Average Medicaid Office Visit Payments in Bristol, PA: $45.51
Avg. Paid
$45.51
Range
$1.87 – $84.12
Total Claims
8,774
Providers
19
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 Bristol, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul C Keenan
216 Mill St |
$45.35 | 3,345 | 2,787 |
|
Jayantilal Raojibhal Patel
501 Bath Rd |
$36.11 | 966 | 905 |
|
Iris Stendig-Raskin
721 Veterans Hwy |
$67.39 | 742 | 678 |
|
Aaron S Hasiuk
501 Bath Rd |
$44.38 | 670 | 572 |
|
Shahzad Ahmed
501 Bath Rd |
$59.79 | 588 | 567 |
|
Mark E Burton
100 Green Ln |
$22.03 | 453 | 438 |
|
Christopher M Belletieri
501 Bath Rd Ste 217 |
$41.67 | 424 | 405 |
|
Sidat Michael Kumaratne
501 Bath Rd Ste 210 |
$68.56 | 406 | 391 |
|
Susmita Dhakal
501 Bath Rd |
$76.33 | 338 | 333 |
|
Amy Taylor Avery
905 Tower Rd Ste 3188 |
$3.54 | 311 | 213 |
|
Atul D Trivedi
100 Green Ln Ste 3 |
$30.86 | 145 | 137 |
|
John Charles Pickard
642 Beaver St |
$29.08 | 116 | 112 |
|
Tony Thai
501 Bath Rd |
$16.80 | 70 | 44 |
|
Ramesh K Adiraju
501 Bath Rd |
$31.16 | 67 | 61 |
|
Charles Edward Brodowski
216 Mill St |
$36.05 | 48 | 42 |
|
Sabu George
234 Mill St |
$1.87 | 31 | 30 |
|
Michael B Fischer
501 Bath Rd Ste 217 |
$46.88 | 26 | 24 |
|
John Demario
501 Bath Rd |
$84.12 | 15 | 14 |
|
John Johghyun Park
501 Bath Rd |
$2.70 | 13 | 13 |
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 Bristol, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bristol, PA is $45.51 per claim, based on 8,774 claims from 19 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 Bristol, PA?
There are 19 Medicaid providers offering Office Visit related services in Bristol, PA according to public payment data.
What is the price range for Office Visit in Bristol, PA?
Medicaid reimbursement for Office Visit in Bristol, PA ranges from $1.87 to $84.12 per claim, with an average of $45.51. 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 Bristol, PA
X-Ray
Avg $4.43
26,793 claims
Nursing Facility Care
Avg $14.37
22,069 claims
Physical Therapy
Avg $21.76
12,339 claims
EKG / ECG (Electrocardiogram)
Avg $7.43
11,796 claims
Culture & Microbiology Tests
Avg $70.07
11,227 claims
Emergency Room Visit
Avg $122.13
8,969 claims
Blood Work & Lab Tests
Avg $7.77
8,964 claims
Urinalysis & Urine Tests
Avg $1.08
8,392 claims