Average Medicaid Office Visit Payments in Shippensburg, PA: $47.44
Avg. Paid
$47.44
Range
$0.00 – $149.24
Total Claims
37,163
Providers
23
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 Shippensburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carlos R Sandoval-Martinez
46 Walnut Bottom Rd Ste 100 |
$24.14 | 8,315 | 8,047 |
|
Vincent A Cantone
46 Walnut Bottom Rd Ste 200 |
$97.72 | 4,685 | 4,234 |
|
Scott Michael Vascik
127 Walnut Bottom Rd |
$62.86 | 4,089 | 3,546 |
|
Karen Frances Bryson
46 Walnut Bottom Rd Ste 200 |
$43.51 | 3,724 | 3,520 |
|
Adelina L Palade
46 Walnut Bottom Rd Ste 200 |
$43.14 | 3,026 | 2,889 |
|
Anne Marie Manning
127 Walnut Bottom Rd |
$34.20 | 2,481 | 1,911 |
|
Steven Asbury Black
127 Walnut Bottom Rd |
$66.84 | 1,682 | 1,512 |
|
Stacey Fague
46 Walnut Bottom Rd |
$0.42 | 1,598 | 1,550 |
|
Baxter Drew Wellmon
97 Progress Blvd |
$40.65 | 1,522 | 1,336 |
|
Susan West
46 Walnut Bottom Rd |
$96.16 | 1,133 | 1,014 |
|
Page M. Kissinger
46 Walnut Bottom Rd Ste 200 |
$46.50 | 939 | 916 |
|
Thomas A Steinour
1871 Old Main Dr |
$8.49 | 901 | 877 |
|
Halee Alleman
11025 Spring Ridge Rd |
$51.21 | 722 | 646 |
|
Jason S. Misel
46 Walnut Bottom Rd |
$53.76 | 685 | 561 |
|
Carly Ann Washabaugh
46 Walnut Bottom Rd |
$0.98 | 488 | 479 |
|
Justin Baker Rife
46 Walnut Bottom Rd Ste 100 |
$1.30 | 381 | 377 |
|
Virginia Kyline Keefer
46 Walnut Bottom Rd Ste 200 |
$52.94 | 245 | 242 |
|
Kathryn Ann Havens
46 Walnut Bottom Rd |
$149.24 | 230 | 218 |
|
Taofeek Akinpelu
97 Progress Blvd |
$60.81 | 121 | 115 |
|
John A Yarwood
46 Walnut Bottom Rd |
$39.03 | 91 | 88 |
|
Abby Nichole Rhone
46 Walnut Bottom Rd Ste 100 |
$0.00 | 66 | 64 |
|
Dijana Katic
46 Walnut Bottom Rd |
$30.08 | 25 | 24 |
|
Logan Stonesifer
46 Walnut Bottom Rd Ste 200 |
$69.27 | 14 | 14 |
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 Shippensburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shippensburg, PA is $47.44 per claim, based on 37,163 claims from 23 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 Shippensburg, PA?
There are 23 Medicaid providers offering Office Visit related services in Shippensburg, PA according to public payment data.
What is the price range for Office Visit in Shippensburg, PA?
Medicaid reimbursement for Office Visit in Shippensburg, PA ranges from $0.00 to $149.24 per claim, with an average of $47.44. 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 Shippensburg, PA
Speech Therapy
Avg $6.11
7,214 claims
Ambulance Transport
Avg $122.21
5,521 claims
Physical Therapy
Avg $8.94
4,338 claims
Nursing Facility Care
Avg $16.26
4,198 claims
Eye Exam
Avg $30.15
3,298 claims
Vaccines & Immunizations
Avg $18.34
1,599 claims
Dental Cleaning & Exam
Avg $28.46
895 claims
EKG / ECG (Electrocardiogram)
Avg $6.77
831 claims