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 |
|---|---|---|---|
|
David Kurz
1705 Warren Ave Ste 206 |
$81.77 | 12 | 12 |
|
Geisinger-Hm Joint Venture, Llc
1824 E 3Rd St |
$46.69 | 12 | 12 |
|
Kevin William Kist
700 High St |
$0.00 | 12 | 12 |
|
Daniel Schuler
175 Pine St Ste 200 |
$49.88 | 12 | 12 |
|
Saadullah Khan
700 High St |
$27.62 | 13 | 13 |
|
Angela Huggler
740 High St |
$38.50 | 13 | 13 |
|
Abbey B Vanderlin
1205 River Ave |
$50.23 | 13 | 13 |
|
Melinda Marie Stoetzel
1100 Grampian Blvd |
$28.27 | 13 | 13 |
|
Theresa Hershberger
1100 Grampian Blvd Fl 3 |
$12.18 | 13 | 13 |
|
Renuka Kakarala
904 Campbell St |
$0.33 | 14 | 13 |
|
Providence Pediatrics, Pc
338 Russell Avenue |
$53.04 | 14 | 12 |
|
Sara Jo Ritchey
1100 Grampian Blvd |
$0.00 | 14 | 14 |
|
Sharad Oli
700 High St |
$64.64 | 14 | 14 |
|
Eugene Muchnik
1100 Grampian Blvd |
$64.16 | 14 | 14 |
|
Zachary Thomas Ritter
1201 Grampian Blvd |
$16.00 | 15 | 14 |
|
Nancy Amma Abu-Bonsrah
740 High St Ste 3002 |
$115.63 | 16 | 16 |
|
Leonard Albert Weber
471 Hepburn St |
$0.00 | 17 | 17 |
|
Daniel Ryan Freshour
1824 E 3Rd St |
$15.12 | 19 | 17 |
|
Alexander Elli Nuique
1205 River Avenue Fl 2 |
$38.08 | 24 | 24 |
|
Mary Hostetler
740 High St |
$28.60 | 25 | 24 |
|
Ganga Ranasuriya
700 High St |
$41.65 | 26 | 24 |
|
Raymond S Resnick
740 High St Ste 2001 |
$3.84 | 26 | 25 |
|
Steven Rockoff
1705 Warren Ave |
$58.24 | 27 | 25 |
|
Ian D Cole
700 High St |
$73.74 | 27 | 25 |
|
Susquehanna Physician Services
700 High Street |
$30.33 | 28 | 24 |
|
Amy Lynne Grimes
700 High St |
$8.19 | 30 | 30 |
|
Arlie Swailes
740 High St |
$26.74 | 36 | 29 |
|
Rena Stewart
1705 Warren Ave Ste 101103 |
$29.51 | 39 | 39 |
|
Michelle Marie Dangle
471 Hepburn St |
$63.73 | 40 | 40 |
|
David Michael Frey
1705 Warren Ave Ste 303 |
$26.99 | 43 | 41 |
|
Gary Michael Dincher
445 River Ave |
$18.15 | 43 | 39 |
|
Onyinyechukwu Basilia Nwankwo
1705 Warren Ave Ste 101-103 |
$63.38 | 44 | 39 |
|
Michael Su
10 Wisteria Ln |
$51.70 | 44 | 41 |
|
Donna Mullarkey
1100 Grampian Blvd |
$51.48 | 50 | 48 |
|
Rohit G Singh
1100 Grampian Blvd |
$83.31 | 59 | 59 |
|
Frederick Johannes Lombard
1205 River Ave Fl 1 |
$28.36 | 68 | 64 |
|
Lalita Mittal
700 High St |
$65.44 | 68 | 66 |
|
Jonathan William Seiferth
740 High St Ste 4001 |
$45.02 | 80 | 78 |
|
David Noble Ambrose
1205 Grampian Blvd |
$44.93 | 80 | 78 |
|
Heather Gerst
700 High St |
$52.02 | 92 | 90 |
|
Russell Lewis Gombosi
3155 Lycoming Creek Rd |
$27.86 | 108 | 96 |
|
Carolyn Ann Miele
740 High St |
$36.07 | 117 | 110 |
|
Thomas Parrish
740 High St |
$48.31 | 117 | 66 |
|
Stacy G Prall
700 High St |
$80.73 | 120 | 120 |
|
Wesley Harl Adams
1705 Warren Ave Ste 303 |
$31.05 | 122 | 105 |
|
Patrick Joseph Carey
1201 Grampian Blvd Ste 2F |
$35.73 | 122 | 111 |
|
Brian Kaderli
740 High St Ste 4001 |
$0.00 | 124 | 112 |
|
Angeleah Ribao Dadivas
740 High St Ste 4001 |
$42.12 | 132 | 129 |
|
Sandeep Sagar
740 High St |
$45.35 | 136 | 126 |
|
Jack Michael Smith
1100 Grampian Blvd |
$44.34 | 136 | 132 |
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