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
Genevieve Ann Andrews 924 Colonial Ave Ste E	$73.50	12	12
Grace E Mbonde 2250 E Market St	$89.14	12	12
Domonique S Scott 605 S George St Ste 200	$47.01	12	12
Abbie Leigh Kelley 1855 Powder Mill Rd	$38.82	12	12
Shani Najuma Gunning-Carter 1703 Innovation Dr Ste 2001	$66.26	12	12
Steven J. Busuttil 25 Monument Rd Ste 145	$56.73	12	12
Brian Michael Pollak 25 Monument Rd	$51.29	12	12
Ann Kint 1401 Roosevelt Ave	$43.84	12	12
Ali Abbas 2690 Southfield Dr Ste A	$168.78	12	12
Thomas J Nicholson 1703 Innovation Dr Ste 3136	$28.22	12	12
Jonathan Siu-On Chu 228 Saint Charles Way Ste 300	$48.49	12	12
Rahul Sao 2690 Southfield Dr Ste A	$165.12	12	12
Andrea Edith Sabocsik 30 Monument Rd	$39.81	12	12
Yaghoub Nikon 1703 Innovation Dr Ste 4120	$29.93	12	12
Kimberly Nguyen 1001 S George St	$2.43	12	12
Priyanki Shah Heidelberger 2350 Freedom Way Ste 150	$54.60	12	12
Sumithra Jeganathan 35 Monument Rd Ste 202	$61.52	12	12
Alan A Rosen 2350 Freedom Way Ste 200	$70.28	12	12
Doris Baskette 30 Monument Rd	$50.71	12	12
Jessica Chrismer 228 Saint Charles Way Ste 300	$36.77	12	12
Stacey Gauthier Robert 1001 S George St	$31.14	12	12
Lai-Yet Lam 2860 Whiteford Rd Unit 1	$134.12	12	12
Ryan R Croteau 2350 Freedom Way Ste 200	$39.73	12	12
Carissa Ramaika 228 Saint Charles Way Ste 300	$41.67	12	12
Sarah Jane Edwards 1001 S George St	$36.33	13	12
Duane E Ahlbrandt 2690 Southfield Dr	$41.49	13	12
Marjorie Dierdorf 1550 Rodney Rd	$67.62	13	12
Karampal K. Mand 1001 S George St Fl 4	$82.27	13	12
Jennifer L Gross 300 Pine Grove Commons	$54.04	13	13
Rumon Chakravarty 2350 Freedom Way Ste 202	$47.16	13	13
Dominique El-Khawand 35 Monument Rd	$23.44	13	12
Kimberlee Mudge 1703 Innovation Drive	$39.24	13	13
Amy Golob 30 Monument Rd	$32.63	13	13
Carmelle Hilsher 2149 S Queen St	$44.75	13	13
Thomas J Ortenzio 3230 Eastern Blvd	$72.90	13	13
Paul G Sipe 1601 S Queen St	$78.93	13	12
Jeremy Palmer 2319 S George St	$53.76	13	13
Mark Worden Richardson 25 Monument Rd Ste 290	$120.07	14	14
Jeffrey Carl Lazar 2350 Freedom Way	$70.18	14	13
Umair Iqbal 2350 Freedom Way Ste 200	$62.89	14	14
Theresa L Tomlinson 924 Colonial Ave	$45.71	14	14
Jenna Lynne Rogers 1401 Roosevelt Ave	$50.53	14	12
Veronica Ashley Rupert 25 Monument Rd Ste 190	$41.95	14	14
Anand Dutta 2350 Freedom Way Ste 200	$51.40	14	14
Clare Marie Palmatier 2319 S George St	$60.94	14	13
Roxane Irene Shirazi 1001 S George St	$55.64	14	13
Cerita Spears 2295 N Susquehanna Trl Ste A	$60.23	14	14
Albert W Heck 228 Saint Charles Way Ste 200	$54.65	15	14
Sudhakumar Madapoosi 1407 Williams Rd	$105.42	15	13
Ali Khalid Jawed 25 Monument Rd Ste 100	$22.49	15	15

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

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

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