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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Chalfont, PA: $50.90

Avg. Paid

$50.90

Range

$7.66 – $116.85

Total Claims

24,335

Providers

27

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 Chalfont, PA

Provider Avg. Paid Claims Patients
Mini Daniel Koshy

207 Lincoln Cir

 $7.66 3,888 3,582
Stephanie Elizabeth Daniel

1700 Horizon Drive

 $83.82 2,261 2,110
Sarah Macdonald

1700 Horizon Dr

 $57.64 1,834 1,780
Matthew Leon Brown

1200 Manor Dr

 $104.27 1,532 1,325
Julie Maher

1700 Horizon Dr Ste 200

 $55.32 1,524 1,472
Richard Santos

1700 Horizon Dr

 $55.05 1,472 1,403
Julie Rogers

1700 Horizon Dr

 $39.35 1,377 1,291
Laura Haines

3265 County Line Rd

 $16.14 1,365 1,316
Chelsea Aleo Mccabe

1600 Horizon Dr

 $116.85 1,181 967
L. Gregory Lawton

1700 Horizon Dr

 $48.30 920 905
Tina Chuong

700 Horizon Dr Ste 103

 $47.89 813 768
Children'S Hospital Of Philadelphia

100 Manor Dr

 $37.19 804 709
Karen Foy

100 Manor Dr

 $54.24 802 779
Kara Gasink Jolley

500 W Butler Ave

 $56.86 718 696
Cadi Foley

100 Manor Dr

 $61.04 644 621
Kathleen O'Shea Crocker

1700 Horizon Dr

 $64.28 579 568
The Children'S Hospital Of Philadlephia

500 W Butler Ave

 $26.56 557 475
Meghan Eisold

100 Manor Dr

 $55.03 488 456
Evan E Neft

1700 Horizon Dr

 $40.46 476 400
Bruce Zhang

1200 Manor Dr

 $40.43 402 382
Madison Quinn

507 Bassett Ct

 $34.33 296 266
Victoria Walters

1600 Horizon Dr Ste 117

 $46.18 124 113
Elizabeth A Gold

3265 County Line Rd.

 $22.04 113 106
Michele C Boniewicz

1700 Horizon Dr

 $25.80 66 53
Nicole O'Shurak

3265 County Line Rd

 $16.33 51 42
Megan Punches Zakarewicz

700 Horizon Dr

 $48.28 35 28
Jennifer Oconnor

700 Horizon Cir

 $37.00 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 Chalfont, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chalfont, PA is $50.90 per claim, based on 24,335 claims from 27 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 Chalfont, PA?

There are 27 Medicaid providers offering Office Visit related services in Chalfont, PA according to public payment data.

What is the price range for Office Visit in Chalfont, PA?

Medicaid reimbursement for Office Visit in Chalfont, PA ranges from $7.66 to $116.85 per claim, with an average of $50.90. 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 Chalfont, PA

Substance Abuse Treatment

Avg $64.43

96,970 claims

Behavioral & Mental Health Therapy

Avg $497.03

58,515 claims

Dental Cleaning & Exam

Avg $23.95

18,561 claims

Physical Therapy

Avg $31.57

14,191 claims

Vaccines & Immunizations

Avg $19.64

2,812 claims

Dental Filling

Avg $64.16

1,263 claims

Hearing Test (Audiometry)

Avg $16.15

905 claims

X-Ray

Avg $51.69

454 claims