Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Broomall, PA: $54.22

Avg. Paid

$54.22

Range

$0.26 – $104.61

Total Claims

34,327

Providers

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
Mark Prince Brigham 2004 Sproul Rd	$42.72	16	16
Regina D Poole 30 Lawrence Rd	$53.49	18	14
Tripti Kumar 1991 Sproul Rd Ste 140	$10.91	21	20
Dana Marie Dober 590 Reed Rd Ste B6	$23.01	41	39
Michael Lawrence Tobin 1999 Sproul Rd Ste 25	$57.47	51	49
Mark R Edelstein 1999 Sproul Rd	$55.91	52	51
Sharon Hunter 2000 Sproul Road	$8.61	58	56
Anne E. Colton 2004 Sproul Rd	$68.91	60	51
Beverly Ann Eisenhuth 1991 Sproul Rd	$61.00	60	50
Amy Strong 1991 Sproul Rd Ste 140	$32.23	60	53
Eva Marie Martin 1991 Sproul Rd Ste 200	$68.97	64	53
Ralph Anthony Carrozza 200 Lawrence Road	$13.47	74	73
Randolph P. Heinzel 1991 Sproul Rd	$64.39	84	69
Michael A Valentino 1999 Sproul Rd Ste 25	$51.23	97	95
Courtney B Hammerel 1991 Sproul Rd	$70.98	98	83
Stephanie Klein 1991 Sproul Rd	$75.81	103	99
Laura Kathryn Gallo 1991 Sproul Rd Ste 625	$32.21	108	83
Mary Catherine Abruzzo 1991 Sproul Rd Ste 130	$65.18	113	97
April Lockley 1991 Sproul Rd	$14.37	114	112
Dean Willaim Trevlyn 2004 Sproul Rd	$63.66	145	141
Dionne Marie Curran-Chamoun 1999 Sproul Rd Ste 24	$48.34	149	141
Andrew Edward Short 1991 Sproul Rd Ste 300	$23.83	151	138
Institute For Spinal Surgery Inc 2000 Sproul Rd	$0.26	152	128
Peter D Ennis 30 Lawrence Rd	$50.96	185	177
Daniel L Wolk 2000 Sproul Rd	$6.17	214	211
Children'S Hospital Of Philadelphia 2000 Sproul Rd Ste 206	$40.72	237	224
John D. Sprandio 30 Lawrence Rd	$60.17	288	235
Sara Lu-Min Low 2004 Sproul Rd Fl 1	$82.86	311	297
Alexander Paul Deak 30 Lawrence Rd Ste 201	$86.02	332	293
David Michael Raezer 1999 Sproul Rd	$6.09	367	306
Stephen A Shore 30 Lawrence Rd	$58.95	368	338
Janet Lin 1991 Sproul Rd Ste 40A	$29.99	451	442
Priya Swamy 1999 Sproul Rd Ste 22	$7.30	460	456
Laura Katherine Austin 30 Lawrence Rd Ste 201	$59.57	500	407
Susan Miller 2000 Sproul Rd	$61.34	517	506
Dimitra Christoforatos 2000 Sproul Road	$67.00	586	577
Joshua B Feinberg 1991 Sproul Rd Ste 140	$24.86	587	558
Robert K Roush 30 Lawrence Rd	$61.45	599	473
Alison Yez 2000 Sproul Road	$64.73	622	611
Linda Rose Spadaro 30 Lawrence Rd Ste 100	$13.94	635	610
Nabila Chowdhury 30 Lawrence Rd	$104.61	724	580
Mary E Bove 2000 Sproul Road	$69.17	726	715
Grishma Rali 2000 Sproul Rd Ste 206	$75.86	877	857
Donna L Delfin 1991 Sproul Rd Ste 140	$27.22	900	854
Kimberly Lyn Bennett 2000 Sproul Rd	$57.38	958	909
Richard J. Levenberg 2004 Sproul Rd	$81.34	1,059	1,009
Tigerlily Lee Rubin 2000 Sproul Rd	$63.51	1,103	1,082
Gerald Anthony Meis 2000 Sproul Rd Ste 100	$31.93	1,175	1,149
Paul Aron Horenstein 2004 Sproul Rd	$84.57	1,212	1,141
Gilda Audrey Johnson 1991 Sproul Rd	$74.26	1,247	1,186

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.

Average Medicaid Office Visit Payments in Broomall, PA: $54.22

Providers Offering Office Visit in Broomall, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Broomall, PA

Home Health Visit

Nursing Facility Care

EKG / ECG (Electrocardiogram)

Eye Exam

Vaccines & Immunizations

Physical Therapy

Dental Cleaning & Exam

Emergency Room Visit