Average Medicaid Office Visit Payments in Tunkhannock, PA: $46.95
Avg. Paid
$46.95
Range
$0.25 – $220.34
Total Claims
68,351
Providers
17
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 Tunkhannock, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher D. Andres
Rt. 6 Town Plaza |
$59.15 | 23,437 | 21,529 |
|
Robert G Masci
10 Trieble Dr |
$44.22 | 10,445 | 9,979 |
|
Heidi Marie Clark
10 Trieble Dr |
$42.47 | 5,442 | 5,166 |
|
Brenda T Goodrich
10 Trieble Dr |
$36.65 | 5,428 | 5,178 |
|
Gehred D Wetzel
10 Trieble Dr |
$45.31 | 5,100 | 4,375 |
|
Raphael B Kon
502 Sr 29 S |
$24.66 | 4,832 | 3,507 |
|
Seth P Linker
10 Trieble Dr |
$59.27 | 3,487 | 3,411 |
|
Dennis M Mattei
10 Trieble Dr |
$45.81 | 2,868 | 2,727 |
|
Daniel C Williams
71 Hollow Crest Rd |
$33.75 | 2,079 | 1,857 |
|
Michael Robert Kapottos
10 Trieble Dr |
$46.23 | 1,960 | 1,886 |
|
Daniel L Coster
880 Sr 6W |
$0.25 | 1,219 | 1,145 |
|
Rodger C Sayre
10 Trieble Dr |
$45.44 | 1,112 | 1,057 |
|
Edward G. Zurad
71 Hollow Crest Rd |
$22.64 | 523 | 426 |
|
Militza E Suarez-Favetta
1 Kim Ave Ste 2 |
$37.14 | 277 | 270 |
|
Rebecca Grimaud-Chilson
1 Kim Ave Ste 4 |
$39.82 | 110 | 99 |
|
Geisinger Clinic
809 Hunter Hwy |
$220.34 | 17 | 15 |
|
Leon C Sidorek
12 Grace Dr |
$24.09 | 15 | 15 |
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 Tunkhannock, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tunkhannock, PA is $46.95 per claim, based on 68,351 claims from 17 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 Tunkhannock, PA?
There are 17 Medicaid providers offering Office Visit related services in Tunkhannock, PA according to public payment data.
What is the price range for Office Visit in Tunkhannock, PA?
Medicaid reimbursement for Office Visit in Tunkhannock, PA ranges from $0.25 to $220.34 per claim, with an average of $46.95. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Tunkhannock, PA
Physical Therapy
Avg $21.01
15,753 claims
Speech Therapy
Avg $16.22
4,389 claims
Blood Work & Lab Tests
Avg $10.43
4,248 claims
Hearing Test (Audiometry)
Avg $12.49
3,958 claims
Eye Exam
Avg $16.45
3,446 claims
Home Health Visit
Avg $66.93
3,238 claims
Dental Cleaning & Exam
Avg $30.81
2,504 claims
Podiatry (Foot Care)
Avg $5.22
2,467 claims