Average Medicaid Office Visit Payments in Wellsboro, PA: $40.07
Avg. Paid
$40.07
Range
$0.00 – $67.91
Total Claims
50,468
Providers
22
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 Wellsboro, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lee C. Meyers
110 Plaza Ln |
$46.59 | 13,133 | 12,361 |
|
Ana Maria Pagan Cabrera
15 Meade St Ste L1 |
$40.73 | 11,496 | 9,888 |
|
David A. Pfisterer
110 Plaza Ln |
$50.94 | 6,022 | 5,612 |
|
Koryn Amanda Johnston
110 Plaza Ln |
$58.18 | 5,235 | 4,877 |
|
Barry A Clark
1B Main St |
$1.69 | 5,005 | 4,579 |
|
Scott P. Rutkoski
15 Meade St |
$36.03 | 1,930 | 1,827 |
|
Lisa Lynnelle Harpst
110 Plaza Ln |
$64.46 | 1,576 | 1,477 |
|
Edmund P Guelig
7 Water St |
$0.30 | 1,123 | 1,069 |
|
Paul Latzko
103 West Ave |
$44.27 | 1,071 | 1,045 |
|
Cathleen M Veach
110 Plaza Ln |
$52.81 | 707 | 638 |
|
Scott G Kroll
7 Water St |
$0.00 | 654 | 638 |
|
Jeffrey A Ranta
15 Meade St Ste U3 |
$33.46 | 545 | 485 |
|
Olivia C. Mays
7 Water St |
$0.00 | 406 | 397 |
|
Hamza Mir
7 Water St |
$2.35 | 396 | 374 |
|
Peter Thomas Eisenhauer
110 Plaza Ln |
$67.91 | 364 | 327 |
|
Donald John Sweeney
7 Water St |
$0.63 | 245 | 217 |
|
Alison L. Martuccio
7 Water St |
$67.61 | 170 | 157 |
|
Guthrie Medical Group, P.C.
110 Plaza Ln |
$61.25 | 150 | 91 |
|
North Penn Comprehensive Health Services
7 Water St |
$8.07 | 140 | 124 |
|
George Ann Foreman
7 Water St |
$0.00 | 49 | 46 |
|
Daniel Lee Branzburg
7 Water St |
$0.00 | 33 | 25 |
|
North Penn Comprehensive Health Services
7 Water St |
$0.00 | 18 | 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 Wellsboro, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wellsboro, PA is $40.07 per claim, based on 50,468 claims from 22 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 Wellsboro, PA?
There are 22 Medicaid providers offering Office Visit related services in Wellsboro, PA according to public payment data.
What is the price range for Office Visit in Wellsboro, PA?
Medicaid reimbursement for Office Visit in Wellsboro, PA ranges from $0.00 to $67.91 per claim, with an average of $40.07. 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 Wellsboro, PA
Urinalysis & Urine Tests
Avg $3.31
13,161 claims
Durable Medical Equipment (DME)
Avg $65.54
5,405 claims
Vaccines & Immunizations
Avg $7.72
4,579 claims
Chiropractic Care
Avg $12.48
3,705 claims
Psychiatric Evaluation
Avg $80.43
3,407 claims
EKG / ECG (Electrocardiogram)
Avg $4.30
3,342 claims
Eye Exam
Avg $20.85
3,258 claims
Ultrasound
Avg $94.55
3,037 claims