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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Bala Cynwyd, PA: $38.70

Avg. Paid

$38.70

Range

$0.00 – $69.55

Total Claims

45,046

Providers

46

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 Bala Cynwyd, PA

Provider Avg. Paid Claims Patients
Leonard B Nelson

100 Presidential Blvd Ste 200

$43.79 6,662 6,595
Laurence H Belkoff

1 Presidential Blvd

$31.69 5,842 5,605
Andrew Scott Kirschner

1 Belmont Ave

$55.95 5,246 3,572
Miriam Olga Anolik

25 Bala Ave Ste 102

$47.26 3,793 3,634
Jeanine Dunmore

301 E City Ave

$25.31 3,325 2,122
Nancy Hillis

25 Bala Avenue

$51.03 2,756 2,626
Joseph S Kenney

1 Bala Ave Ste 300

$46.12 2,063 1,948
Frank Macri

7 Bala Ave Ste 203

$30.22 1,600 1,491
Vipin K Goyal

333 E City Ave

$40.84 1,263 1,204
Jeffrey Bail Walker

1 Presidential Blvd Ste 100

$35.60 1,258 1,197
Leslie Marie Partem

2 Bala Plz

$36.03 851 810
Jacqueline Benoit

100 Presidential Blvd Ste 200

$28.39 800 788
Irving M Raber

100 Presidential Blvd Ste 200

$9.13 775 689
The Centers For Advanced Urology, Llp

1 Presidential Blvd Ste 100

$19.87 759 729
Raynard J Cheung

10 Presidential Blvd

$53.23 690 671
Alexander J Harmatz

10 Presidential Blvd

$41.29 649 595
Ali R Kadkhoda

301 E City Ave

$30.30 568 534
Elizabeth A Dale

100 Presidential Blvd Ste 200

$11.02 547 516
Megan Veronica Daley Jones

301 E City Ave

$25.27 529 501
Janine V. Kyrillos

225 E City Ave

$40.70 486 454
Sharon Anne Bachman

33 Rock Hill Rd Ste 350

$42.85 450 396
Tarik Sharif Khan

401 E City Ave

$0.00 403 388
Jeffrey M. Pilchman

10 Presidential Blvd

$59.26 391 387
Keino J Johnson

225 E City Ave Ste 109

$27.12 368 340
Marjorie Friedman

225 E City Ave Ste 109

$27.85 356 325
Megan Catherine Madsen

2 Bala Plz Ste Il27

$30.86 344 330
Jamie A Kasper

10 Presidential Blvd

$44.47 317 310
Brian Louis Goldstein

308 Levering Mill Rd

$20.13 268 224
Wayne V. Arnold

2 Bala Plz Ste Pl20

$8.96 260 260
Marisa A Schoen

100 Presidential Blvd Ste 200

$30.30 228 199
Nicos Nicolaou

1 Presidential Blvd

$27.76 191 188
Michael J Pro

100 Presidential Blvd Ste 200

$21.69 181 174
Anfei Li

100 Presidential Blvd Ste 200

$21.31 131 125
Gregory D Schapiro

10 Presidential Blvd

$62.18 110 109
Maasi Jacob Smith

25 Bala Ave Ste 105

$0.00 93 91
Samuel J Manfrey

1 Presidential Blvd

$11.53 81 78
Lauren Musser

191 Presidential Blvd Ste C133

$23.21 80 76
Courtland M Schmidt

100 Presidential Blvd Ste 200

$24.20 75 74
Katie E Schrack

100 Presidential Blvd Ste 200

$26.91 59 57
Brenton David Finklea

100 Presidential Blvd Ste 200

$23.23 49 43
Ronald Bruce Barg

2 Bala Plz

$36.03 35 31
Mitchell E Stein

333 E City Ave

$34.31 32 32
Ophthalmic Partners Pc

100 Presidential Blvd Ste 200

$69.55 31 31
Amara Ashjian Lieberman

1 Bala Plz

$27.44 20 20
Michael R. Grossman

333 E City Ave

$27.77 19 17
Tina Xia

100 Presidential Blvd Ste 200

$26.63 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 Bala Cynwyd, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bala Cynwyd, PA is $38.70 per claim, based on 45,046 claims from 46 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 Bala Cynwyd, PA?

There are 46 Medicaid providers offering Office Visit related services in Bala Cynwyd, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Bala Cynwyd, PA ranges from $0.00 to $69.55 per claim, with an average of $38.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Bala Cynwyd, PA