Average Medicaid Office Visit Payments in Williamsport, PA: $35.30
Avg. Paid
$35.30
Range
$0.00 – $126.64
Total Claims
167,945
Providers
146
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 Williamsport, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel R Conner
471 Hepburn St |
$7.32 | 11,093 | 10,141 |
|
Taylor Anne List
131 W Edwin St |
$49.42 | 10,120 | 8,047 |
|
Henry T. Dietrich
425 Market St |
$23.01 | 9,085 | 6,992 |
|
Amber Lynn Leonard
131 W Edwin St |
$49.44 | 8,764 | 7,067 |
|
Ashley Nichole Pence
700 High St |
$40.94 | 7,728 | 7,183 |
|
River Valley Health
471 Hepburn St |
$0.97 | 7,718 | 7,050 |
|
River Valley Health
431 Hepburn St |
$0.32 | 7,344 | 6,281 |
|
William Joseph Pagana
1205 River Ave |
$38.20 | 6,609 | 6,050 |
|
Qasim Mahmood
700 High St |
$39.78 | 4,475 | 4,360 |
|
Ayaz M Khan
553 E 3Rd St |
$22.45 | 4,456 | 3,896 |
|
Sabrina Kay Mikita
1205 Grampian Blvd Ste 1A |
$49.53 | 4,428 | 4,350 |
|
Kathryn Morton-Deininger
1705 Warren Ave Ste 204205 |
$40.01 | 3,306 | 3,176 |
|
Thomas Evans Wallace
145 Shaffer St |
$36.76 | 3,109 | 2,774 |
|
Scott Segel
1100 Grampian Blvd |
$47.51 | 3,044 | 2,975 |
|
Mona Pinghua Chang
1205 River Ave Fl 2 |
$40.29 | 2,943 | 2,723 |
|
Joseph Demay
338 Russell Ave |
$34.70 | 2,540 | 2,329 |
|
Charles Lamade
740 High St |
$2.87 | 2,250 | 2,149 |
|
Vivek Kumar
700 High St |
$55.86 | 2,219 | 2,189 |
|
Steven Brooks Daniels Pinckney
1205 River Ave |
$35.53 | 2,151 | 1,978 |
|
Katya Elysia Vallon
1307 Park Ave Ste 10-223 |
$52.43 | 2,143 | 1,742 |
|
Jake Andrew Coffman
1705 Warren Ave Ste 101-103 |
$51.99 | 2,119 | 1,914 |
|
Kate E Skipton
699 Rural Avenue |
$53.67 | 2,115 | 2,011 |
|
Mindi Nichols
1100 Grampian Blvd |
$48.30 | 2,082 | 1,730 |
|
Ifeanyi Bertram Nwadukwe
425 Market St |
$126.64 | 1,966 | 1,565 |
|
Yin Yin Htun
471 Hepburn St |
$43.74 | 1,937 | 1,874 |
|
Leeanna Lyne
1205 Grampian Blvd |
$47.13 | 1,899 | 1,785 |
|
Nancy L Grauso - Eby
175 Pine St Ste 200 |
$38.07 | 1,758 | 1,660 |
|
William Banks
1705 Warren Ave Ste 204-205 |
$39.87 | 1,752 | 1,696 |
|
Stuart Olinsky
700 High St |
$35.22 | 1,747 | 1,702 |
|
Ronald Campbell
1201 Grampian Blvd Ste 2F |
$35.36 | 1,725 | 1,628 |
|
Matthew James Meeker
1205 Grampian Blvd |
$44.97 | 1,723 | 1,634 |
|
Amitabha Mitra
1100 Grampian Blvd |
$37.57 | 1,708 | 1,612 |
|
Fadi Sweiss
740 High St Ste 3002 |
$57.25 | 1,649 | 1,594 |
|
Jennifer Janet May
1100 Grampian Blvd |
$28.03 | 1,581 | 1,264 |
|
Ashley L Thomas
131 W Edwin St |
$42.60 | 1,504 | 1,166 |
|
Alicia Meadows
1705 Warren Ave |
$46.92 | 1,427 | 1,399 |
|
Jessica Osman
175 Pine St Ste 200 |
$35.74 | 1,410 | 1,287 |
|
Kimberly Pish
1100 Grampian Blvd |
$45.55 | 1,409 | 1,318 |
|
Andrew Nelson Haussmann
500 W 3Rd St |
$45.05 | 1,403 | 1,379 |
|
Erin Marie Lyons
1100 Grampian Blvd |
$76.35 | 1,352 | 1,241 |
|
David Hyman Bresticker
1205 River Ave Fl 1 |
$36.22 | 1,063 | 1,006 |
|
Mary Alice Decoursey
740 High St Ste 1004 |
$38.35 | 1,045 | 891 |
|
Sophia Johnson
1100 Grampian Blvd |
$45.73 | 1,009 | 965 |
|
David Lee Troutman
1201 Grampian Blvd Ste 2F |
$35.38 | 970 | 815 |
|
Michael W Jones
471 Hepburn St |
$0.00 | 965 | 806 |
|
John Arthur Pellegrino
700 High St Fl 9 |
$45.48 | 897 | 795 |
|
Christine Nolan
1201 Grampian Blvd |
$19.45 | 831 | 699 |
|
Ronald Enrico Disimone
1705 Warren Ave |
$35.53 | 805 | 750 |
|
John Kunkel
1201 Grampian Blvd Ste 2F |
$23.98 | 770 | 687 |
|
Mohammad Tahir
1100 Grampian Blvd |
$35.52 | 719 | 709 |
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 Williamsport, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Williamsport, PA is $35.30 per claim, based on 167,945 claims from 146 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 Williamsport, PA?
There are 146 Medicaid providers offering Office Visit related services in Williamsport, PA according to public payment data.
What is the price range for Office Visit in Williamsport, PA?
Medicaid reimbursement for Office Visit in Williamsport, PA ranges from $0.00 to $126.64 per claim, with an average of $35.30. 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 Williamsport, PA
Emergency Room Visit
Avg $77.43
139,701 claims
Blood Work & Lab Tests
Avg $11.74
76,067 claims
Speech Therapy
Avg $8.77
45,283 claims
Ambulance Transport
Avg $83.07
42,450 claims
Case Management Services
Avg $81.92
40,185 claims
Home Health Visit
Avg $162.48
35,209 claims
Physical Therapy
Avg $35.60
29,470 claims
EKG / ECG (Electrocardiogram)
Avg $7.28
23,701 claims