Average Medicaid Office Visit Payments in Center Valley, PA: $54.85
Avg. Paid
$54.85
Range
$6.67 – $109.35
Total Claims
56,778
Providers
46
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 Center Valley, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dhanya Narayana Panicker
5445 Lanark Rd |
$7.93 | 8,386 | 7,724 |
|
David A Blanco
5425 Lanark Rd |
$79.74 | 5,484 | 5,355 |
|
Kate Dewar
5445 Lanark Rd Ste 100 |
$76.38 | 4,977 | 4,813 |
|
Shujayat Ali
3800 Sierra Cir |
$61.73 | 4,461 | 4,122 |
|
Jonathan Beri
5425 Lanark Rd Ste 300 |
$86.54 | 3,935 | 3,820 |
|
Pamela Abrams
5445 Lanark Rd Ste 300 |
$48.43 | 3,065 | 3,021 |
|
Sallie M Wemple
3477 Corporate Pkwy Ste 100 |
$44.42 | 2,445 | 2,352 |
|
Mahim Shah
3800 Sierra Cir |
$55.84 | 2,412 | 2,285 |
|
Ramon Cuevas
5425 Lanark Rd Ste 200 |
$95.93 | 2,259 | 2,194 |
|
Anuradha Rai
3800 Sierra Cir Ste 100 |
$52.25 | 1,533 | 1,461 |
|
Gaurav Nagar
3800 Sierra Cir Ste 100 |
$42.07 | 1,404 | 1,338 |
|
Mrunalini Deshmukh
3701 Corporate Pkwy Ste 130 |
$39.11 | 1,365 | 1,345 |
|
Renee E Amori
5445 Lanark Rd Fl 3 |
$50.60 | 1,287 | 1,270 |
|
Andrew Charles Krakowski
5445 Lanark Rd Ste 300 |
$69.85 | 1,208 | 1,193 |
|
Mark Andrew Mcgill
5425 Lanark Rd |
$109.35 | 1,090 | 1,075 |
|
Remy W Mimms
5445 Lanark Rd Fl 3 |
$47.24 | 1,078 | 1,058 |
|
Tecile Trakeshia Prince Andolino
5425 Lanark Rd |
$60.16 | 1,048 | 1,029 |
|
Sara Choudhry
5445 Lanark Rd Ste 300 |
$38.37 | 983 | 971 |
|
Kelli Nicole Harajda-Hurst
3800 Sierra Cir Ste 100 |
$45.62 | 935 | 887 |
|
Santh Venkat Santosh Silparshetty
5445 Lanark Rd Fl 3 |
$47.39 | 892 | 879 |
|
Bankim Bhatt
5445 Lanark Rd Ste 300 |
$44.21 | 833 | 824 |
|
Thomas Michael Gallagher
3701 Corporate Pkwy Ste 130 |
$37.68 | 720 | 706 |
|
Laura Huang
5445 Lanark Rd Ste 300 |
$54.78 | 637 | 630 |
|
Katie Kindt
3800 Sierra Cir Ste 100 |
$44.04 | 549 | 529 |
|
Lisa Marie Higginson
5425 Lanark Rd Ste 200 |
$48.01 | 526 | 487 |
|
Hammad Liaquat
4505 Saucon Creek Rd # 200 |
$23.92 | 492 | 393 |
|
Mary Miller Braden
5415 Lanark Rd |
$59.01 | 427 | 416 |
|
Shannon Leigh Tosounian
5405 Saucon Creek Rd |
$73.37 | 409 | 403 |
|
Emily Kraus
3800 Sierra Circle |
$51.60 | 358 | 347 |
|
Mansha Sethi
5415 Lanark Rd |
$55.50 | 345 | 333 |
|
Diana Elena Clements
5425 Lanark Rd Ste 300 |
$83.69 | 326 | 323 |
|
Austin Robert Reed
3800 Sierra Cir |
$34.28 | 120 | 113 |
|
Kristen Stone Mulhern
5445 Lanark Rd Ste 201 |
$46.78 | 115 | 103 |
|
Caitlin Herman
3800 Sierra Cir |
$7.07 | 104 | 97 |
|
Isabella U Alkasov
5848 Old Bethlehem Pike |
$41.14 | 97 | 92 |
|
Emily Vanhorn
5425 Lanark Rd Ste 300 |
$13.55 | 90 | 33 |
|
Stephen C Senft
5445 Lanark Rd Ste 300 |
$49.65 | 68 | 66 |
|
Marc Lewbart
3477 Corporate Pkwy Ste 100 |
$27.01 | 62 | 56 |
|
Elizabeth A Bidwell
3800 Sierra Circle |
$6.67 | 58 | 57 |
|
Taylor Jetton Ruyak
3200 Center Valley Pkwy |
$30.27 | 58 | 44 |
|
Clark Anthony Veet
3800 Sierra Cir Ste 115 |
$40.84 | 45 | 42 |
|
Jeffery A Debuque
3800 Sierra Cir |
$40.24 | 28 | 25 |
|
Angela Marie Camasto
3800 Sierra Cir |
$38.17 | 25 | 25 |
|
Tasha Marie Hernandez
3477 Corporate Pkwy Ste 100 |
$34.41 | 14 | 12 |
|
Lauren Tucci Shafer
3800 Sierra Cir Ste 100 |
$33.79 | 13 | 12 |
|
Joann Burke
5848 Old Bethlehem Pike |
$51.70 | 12 | 12 |
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 Center Valley, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Center Valley, PA is $54.85 per claim, based on 56,778 claims from 46 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 Center Valley, PA?
There are 46 Medicaid providers offering Office Visit related services in Center Valley, PA according to public payment data.
What is the price range for Office Visit in Center Valley, PA?
Medicaid reimbursement for Office Visit in Center Valley, PA ranges from $6.67 to $109.35 per claim, with an average of $54.85. 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 Center Valley, PA
Nursing Facility Care
Avg $26.74
21,084 claims
Vaccines & Immunizations
Avg $4.82
13,859 claims
Emergency Room Visit
Avg $102.19
7,625 claims
Physical Therapy
Avg $18.83
4,635 claims
EKG / ECG (Electrocardiogram)
Avg $10.99
4,271 claims
Hearing Test (Audiometry)
Avg $6.34
4,082 claims
Eye Exam
Avg $37.47
3,486 claims
Echocardiogram
Avg $103.29
1,842 claims