Average Medicaid Office Visit Payments in Wormleysburg, PA: $65.11
Avg. Paid
$65.11
Range
$14.43 – $110.54
Total Claims
8,791
Providers
17
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 Wormleysburg, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sunil Rameshbhai Patel
1000 N Front St |
$77.37 | 2,492 | 2,416 |
|
Cindy Ojevwe
1007 Mumma Rd Ste 101 |
$42.64 | 2,297 | 2,228 |
|
Christopher H Zachary
1000 N Front St |
$58.57 | 2,281 | 2,219 |
|
Shaji C Menon
1000 North Front Street |
$110.54 | 750 | 744 |
|
Adam M Seitz
1000 North Front Street |
$73.13 | 735 | 730 |
|
Felix Gutierrez
1000 N Front St |
$42.61 | 41 | 40 |
|
Shweta Aggarwal
1000 N Front St |
$45.46 | 41 | 40 |
|
Thomas Christopher Morris
1000 N Front St |
$56.17 | 26 | 24 |
|
Sunil Kanwal
1000 N Front St |
$44.04 | 26 | 25 |
|
Mehreen A Qureshi
1000 N Front St |
$14.43 | 14 | 13 |
|
Emad G Iskandar
1000 N Front St |
$49.23 | 13 | 13 |
|
Gouthami Boga
1000 N Front St |
$51.92 | 13 | 13 |
|
Torrey R Schmidt
1000 N Front St |
$54.81 | 13 | 13 |
|
David G Pawlush
1000 N Front St |
$68.95 | 13 | 13 |
|
Thach N Nguyen
1000 N Front St |
$61.32 | 12 | 12 |
|
Robert E Martin
1000 N Front St |
$53.69 | 12 | 12 |
|
William P Apollo
1000 N Front St |
$54.38 | 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 Wormleysburg, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wormleysburg, PA is $65.11 per claim, based on 8,791 claims from 17 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 Wormleysburg, PA?
There are 17 Medicaid providers offering Office Visit related services in Wormleysburg, PA according to public payment data.
What is the price range for Office Visit in Wormleysburg, PA?
Medicaid reimbursement for Office Visit in Wormleysburg, PA ranges from $14.43 to $110.54 per claim, with an average of $65.11. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers