Average Medicaid Office Visit Payments in Abington, PA: $39.66
Avg. Paid
$39.66
Range
$0.00 – $135.62
Total Claims
62,123
Providers
97
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 Abington, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patrick C Fall
1200 Old York Rd |
$35.65 | 7,697 | 7,084 |
|
Bethany Perry
1200 Old York Rd |
$40.51 | 4,556 | 3,950 |
|
Philip John Sasso
1200 Old York Rd |
$38.06 | 3,897 | 3,640 |
|
Jessica Renee Rogers
1200 Old York Rd |
$7.26 | 3,419 | 3,126 |
|
Jeremy R Jaffe
1200 Old York Rd |
$32.49 | 3,418 | 3,232 |
|
Anne Cathleen Tenthoff
1235 Old York Rd Ste 210 |
$45.29 | 3,207 | 3,044 |
|
Jennifer L Weed
1200 Old York Rd |
$19.58 | 2,732 | 2,528 |
|
Deborah Sandrock
1047 Old York Rd |
$50.02 | 2,581 | 2,416 |
|
Karen T Feisullin
1200 Old York Rd |
$39.10 | 2,554 | 2,283 |
|
Wendy Black Dorn
1200 Old York Rd |
$49.62 | 2,091 | 1,924 |
|
Lindsey Marie Webb
1200 Old York Rd |
$64.51 | 1,761 | 1,392 |
|
Edward C Da Veiga
1235 Old York Rd |
$67.70 | 1,741 | 1,657 |
|
Elina Vengrinovici
1200 Old York Rd |
$52.38 | 1,578 | 1,478 |
|
Alycia Rasheen Ham
1200 Old York Rd |
$56.96 | 1,519 | 1,449 |
|
Elizabeth A. Goetz-Spitko
1200 Old York Rd |
$48.55 | 1,353 | 1,213 |
|
Ayanna D Diarra
938 Old York Rd |
$0.82 | 942 | 928 |
|
Manoj R Muttreja
1200 Old York Rd |
$42.43 | 875 | 824 |
|
Patricia Hawley Morgan
1421 Highland Ave |
$45.00 | 858 | 814 |
|
Melissa Blackburn
1200 Old York Rd |
$88.30 | 777 | 716 |
|
Bhavna Mohandas Abraham
1200 Old York Rd Ste 2B |
$33.01 | 777 | 699 |
|
Ronald M. Renzi
2002 Woodland Rd |
$18.80 | 762 | 685 |
|
Min Soo Kim
1151 Old York Rd Ste 200 |
$68.96 | 725 | 699 |
|
Zulfiqar Arif
1235 Old York Rd Ste 214 |
$46.73 | 720 | 684 |
|
Eric Adam Fine
938 Old York Rd |
$43.53 | 658 | 649 |
|
Craig Steven Feinman
938 Old York Rd |
$32.75 | 652 | 458 |
|
Bonnie Jeannette Mckinley
938 Old York Rd |
$0.41 | 569 | 559 |
|
Andrea Tse
938 Old York Rd |
$0.32 | 551 | 506 |
|
Julianna Choi
1200 Old York Rd |
$49.77 | 545 | 442 |
|
Zhihong Zhou
1200 Old York Rd |
$43.38 | 529 | 515 |
|
Botros Shenoda
Abington Plaza Medical Associates |
$54.06 | 497 | 482 |
|
Mahsa Hamedi
1200 Old York Rd |
$52.81 | 489 | 439 |
|
Tushar Thakur
1200 Old York Rd Ste 2B |
$68.02 | 471 | 466 |
|
Heather Lori Osher
938 Old York Rd |
$0.11 | 459 | 419 |
|
Aparna Krishnan
1235 Old York Rd Ste 210 |
$51.01 | 298 | 281 |
|
Maikel Griages
1375 Old York Rd |
$1.44 | 292 | 187 |
|
Stephanie Chery
1200 Old York Rd Ste 2B |
$0.82 | 266 | 244 |
|
Dirkje C Dunham
1200 Old York Rd |
$52.91 | 264 | 239 |
|
Angela Carracino
1200 Old York Rd |
$46.77 | 261 | 220 |
|
Esther Sun Swirble
1021 Old York Rd Ste 301 |
$9.61 | 249 | 238 |
|
Kelley L Wolcott
1200 Old York Rd |
$33.32 | 246 | 240 |
|
Stephen J Smith
1235 Old York Rd |
$48.90 | 228 | 170 |
|
Miaoping Lou
1400 Old York Rd Ste A |
$51.76 | 225 | 218 |
|
Ankur G Shah
1235 Old York Rd |
$38.64 | 201 | 197 |
|
Heather A. Collins
1208 Highland Ave |
$58.09 | 194 | 185 |
|
Christa Fiona Patrick
938 Old York Rd |
$27.35 | 194 | 162 |
|
Li-Hui Zhang
1235 Old York Rd Ste 113 |
$55.34 | 192 | 181 |
|
Kristen Gerard
1421 Highland Ave |
$51.97 | 191 | 175 |
|
Kelly Ann Lapa
1235 Old York Rd |
$50.72 | 187 | 177 |
|
Kristina Mazur
938 Old York Rd |
$57.95 | 183 | 147 |
|
Bhasha Mukhopadhyay Satyasi
1200 Old York Road |
$64.70 | 180 | 159 |
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 Abington, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Abington, PA is $39.66 per claim, based on 62,123 claims from 97 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 Abington, PA?
There are 97 Medicaid providers offering Office Visit related services in Abington, PA according to public payment data.
What is the price range for Office Visit in Abington, PA?
Medicaid reimbursement for Office Visit in Abington, PA ranges from $0.00 to $135.62 per claim, with an average of $39.66. 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 Abington, PA
Ultrasound
Avg $72.52
51,798 claims
Emergency Room Visit
Avg $112.96
50,807 claims
Physical Therapy
Avg $44.98
41,060 claims
X-Ray
Avg $5.65
32,588 claims
Blood Work & Lab Tests
Avg $6.90
16,244 claims
EKG / ECG (Electrocardiogram)
Avg $8.11
13,293 claims
Pathology & Lab Services
Avg $54.08
11,344 claims
CT Scan (Computed Tomography)
Avg $40.70
9,862 claims