,996 | 2,813 |
|
Hannah Zapczynski
1020 W Lackawanna Ave |
$41.71 | 2,966 | 2,342 |
|
Yelin Yang
501 Madison Ave |
$20.57 | 2,948 | 2,556 |
|
Rachel Giannotti
5 Morgan Hwy Ste 6 |
$38.24 | 2,911 | 2,777 |
|
Laurie Gwen Campfield
531 Mount Pleasant Dr. |
$43.78 | 2,816 | 2,690 |
|
Angela Delonti
1020 W Lackawanna Ave |
$43.97 | 2,750 | 2,083 |
|
Luiz Felipe Galvao
959 Wyoming Ave |
$0.06 | 2,718 | 2,681 |
|
Paul Francis Remick
1721 N Main Ave |
$34.31 | 2,703 | 2,518 |
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 Scranton, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Scranton, PA is $32.17 per claim, based on 570,589 claims from 260 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 Scranton, PA?
There are 260 Medicaid providers offering Office Visit related services in Scranton, PA according to public payment data.
What is the price range for Office Visit in Scranton, PA?
Medicaid reimbursement for Office Visit in Scranton, PA ranges from $0.00 to $508.72 per claim, with an average of $32.17. 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 Scranton, PA
Personal Care Services
Avg $73.39
2,291,778 claims
Blood Work & Lab Tests
Avg $10.57
147,659 claims
Case Management Services
Avg $120.81
90,390 claims
Eye Exam
Avg $25.08
86,941 claims
Vaccines & Immunizations
Avg $2.72
86,662 claims
Emergency Room Visit
Avg $84.18
70,317 claims
Dental Cleaning & Exam
Avg $26.20
52,605 claims
Physical Therapy
Avg $29.29
47,090 claims