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 |
|---|---|---|---|
|
Stacy L Krisher
3300 Tillman Dr |
$59.95 | 12 | 12 |
|
Marisa Campana Muir
2938 Knights Rd |
$12.18 | 14 | 13 |
|
Stephen J Masceri
2422 Bristol Rd |
$24.36 | 15 | 13 |
|
Anita Acharya
100 Derby Ln |
$6.38 | 21 | 19 |
|
Erigena Baze
2222 Bristol Pike |
$31.64 | 25 | 25 |
|
William Vincent Arnold
3300 Tillman Dr Fl 2 |
$0.00 | 27 | 26 |
|
Jessica Doyle
1950 Street Rd Ste 100 |
$87.08 | 29 | 29 |
|
Sabahat Farooq
3034 Knights Road |
$38.80 | 33 | 32 |
|
Craig Allen Rubenstein
3300 Tillman Dr Fl 2 |
$1.81 | 38 | 38 |
|
Katherine Jane Franko-Filipasic
3200 Bensalem Blvd |
$34.64 | 43 | 42 |
|
Catherine Haas Giorgio
2546B Knights Rd |
$36.21 | 46 | 45 |
|
Steven A Caruso
3300 Tillman Dr Fl 2 |
$18.39 | 51 | 50 |
|
Meredith Zaroff
2217 Bristol Pike |
$50.38 | 51 | 51 |
|
Timothy Lindsay
1311 Bristol Pike Ste 100 |
$0.13 | 59 | 57 |
|
Bolanle Tinuke Amon
725 Wicker Ave |
$21.17 | 59 | 59 |
|
Stevan A Smallow
2846 Knights Rd |
$6.93 | 79 | 74 |
|
Angelo Paul Savelloni
3554 Hulmeville Rd Ste 104 |
$28.97 | 85 | 81 |
|
Brian W Buck
3300 Tillman Dr Fl 2 |
$30.81 | 123 | 109 |
|
Kourosh C Ghalili
3070 Bristol Pike Ste 2-106 |
$22.18 | 131 | 114 |
|
Steven Michael Remus
3554 Hulmeville Rd |
$28.96 | 147 | 131 |
|
Lillian Trapp
2546 Knights Rd |
$21.57 | 158 | 154 |
|
Xinyi Ge
3331 Street Rd Ste 140 |
$99.82 | 194 | 160 |
|
Kristen Schneer
2217 Bristol Pike |
$54.22 | 200 | 187 |
|
Dominick A. Commodaro
2807 Bristol Pike |
$21.25 | 219 | 215 |
|
Val Raymond Cantagallo
2373 Bristol Rd |
$56.43 | 226 | 192 |
|
Rebecca Michelle Lorello
2217 Bristol Pike |
$59.16 | 245 | 233 |
|
St Mary Medical Center
3331 Street Rd Ste 140 |
$74.73 | 251 | 138 |
|
Manoj Khandelwal
3554 Hulmeville Rd Ste 111 |
$34.17 | 260 | 223 |
|
Kerith Lynn Moran
2560 Knights Rd |
$73.85 | 281 | 257 |
|
Liana Lera Ayotte
2966 Street Rd |
$0.00 | 319 | 174 |
|
Jason Todd Estrin
3200 Bensalem Boulevard |
$4.83 | 367 | 334 |
|
Christine T Wanjeri-Hasen
2966 Street Rd |
$34.75 | 381 | 357 |
|
Jeanne Wallace Ruttle
2560 Knights Rd |
$73.52 | 408 | 335 |
|
Jonathan E Ostroff
2966 Street Rd |
$33.46 | 426 | 410 |
|
Ifejola Olorunfemi
3554 Hulmeville Rd Ste 106 |
$4.66 | 447 | 272 |
|
Sramila Aithal
1311 Bristol Pike Ste 100 |
$68.93 | 493 | 418 |
|
Kathleen Coggshall
3101 Bristol Rd Ste 4 |
$58.42 | 514 | 392 |
|
Joshua David Scoll
1950 Street Rd |
$15.68 | 527 | 358 |
|
Dean M. Ruday
2404 Bristol Rd |
$16.09 | 537 | 500 |
|
Richard D Cohen
1336 Bristol Pike |
$56.04 | 589 | 547 |
|
Bethann Morgan
2185 Galloway Rd |
$54.63 | 614 | 607 |
|
Fred Birnbaum
1950 Street Rd |
$24.03 | 626 | 516 |
|
Constance T. Chang
2185 Galloway Rd |
$47.89 | 638 | 558 |
|
Natasha Rossi
3331 Street Rd Ste 140 |
$60.00 | 684 | 662 |
|
Nicole M. Cicchino
2217 Bristol Pike |
$30.84 | 686 | 667 |
|
St. Francis-St Joseph Homes For Children
3400 Bristol Pike |
$23.14 | 691 | 625 |
|
Maternal Child Consortium Inc
800 Clarmont Ave |
$18.30 | 863 | 809 |
|
Brian Mcgettigan
3300 Tillman Dr |
$50.29 | 890 | 856 |
|
Kenneth A Morris
2373 Bristol Rd |
$52.58 | 1,030 | 974 |
|
Jerome H. Horowitz, M.D.,P.C.
2217 Bristol Pike |
$32.42 | 1,060 | 939 |
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