Based on public Medicaid payment data.

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
Heidi Hemak 743 Jefferson Ave Ste 104	$30.92	12	12
Eric Veloso 3 W Olive St	$63.42	12	12
John Anthony Kutz 1800 Mulberry St	$31.79	12	12
Jacob Anthony Parrick 501 S Washington Ave Ste 1000	$0.00	12	12
Lackawanna Valley Dermatology Associates Limited 327 N Washington Ave	$119.32	12	12
Brian Campfield 1800 Mulberry St.	$33.80	12	12
Ann Narcoonis 329 Cherry St	$0.00	13	12
Beverly Barone Tomasetti 225 Penn Ave	$0.00	13	13
Edvard Adrian Gumbs 1800 Mulberry St	$88.65	13	13
David J Flannery 201 N Main Ave	$16.79	14	12
Terrence P Lenahan 743 Jefferson Ave	$30.08	14	14
Rachel Dawn Dibiasi 3 W Olive St	$31.80	14	14
Haleigh Jo Hughes 300 Lackawanna Ave	$105.07	14	12
Geena Galvagno 449 Scranton Carbondale Hwy	$23.33	15	12
Peter A Cognetti 802 Jefferson Ave	$30.19	16	16
Mary Elizabeth Jordan-Flickinger 200 Mifflin Ave	$22.75	16	16
Janet Elizabeth Erickson 300 Lackawanna Ave Ste 200	$33.59	16	16
Delta Medix Pc 300 Lackawanna Ave	$49.06	16	14
Matthew Loecher 300 Lackawanna Ave Ste 200	$36.72	16	16
Lisa M Mongiello 200 Mifflin Ave	$30.62	16	14
Erin Mcfadden 501 S Washington Ave Ste 1000	$0.00	17	12
Michelle M Aldrich 748 Quincy Ave Ste 2A	$0.00	20	18
Samuel Goldheart 3 W Olive St	$0.00	21	17
Vitaly Geyfman 746 Jefferson Ave	$43.97	25	25
Harold J Davis 521 Mt Pleasant Dr	$51.59	26	26
Gabriela Dominguez 329 Cherry St	$1.90	26	26
Peter J Cawley 1800 Mulberry St	$35.69	26	25
Vicky H Bhagat 1800 Mulberry St	$74.97	27	27
Gary Lee Reedy 521 Mt Pleasant Dr	$34.69	28	26
Thomas S Boland 200 Mifflin Ave	$21.95	29	25
Nicole Mcandrew 748 Quincy Ave Ste 2A	$36.39	29	28
Seth M Jones 1800 Mulberry St	$96.74	30	30
Raymond Charles Decesare 521 Mt Pleasant Dr	$18.21	35	30
Charles Thomas Grad 201 Smallacombe Dr	$29.55	35	31
Geisinger Clinic 1800 Mulberry St	$107.46	36	35
Gerard Nealon 1209 Swetland St	$0.00	37	37
Muhammad Umar Dogar 743 Jefferson Ave Ste 305	$70.41	39	38
Jan Golden 3 W Olive St	$17.65	39	38
Yassir Nawaz 1800 Mulberry St.	$33.48	42	40
Derrick Leon Cameron 1078 S Washington Ave	$508.72	42	35
Charles Hughes 743 Jefferson Ave Ste 104	$32.31	43	43
Stephen G Opsasnick 300 Lackawanna Ave	$33.32	45	43
Nicholas A Ierovante 1800 Mulberry St	$44.75	45	44
Jonathon Jacob Warninger 395 Meridian Ave	$12.40	47	47
Timothy Jude Farrell 1800 Mulberry St	$73.61	50	48
Thomas M Roe 746 Jefferson Ave	$22.48	55	54
Muhammed Rahman 1822 Mulberry St	$11.88	56	56
Christopher Shannon Jordan 200 Mifflin Ave	$28.76	57	53
Michael L. Sunday 743 Jefferson Ave Ste 303	$76.39	64	64
James A Sheerer 1032 N Washington Ave	$29.79	65	62

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.

Average Medicaid Office Visit Payments in Scranton, PA: $32.17

Providers Offering Office Visit in Scranton, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Scranton, PA

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Blood Work & Lab Tests

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Eye Exam

Vaccines & Immunizations

Emergency Room Visit

Dental Cleaning & Exam

Physical Therapy