Average Medicaid Office Visit Payments in Selinsgrove, PA: $41.20
Avg. Paid
$41.20
Range
$18.13 – $67.21
Total Claims
58,409
Providers
19
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 Selinsgrove, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria S. Kobylinski
201 16Th St |
$25.45 | 13,234 | 12,845 |
|
Brian T Seeley
201 Roosevelt Ave |
$39.74 | 9,652 | 9,249 |
|
Pedro O. Servano
201 Roosevelt Ave |
$48.30 | 5,213 | 5,020 |
|
Matthew James Mcclure
21 Susquehanna Valley Mall Dr Ste A |
$39.90 | 4,733 | 4,319 |
|
Gerald David Geist
980 N Susquehanna Trl |
$64.98 | 4,462 | 4,408 |
|
John Gary Kemberling
201 Roosevelt Ave |
$38.14 | 4,204 | 4,069 |
|
James A. Zola
201 Roosevelt Ave |
$40.44 | 3,040 | 2,950 |
|
Sandra K Charles
935 Route 522 |
$63.18 | 2,956 | 2,733 |
|
Allison Rague
201 Roosevelt Ave |
$55.06 | 2,937 | 2,788 |
|
Mayur A Patel
1575 N Old Trail |
$39.38 | 2,001 | 1,872 |
|
Charles Michael Pagana
270 Susquehanna Valley Mall Dr Ste 800 |
$37.04 | 1,338 | 1,216 |
|
Edward Thomas O'Brien
1575 N Old Trl |
$44.84 | 1,096 | 864 |
|
Noel Trusal
7 Meadowview Dr |
$67.21 | 940 | 835 |
|
William F. Ryan
1575 N Old Trl |
$18.13 | 869 | 752 |
|
James Dylan Pagana
270 Susquehanna Valley Mall Dr Ste 800 |
$41.18 | 617 | 573 |
|
Anne Beeson Ivie
21 Susquehanna Valley Mall Dr Ste A |
$43.95 | 397 | 358 |
|
James W Freeman
157 Roosevelt Ave. |
$31.37 | 377 | 368 |
|
Edward Gusick
191 Roosevelt Ave Ste 12000 |
$32.32 | 301 | 277 |
|
Gerald Geist
980 N Susquehanna Trl |
$66.40 | 42 | 41 |
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 Selinsgrove, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Selinsgrove, PA is $41.20 per claim, based on 58,409 claims from 19 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 Selinsgrove, PA?
There are 19 Medicaid providers offering Office Visit related services in Selinsgrove, PA according to public payment data.
What is the price range for Office Visit in Selinsgrove, PA?
Medicaid reimbursement for Office Visit in Selinsgrove, PA ranges from $18.13 to $67.21 per claim, with an average of $41.20. 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 Selinsgrove, PA
Blood Work & Lab Tests
Avg $13.30
45,927 claims
Nursing Facility Care
Avg $9.87
13,092 claims
Home Health Visit
Avg $248.65
10,885 claims
Eye Exam
Avg $28.86
10,404 claims
Speech Therapy
Avg $8.92
7,572 claims
Physical Therapy
Avg $17.80
5,800 claims
Chiropractic Care
Avg $11.88
5,059 claims
Ambulance Transport
Avg $35.15
4,340 claims