Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Stroudsburg, PA: $48.64

Avg. Paid

$48.64

Range

$3.20 – $549.40

Total Claims

76,706

Providers

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 Stroudsburg, PA

Provider	Avg. Paid	Claims	Patients
Jean-Paul Romes 101 Pocono Commons Ste 101	$58.55	10,008	9,466
Herline Raphael 104 Skinner Hill Rd	$30.81	7,959	7,226
John William Brinker 1803 W Main St	$43.20	5,609	5,184
Oliana Ros 1655 W Main St	$42.86	5,255	5,047
Ilan S Levinson 1172 West Main Street	$28.54	3,981	3,262
Sulagna De Route 611 Stroud Bldg Suite 100B	$43.61	3,881	3,568
Andrea Argeson 208 Lifeline Rd	$40.74	3,746	3,611
Allison A Froehlich 600 Commerce Blvd	$55.62	3,473	3,426
Robert C Wallen 516 Owls Nest Rd	$48.81	3,422	3,339
Lindy Lee Cibischino 208 Lifeline Rd	$41.78	3,143	3,062
Parvez Memon 208 Lifeline Rd Ste 102	$38.17	2,859	2,604
Akia Sheema Blandon 24 N 7Th St Ste 102	$81.55	2,858	2,814
John Joseph Glasner 208 Main St	$54.42	2,587	2,527
Bruce Craig Davis 1803 W Main St	$39.72	2,494	2,378
Shayn Collins 1619 N 9Th St Ste 1And2	$47.10	2,114	2,012
Brian Olzinski 852 N 9Th St	$53.75	1,923	1,836
Ingrid Michelle Sterling Rt 611	$39.38	1,535	1,498
William Tenpenny 200 St Lukes Ln Ste 200	$48.29	1,497	1,450
Kimberly R Brown 1619 N 9Th St	$45.05	1,392	1,323
Reed Bradley Pett 208 Main St	$69.26	1,246	1,212
Andrea Sidonie Mclaren 1519 N 9Th St	$52.34	1,010	723
Richard Lee Spinner 1101 N. 5Th Street	$28.44	970	908
St. Luke'S Physician Group, Inc 208 Lifeline Rd Ste 201	$61.98	770	639
Krista Bott 600 Commerce Blvd	$35.97	672	654
Kathrine Ann King 1070 N 9Th St	$549.40	377	361
Umesh I Dalal 1619 N 9Th St	$34.32	339	333
Radhika Ailawadi 600 Commerce Blvd	$48.01	332	322
Corey Adrian Genteel 101 Pocono Cmns Ste 101	$19.94	286	275
Christopher Brendan Lynch 208 Lifeline Rd	$34.87	252	241
Yelena Kipervas 104 Skinner Hill Rd	$50.43	144	139
David Meir-Levi 292 Frantz Rd	$37.72	120	115
Mohamed T Lareef 200 St Lukes Ln	$67.81	83	81
Roland Howard 200 St Lukes Ln Ste 200	$56.50	71	70
Jwalant R. Patel 1619 N 9Th St	$34.96	52	52
Nazia Khan 200 St Lukes Ln Ste 100	$43.44	49	42
Eric P Wilson 600 Commerce Blvd	$28.61	38	37
Harwant S Gill 205 Applegate Rd Ste 1001133	$99.49	35	28
Elisabeth Rampersad 101 Pocono Cmns Ste 101	$59.52	33	32
Romes Urgent Care Services Llc 101 Pocono Commons Ste 101	$68.13	26	25
Matthew D Ottinger 1172 W Main St	$3.20	17	17
Jacqueline Mcgibbon 600 Commerce Blvd	$27.65	16	16
Carlos Joel Garcia 101 Pocono Cmns Ste 101	$79.07	16	15
Haseeba Shahzad 200 St Lukes Ln	$87.81	16	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 Stroudsburg, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stroudsburg, PA is $48.64 per claim, based on 76,706 claims from 43 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 Stroudsburg, PA?

There are 43 Medicaid providers offering Office Visit related services in Stroudsburg, PA according to public payment data.

What is the price range for Office Visit in Stroudsburg, PA?

Medicaid reimbursement for Office Visit in Stroudsburg, PA ranges from $3.20 to $549.40 per claim, with an average of $48.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Stroudsburg, PA: $48.64

Providers Offering Office Visit in Stroudsburg, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Stroudsburg, PA

Case Management Services

Emergency Room Visit

Blood Work & Lab Tests

Speech Therapy

Dental Cleaning & Exam

Durable Medical Equipment (DME)

Nursing Facility Care

Physical Therapy