Average Medicaid Office Visit Payments in Broomall, PA: $54.22
Avg. Paid
$54.22
Range
$0.26 – $104.61
Total Claims
34,327
Providers
58
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 Broomall, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jacqueline Scheier
30 Lawrence Rd Ste 500 |
$13.05 | 3,351 | 3,172 |
|
Renee Sammaritano
2000 Sproul Rd |
$61.22 | 1,907 | 1,879 |
|
Richard Kaplan
2000 Sproul Rd |
$60.52 | 1,894 | 1,875 |
|
Anna Sorenson Graseck
1991 Sproul Rd Ste 150 |
$68.17 | 1,782 | 1,720 |
|
David Kleiman
2000 Sproul Rd |
$71.80 | 1,677 | 1,645 |
|
David Pollack
2000 Sproul Rd |
$63.29 | 1,665 | 1,636 |
|
Rochelle Teachey
2000 Sproul Rd |
$71.32 | 1,653 | 1,624 |
|
Scott Eric Kurzrok
1999 Sproul Rd Ste 21 |
$34.85 | 1,269 | 1,181 |
|
Gilda Audrey Johnson
1991 Sproul Rd |
$74.26 | 1,247 | 1,186 |
|
Paul Aron Horenstein
2004 Sproul Rd |
$84.57 | 1,212 | 1,141 |
|
Gerald Anthony Meis
2000 Sproul Rd Ste 100 |
$31.93 | 1,175 | 1,149 |
|
Tigerlily Lee Rubin
2000 Sproul Rd |
$63.51 | 1,103 | 1,082 |
|
Richard J. Levenberg
2004 Sproul Rd |
$81.34 | 1,059 | 1,009 |
|
Kimberly Lyn Bennett
2000 Sproul Rd |
$57.38 | 958 | 909 |
|
Donna L Delfin
1991 Sproul Rd Ste 140 |
$27.22 | 900 | 854 |
|
Grishma Rali
2000 Sproul Rd Ste 206 |
$75.86 | 877 | 857 |
|
Mary E Bove
2000 Sproul Road |
$69.17 | 726 | 715 |
|
Nabila Chowdhury
30 Lawrence Rd |
$104.61 | 724 | 580 |
|
Linda Rose Spadaro
30 Lawrence Rd Ste 100 |
$13.94 | 635 | 610 |
|
Alison Yez
2000 Sproul Road |
$64.73 | 622 | 611 |
|
Robert K Roush
30 Lawrence Rd |
$61.45 | 599 | 473 |
|
Joshua B Feinberg
1991 Sproul Rd Ste 140 |
$24.86 | 587 | 558 |
|
Dimitra Christoforatos
2000 Sproul Road |
$67.00 | 586 | 577 |
|
Susan Miller
2000 Sproul Rd |
$61.34 | 517 | 506 |
|
Laura Katherine Austin
30 Lawrence Rd Ste 201 |
$59.57 | 500 | 407 |
|
Priya Swamy
1999 Sproul Rd Ste 22 |
$7.30 | 460 | 456 |
|
Janet Lin
1991 Sproul Rd Ste 40A |
$29.99 | 451 | 442 |
|
Stephen A Shore
30 Lawrence Rd |
$58.95 | 368 | 338 |
|
David Michael Raezer
1999 Sproul Rd |
$6.09 | 367 | 306 |
|
Alexander Paul Deak
30 Lawrence Rd Ste 201 |
$86.02 | 332 | 293 |
|
Sara Lu-Min Low
2004 Sproul Rd Fl 1 |
$82.86 | 311 | 297 |
|
John D. Sprandio
30 Lawrence Rd |
$60.17 | 288 | 235 |
|
Children'S Hospital Of Philadelphia
2000 Sproul Rd Ste 206 |
$40.72 | 237 | 224 |
|
Daniel L Wolk
2000 Sproul Rd |
$6.17 | 214 | 211 |
|
Peter D Ennis
30 Lawrence Rd |
$50.96 | 185 | 177 |
|
Institute For Spinal Surgery Inc
2000 Sproul Rd |
$0.26 | 152 | 128 |
|
Andrew Edward Short
1991 Sproul Rd Ste 300 |
$23.83 | 151 | 138 |
|
Dionne Marie Curran-Chamoun
1999 Sproul Rd Ste 24 |
$48.34 | 149 | 141 |
|
Dean Willaim Trevlyn
2004 Sproul Rd |
$63.66 | 145 | 141 |
|
April Lockley
1991 Sproul Rd |
$14.37 | 114 | 112 |
|
Mary Catherine Abruzzo
1991 Sproul Rd Ste 130 |
$65.18 | 113 | 97 |
|
Laura Kathryn Gallo
1991 Sproul Rd Ste 625 |
$32.21 | 108 | 83 |
|
Stephanie Klein
1991 Sproul Rd |
$75.81 | 103 | 99 |
|
Courtney B Hammerel
1991 Sproul Rd |
$70.98 | 98 | 83 |
|
Michael A Valentino
1999 Sproul Rd Ste 25 |
$51.23 | 97 | 95 |
|
Randolph P. Heinzel
1991 Sproul Rd |
$64.39 | 84 | 69 |
|
Ralph Anthony Carrozza
200 Lawrence Road |
$13.47 | 74 | 73 |
|
Eva Marie Martin
1991 Sproul Rd Ste 200 |
$68.97 | 64 | 53 |
|
Anne E. Colton
2004 Sproul Rd |
$68.91 | 60 | 51 |
|
Beverly Ann Eisenhuth
1991 Sproul Rd |
$61.00 | 60 | 50 |
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 Broomall, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Broomall, PA is $54.22 per claim, based on 34,327 claims from 58 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 Broomall, PA?
There are 58 Medicaid providers offering Office Visit related services in Broomall, PA according to public payment data.
What is the price range for Office Visit in Broomall, PA?
Medicaid reimbursement for Office Visit in Broomall, PA ranges from $0.26 to $104.61 per claim, with an average of $54.22. 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 Broomall, PA
Home Health Visit
Avg $219.31
21,159 claims
Nursing Facility Care
Avg $15.96
10,987 claims
EKG / ECG (Electrocardiogram)
Avg $8.13
10,672 claims
Eye Exam
Avg $39.20
8,428 claims
Vaccines & Immunizations
Avg $19.81
4,783 claims
Physical Therapy
Avg $30.13
4,636 claims
Dental Cleaning & Exam
Avg $25.32
3,341 claims
Emergency Room Visit
Avg $89.70
2,556 claims