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Based on public Medicaid payment data.

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

Other Procedures in Center Valley, PA