Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Upland, PA: $38.33

Avg. Paid

$38.33

Range

$5.16 – $108.98

Total Claims

27,854

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 Upland, PA

Provider	Avg. Paid	Claims	Patients
Sherry Jose 30 Medical Center Blvd	$33.68	14,169	13,262
Blaze Robert Gusic 30 Medical Center Blvd	$72.10	1,536	1,172
Pamela Muschek Hale 30 Medical Center Blvd	$35.05	1,390	1,328
Roland Bruce Lutz 1 Medical Center Blvd	$51.47	1,242	1,117
Pei Ann Kong One Medical Center Blvd	$21.38	1,082	1,055
Evan K Bash One Medical Ctr Blvd	$52.60	1,078	995
Praveena Gandikota One Medical Center Blvd	$47.44	981	973
Erin Marie Mannella 30 Medical Center Blvd	$47.84	678	664
Kenneth R Lander 30 Medical Center Blvd	$23.91	656	628
Elina Golub 1 Medical Center Blvd Ste 232	$14.71	590	578
Rita P Nunag 30 Medical Center Blvd	$62.06	553	497
Brian K Kelly 1 Medical Center Blvd.	$44.96	507	498
Zsofia Szep One Medical Center Blvd.	$43.40	494	420
James M Zurbach One Medical Ctr Blvd	$31.35	397	368
Glenn A. Ladinsky 30 Medical Center Blvd	$24.52	349	338
Michael Adesman 1 Medical Center Boulevard	$65.76	313	302
Frank P Giammattei One Medical Ctr Blvd	$13.45	283	252
James Thomas Mcglynn One Medical Ctr Blvd	$6.23	274	224
Erin E. Schnepp 30 Medical Center Blvd	$12.69	264	256
Yakir Konstantin Vaks One Medical Center Blvd.	$108.98	247	188
Aashay Navin Patel One Medical Center Blvd	$49.76	199	196
Sandra M Gawchik 1 Presidents Drive	$49.73	157	143
Kirankumar Patel One Medical Center Blvd	$17.43	149	143
Raymond M Wolfe One Medical Ctr Blvd	$9.73	79	67
Roy G. Marcus 30 Medical Center Blvd	$26.35	77	75
Aley El-Din M Tohamy One Medical Center Blvd	$58.30	41	39
Chike Nathan Okechukwu 30 Medical Center Blvd	$34.36	18	18
Daniel Christopher Marotta One Medical Center Blvd	$5.16	15	15
Robert Ditrolio 30 Medical Center Blvd	$34.65	12	12
Ingram M Roberts One Medical Center Blvd	$31.90	12	12
John P Lamond 1 Medical Center Blvd	$83.42	12	12

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 Upland, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Upland, PA is $38.33 per claim, based on 27,854 claims from 31 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 Upland, PA?

There are 31 Medicaid providers offering Office Visit related services in Upland, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Upland, PA ranges from $5.16 to $108.98 per claim, with an average of $38.33. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Upland, PA: $38.33

Providers Offering Office Visit in Upland, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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