Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in York, PA: $45.53

Avg. Paid

$45.53

Range

$0.00 – $181.98

Total Claims

564,277

Providers

565

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 York, PA

Provider	Avg. Paid	Claims	Patients
Creston M Tate 2149 S Queen St	$35.55	48,889	46,734
Giselle Joseph 1575 Bannister St	$28.24	25,895	24,020
Mark M Stecker 228 Saint Charles Way Ste 200	$0.72	25,227	17,002
Melencio Chan Ventura 2860 Carol Rd	$66.53	14,996	13,136
Kristina M Zimmerman 2003 Springwood Rd	$43.50	8,903	5,234
James C Ndungu 1 East Market Street	$35.86	8,809	7,407
Christian F Kone 2250 E Market St	$27.35	8,660	8,443
Wellspan Medical Group 2339 S George St	$84.25	8,397	7,264
Nathan Eric Bucks 2319 S George St	$59.75	8,308	8,028
Asceline So Go 116 S George St	$0.84	7,838	7,337
Andrew Mckelvy Bayles 520 Greenbriar Rd	$43.63	7,313	7,119
Douglas Scott Mccracken 605 S George St	$32.50	7,305	6,618
Lum Frundi 2050 S Queen St Ste 100	$75.64	7,093	6,818
Rajesh Singal 2050 S Queen St	$50.70	5,278	5,077
Guy Richard Moscato 2339 S George St	$49.65	5,002	4,820
Hafiz M. Muslim 2003 E Market St	$50.54	4,717	4,460
Mandi Rhone 2250 E Market St	$172.59	4,489	2,922
Hetal V Patel 116 S George St	$0.31	4,422	4,225
Sarah Eileen Mann 2250 E Market St	$57.13	4,285	3,325
Muhammad Arslan Rashid 2675 Joppa Rd	$133.73	4,238	4,038
Joseph William Dempsey 2339 S George St	$57.26	4,107	3,947
Robbyn O'Connor Upham 2003 Springwood Rd	$76.48	3,917	3,790
Nicole Marie Campanella 116 S George St	$0.03	3,784	3,296
Shawyin Yee-Armah 1600 6Th Ave	$46.26	3,743	3,617
Philip A Hove 1401 Roosevelt Ave	$79.73	3,706	3,660
Roman Braginskiy 1575 Bannister St	$49.56	3,570	3,463
Monique S Terry 2250 E Market St	$27.19	3,508	3,445
Chris Leo Deocampo Dionaldo 2339 S George St	$43.02	3,446	3,317
Samy B Gergis 1401 Roosevelt Ave	$48.27	3,393	3,156
Christian Carson Hall 25 Monument Rd	$47.94	3,337	3,185
Regina Abhulimen 2003 E Market St	$47.21	3,314	3,122
Heather Michelle Lazusky 2050 S Queen St	$44.31	3,209	2,953
Linda Marie Blase 2339 S George St	$51.22	3,204	3,099
Kristina Elaine Louise Steele 1401 Roosevelt Ave	$52.08	3,198	2,955
Quincy O Harberger 1401 Roosevelt Ave	$51.99	3,168	2,903
Fengjun Jiang 228 Saint Charles Way Ste 200	$53.91	3,109	3,012
Christianne Schoedel 360 Saint Charles Way	$178.42	3,006	2,842
Mary Demino 1401 Roosevelt Ave	$23.38	2,817	1,944
Family First Health Corporation 116 S George St	$3.68	2,789	2,290
Anthony Ralph Piccolo 1225 E Market St	$53.27	2,772	2,511
John M Manubay 2960 E Market St	$31.96	2,741	2,554
David D. Vega 1001 S George St	$21.14	2,740	2,668
Theodore Bean 2339 S George St	$53.44	2,721	2,624
Susan E Martin 4222 Lincoln Hwy	$48.72	2,622	2,265
Jeffrey K Monk 2050 S Queen St	$46.22	2,565	2,481
Travis R. Neely 2050 S Queen St	$43.85	2,455	2,366
Stanton S Lebouitz 1936 Powder Mill Rd	$54.52	2,437	2,389
John R Deitch 25 Monument Rd	$61.31	2,397	2,294
Wynnona Engle-Pratt 2003 E Market St	$100.48	2,379	2,137
Allison M Brignola 1 East Market Street	$27.25	2,341	2,093

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 York, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in York, PA is $45.53 per claim, based on 564,277 claims from 565 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 York, PA?

There are 565 Medicaid providers offering Office Visit related services in York, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in York, PA ranges from $0.00 to $181.98 per claim, with an average of $45.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in York, PA: $45.53

Providers Offering Office Visit in York, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in York, PA

Emergency Room Visit

Blood Work & Lab Tests

EKG / ECG (Electrocardiogram)

Dental Cleaning & Exam

X-Ray

Case Management Services

Eye Exam

Ultrasound