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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Waynesboro, PA: $36.44

Avg. Paid

$36.44

Range

$0.00 – $110.56

Total Claims

37,795

Providers

34

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 Waynesboro, PA

Provider Avg. Paid Claims Patients
Brittany Rowe

601 E Main St

 $61.50 12 12
Andrew Lininger

501 E Main St

 $47.11 13 13
Pamela Fox Bradford

601 E Main St

 $65.31 14 13
Pediatric Urgent Care Of Franklin County Pc

5 Roadside Ave

 $35.90 15 13
Marystuart D Seifarth

501 E Main St

 $34.50 25 25
Erica Heckman

601 E Main St # 3

 $52.48 57 56
Fawaz Zakai Hakki

501 E Main St

 $48.92 117 112
Stacie Michelle Beaver

601 E Main St

 $0.28 152 147
Eileen Lucille Hissong

601 E Main St

 $45.78 162 155
Shahin Mohammad Rahimian

501 E Main St

 $45.43 183 172
Emily Sankey

601 E Main St

 $5.29 186 180
Lexi Marie Batey

601 E Main St

 $47.83 264 241
Elaina J Diggs

601 East Main Street

 $49.15 266 249
Jehanzeb Qureshi

12104 Buchanan Trl E

 $29.52 266 249
Ashleigh Bailey

601 E Main St

 $2.35 275 268
Jennifer Adler

12466 Jackson Ave

 $110.56 289 243
Nikki Floyd

601 East Main Street

 $41.55 327 289
Angie Marie Wallace

45 Roadside Ave Frnt

 $0.00 331 301
Melissa Coreen Criollo Zambrano

601 E Main St

 $40.96 403 379
Mohammad S Haq

601 E Main St

 $41.40 420 402
Keystone Rural Health Center

45 Roadside Ave Frnt

 $0.00 531 430
Elizabeth A Wolfinger

501 E Main St

 $2.02 592 568
Sheena Marie Bonebrake

601 E Main St # A

 $39.40 706 691
Lisa K Higginbotham

601 E Main St

 $50.39 888 822
Pediatric Specialists Of Franklin County

27 Vista Dr. Unit 3

 $54.52 924 624
Nirupama Seemaladinne

45 Roadside Ave Frnt

 $67.93 1,532 1,358
Michael Joseph Patti

6155 Anthony Highway

 $0.00 1,536 1,488
Allison Hickman

45 Roadside Ave Frnt

 $1.48 1,682 1,546
Arnauld Oreste

45 Roadside Ave Frnt

 $0.73 2,300 2,062
Hina Warraich

45 Roadside Ave Frnt

 $60.56 2,344 2,248
Muhammad Jawaid

601 E Main St

 $48.58 3,094 2,833
Lara Michelle Kauffman

6596 Orphanage Rd

 $0.11 3,181 3,133
Jane Gm Leotaud-Moreno

601 E Main St

 $48.14 5,139 4,775
Fouzia Rishi

27 Vista Dr

 $48.28 9,569 8,494

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 Waynesboro, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waynesboro, PA is $36.44 per claim, based on 37,795 claims from 34 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 Waynesboro, PA?

There are 34 Medicaid providers offering Office Visit related services in Waynesboro, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Waynesboro, PA ranges from $0.00 to $110.56 per claim, with an average of $36.44. 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 Waynesboro, PA

Ambulance Transport

Avg $32.72

10,550 claims

Speech Therapy

Avg $6.00

9,682 claims

Vaccines & Immunizations

Avg $5.48

7,831 claims

Eye Exam

Avg $30.50

6,713 claims

Emergency Room Visit

Avg $109.44

3,675 claims

Physical Therapy

Avg $43.06

2,809 claims

Blood Work & Lab Tests

Avg $8.74

1,936 claims

Dental Cleaning & Exam

Avg $29.85

1,752 claims