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 |
|---|---|---|---|
|
Linda M Mansfield-Smyser
1200 Old York Rd Fl 1 |
$33.54 | 12 | 12 |
|
Deborah L Silver
1200 Old York Rd Fl 1 |
$135.62 | 12 | 12 |
|
Stephanie Rebecca Tzarnas
Abington Memorial Hospital, Gme Office |
$38.41 | 12 | 12 |
|
Olga Zhadan
1200 Old York Rd |
$26.84 | 12 | 12 |
|
Emma Lilia Galarza Beltran
1200 Old York Rd |
$67.78 | 12 | 12 |
|
Ronald Durtschi
1200 Old York Rd |
$61.27 | 12 | 12 |
|
Michelle Bielko
1200 Old York Rd |
$59.36 | 12 | 12 |
|
Jonathan George Vayalumkal
1200 Old York Rd |
$100.97 | 13 | 13 |
|
Marc F Rosenn
1235 Old York Rd |
$53.78 | 13 | 13 |
|
Eddie Chang
1200 Old York Rd |
$74.09 | 13 | 13 |
|
Melanie Nordlinger
1200 Old York Road |
$51.66 | 13 | 13 |
|
Andrew G Ball
1200 Old Yolk Road |
$35.00 | 13 | 13 |
|
Jill Christine Kampherstein
1047 Old York Rd |
$45.08 | 14 | 14 |
|
Rachel Leah Ramirez
1245 Highland Ave |
$62.60 | 14 | 14 |
|
Zachary Nadler
1200 Old York Rd |
$29.93 | 14 | 14 |
|
Abington Pediatric Associates, Llp
1047 Old York Rd |
$0.00 | 14 | 13 |
|
Nakeisha Kittrels
1200 Old York Rd |
$35.44 | 15 | 14 |
|
Thomas Francis Powell
938 Old York Rd |
$4.67 | 15 | 14 |
|
Aaryn Rebecca Drinkwater
1235 Old York Rd |
$38.42 | 16 | 16 |
|
Steven M Snyder
1200 Old York Rd |
$49.90 | 18 | 18 |
|
Shaik Abdul Samad Shaik Abdul Rashid
1200 Old York Rd |
$75.48 | 25 | 25 |
|
Steven Fisher
1200 Old York Rd |
$40.27 | 26 | 25 |
|
Brandon Scott Poterjoy
1200 Old York Rd |
$35.78 | 27 | 27 |
|
Yuliya Labko
1245 Highland Ave Ste 109 |
$47.04 | 28 | 25 |
|
Anna C Koopman
1200 Old York Rd |
$16.14 | 29 | 28 |
|
Pooja Suresh
1200 Old York Rd |
$36.09 | 29 | 29 |
|
Lisa Leschek-Gelman
1151 Old York Rd Ste 200 |
$58.06 | 30 | 30 |
|
Preethi Rajendran
1200 Old York Rd |
$63.00 | 30 | 26 |
|
Children'S Hospital Of Philadelphia
1840 Susquehanna Rd |
$50.19 | 30 | 28 |
|
Jennifer Elizabeth Sigel
1200 Old York Rd |
$43.29 | 40 | 39 |
|
Danae Hernandez Petzold
1200 Highland Ave Suite 504 |
$41.38 | 46 | 42 |
|
Curt Mullendore
1200 Old York Rd |
$16.73 | 46 | 29 |
|
John Safa Khoury
1151 Old York Rd Ste 200 |
$42.12 | 51 | 49 |
|
Sheel Anil Patel
1200 Old York Rd |
$41.09 | 57 | 53 |
|
Phillip Hinojosa
1400 Old York Rd Ste A |
$42.67 | 57 | 41 |
|
William Edmund Wieczorek
1245 Highland Ave Ste 109 |
$47.05 | 71 | 70 |
|
Kenneth H Einhorn
1245 Highland Ave |
$59.75 | 77 | 77 |
|
Wai Wen Cheng
1422 Easton Rd |
$89.47 | 80 | 75 |
|
Emma Pattie
1200 Old York Rd |
$87.71 | 95 | 94 |
|
Jason G Wilmoth
1245 Highland Ave |
$89.16 | 108 | 107 |
|
Michelle Gorbos-Spina
1235 Old York Rd |
$44.42 | 116 | 111 |
|
Zahra K De Four
1200 Old York Rd |
$45.35 | 142 | 135 |
|
Jade Rickia Green
1417 Old York Rd |
$60.39 | 145 | 86 |
|
Jennifer Mazzoni Clifford
1200 Old York Rd |
$39.40 | 153 | 139 |
|
Aysha A Jilani
1235 Old York Rd |
$27.34 | 161 | 153 |
|
Sheila Deniken
1200 Old York Rd Fl Toll |
$69.51 | 168 | 150 |
|
Maryann Marakowitz Shatz
1200 Old York Rd Fl 5 |
$28.82 | 176 | 174 |
|
Bhasha Mukhopadhyay Satyasi
1200 Old York Road |
$64.70 | 180 | 159 |
|
Kristina Mazur
938 Old York Rd |
$57.95 | 183 | 147 |
|
Kelly Ann Lapa
1235 Old York Rd |
$50.72 | 187 | 177 |
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