Average Medicaid Office Visit Payments in Bensalem, PA: $41.47
Avg. Paid
$41.47
Range
$0.00 – $99.82
Total Claims
156,410
Providers
77
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 Bensalem, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aaila Chaudhry
3046 Knights Rd |
$48.62 | 29,172 | 28,377 |
|
Imtiaz M Chaudhry
3046 Knights Rd |
$34.76 | 13,661 | 12,654 |
|
Michael J Schina
3101 Bristol Rd. |
$33.78 | 12,739 | 12,099 |
|
Umar Farooq
3034 Knights Road |
$42.43 | 11,548 | 9,867 |
|
Ronald J Horowitz
2217 Bristol Pike |
$52.20 | 9,044 | 8,282 |
|
Iftikhar M Chaudhry
3046 Knights Rd |
$38.20 | 8,457 | 8,110 |
|
Jinn Wien Cajulis
1338 Bristol Pike Ste 202 |
$48.07 | 6,950 | 5,825 |
|
Ashley Olivia Sufalko
2217 Bristol Pike |
$29.14 | 6,922 | 6,535 |
|
Patricia Catherine Wood
2546 Knights Rd |
$25.30 | 4,027 | 3,766 |
|
Sibi Mathew
2846 Knights Rd Ste B |
$57.58 | 3,469 | 2,807 |
|
Robert Louis Bonner
3331 Street Rd Ste 140 |
$44.77 | 3,234 | 3,124 |
|
Layla Kamoun
3046 Knights Rd |
$39.73 | 3,111 | 2,994 |
|
Brittania Jennings Lee
3554 Hulmeville Rd |
$13.42 | 2,589 | 2,508 |
|
Maryanne May Kuo
2217 Bristol Pike |
$49.81 | 2,544 | 2,412 |
|
Bakhshish Singh Sandhu
2938 Knights Rd |
$55.78 | 2,513 | 2,330 |
|
Meghan Nicole Netterville
2546 Knights Road |
$34.73 | 2,488 | 2,342 |
|
Maxine Rachel Ames
2217 Bristol Pike |
$59.37 | 2,432 | 2,310 |
|
Jennifer Aimee Souder
2546 Knights Rd |
$24.94 | 2,404 | 2,271 |
|
Eric Ryan Belser
2217 Bristol Pike Unit 211 |
$50.79 | 2,278 | 2,109 |
|
Minh Bui
3571 Hulmeville Rd |
$35.00 | 2,210 | 2,047 |
|
Subbarao Gorti
3300 Tillman Dr |
$51.68 | 1,411 | 1,347 |
|
Stephen M Thomas
5000 Bensalem Blvd |
$15.54 | 1,340 | 1,242 |
|
Jennifer C. Gobencion
3331 Street Rd Ste 140 |
$39.17 | 1,328 | 1,175 |
|
David M Berdy
2546B Knights Rd |
$37.39 | 1,276 | 1,178 |
|
Daria M. Kemp
1950 Street Rd Ste 100 |
$97.26 | 1,191 | 1,135 |
|
Rishi Dev Anand
3554 Hulmeville Rd Ste 101 |
$34.93 | 1,094 | 1,063 |
|
Frances Spellman Thomas
5000 Bensalem Blvd |
$13.92 | 1,066 | 946 |
|
Jerome H. Horowitz, M.D.,P.C.
2217 Bristol Pike |
$32.42 | 1,060 | 939 |
|
Kenneth A Morris
2373 Bristol Rd |
$52.58 | 1,030 | 974 |
|
Brian Mcgettigan
3300 Tillman Dr |
$50.29 | 890 | 856 |
|
Maternal Child Consortium Inc
800 Clarmont Ave |
$18.30 | 863 | 809 |
|
St. Francis-St Joseph Homes For Children
3400 Bristol Pike |
$23.14 | 691 | 625 |
|
Nicole M. Cicchino
2217 Bristol Pike |
$30.84 | 686 | 667 |
|
Natasha Rossi
3331 Street Rd Ste 140 |
$60.00 | 684 | 662 |
|
Constance T. Chang
2185 Galloway Rd |
$47.89 | 638 | 558 |
|
Fred Birnbaum
1950 Street Rd |
$24.03 | 626 | 516 |
|
Bethann Morgan
2185 Galloway Rd |
$54.63 | 614 | 607 |
|
Richard D Cohen
1336 Bristol Pike |
$56.04 | 589 | 547 |
|
Dean M. Ruday
2404 Bristol Rd |
$16.09 | 537 | 500 |
|
Joshua David Scoll
1950 Street Rd |
$15.68 | 527 | 358 |
|
Kathleen Coggshall
3101 Bristol Rd Ste 4 |
$58.42 | 514 | 392 |
|
Sramila Aithal
1311 Bristol Pike Ste 100 |
$68.93 | 493 | 418 |
|
Ifejola Olorunfemi
3554 Hulmeville Rd Ste 106 |
$4.66 | 447 | 272 |
|
Jonathan E Ostroff
2966 Street Rd |
$33.46 | 426 | 410 |
|
Jeanne Wallace Ruttle
2560 Knights Rd |
$73.52 | 408 | 335 |
|
Christine T Wanjeri-Hasen
2966 Street Rd |
$34.75 | 381 | 357 |
|
Jason Todd Estrin
3200 Bensalem Boulevard |
$4.83 | 367 | 334 |
|
Liana Lera Ayotte
2966 Street Rd |
$0.00 | 319 | 174 |
|
Kerith Lynn Moran
2560 Knights Rd |
$73.85 | 281 | 257 |
|
Manoj Khandelwal
3554 Hulmeville Rd Ste 111 |
$34.17 | 260 | 223 |
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 Bensalem, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bensalem, PA is $41.47 per claim, based on 156,410 claims from 77 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 Bensalem, PA?
There are 77 Medicaid providers offering Office Visit related services in Bensalem, PA according to public payment data.
What is the price range for Office Visit in Bensalem, PA?
Medicaid reimbursement for Office Visit in Bensalem, PA ranges from $0.00 to $99.82 per claim, with an average of $41.47. 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 Bensalem, PA
Blood Work & Lab Tests
Avg $39.48
949,523 claims
Eye Exam
Avg $22.76
84,951 claims
Durable Medical Equipment (DME)
Avg $42.68
61,561 claims
Home Health Visit
Avg $191.78
53,350 claims
Urinalysis & Urine Tests
Avg $3.41
52,614 claims
Physical Therapy
Avg $26.40
35,633 claims
Vaccines & Immunizations
Avg $10.75
35,409 claims
Emergency Room Visit
Avg $93.59
15,867 claims