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
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 Bala Cynwyd, PA
Home Health Visit
Avg $197.52
127,850 claims
Physical Therapy
Avg $24.31
76,140 claims
Dental Cleaning & Exam
Avg $35.52
40,984 claims
Nursing Facility Care
Avg $40.93
32,441 claims
Eye Exam
Avg $29.86
14,865 claims
Behavioral & Mental Health Therapy
Avg $101.72
10,272 claims
Tooth Extraction
Avg $121.67
6,914 claims
Dental Filling
Avg $107.38
5,568 claims