Average Medicaid Office Visit Payments in Chester, PA: $32.58
Avg. Paid
$32.58
Range
$0.00 – $151.57
Total Claims
82,055
Providers
77
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 Chester, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Natasha Bangera
1 Medical Center Blvd |
$4.26 | 11,219 | 6,898 |
|
Raquibul Islam
125 E 9Th St |
$1.30 | 5,001 | 4,817 |
|
Bruce Auden
125 E 9Th St |
$0.00 | 4,512 | 4,280 |
|
Kendra Segura
1 Medical Center Blvd |
$10.48 | 4,250 | 3,730 |
|
Zar Chai Lwin
30 Medical Center Blvd |
$3.05 | 3,794 | 3,741 |
|
Christopher F Hannum
920 Yarnall St |
$16.85 | 2,674 | 2,333 |
|
Mylene Sy Go
1 Medical Center Blvd |
$70.79 | 2,453 | 2,135 |
|
Kimberly Joan Arkebauer
1 Medical Center Blvd |
$38.33 | 2,331 | 2,023 |
|
Matthew F Cohen
1 Medical Center Blvd |
$19.87 | 2,309 | 2,211 |
|
Nina Kovalenko
1 Medical Center Blvd |
$45.91 | 2,305 | 1,972 |
|
Kenneth B. Briskin
2112 Providence Avenue |
$69.89 | 2,153 | 2,084 |
|
Maria F Farias
30 Medical Center Blvd |
$77.17 | 1,696 | 1,669 |
|
Phalashia Sharday Browning
1 Medical Center Blvd Ste 336 |
$58.99 | 1,694 | 1,377 |
|
Alison Christina Rodriguez
1 Medical Center Blvd Ste 334 |
$59.97 | 1,628 | 1,425 |
|
Angeliki Pesiridou
1 Medical Center Blvd |
$151.57 | 1,616 | 1,246 |
|
Selma G Nimene-Coleman
The Belvedere |
$41.86 | 1,495 | 1,308 |
|
Jugeet Kanwal
1 Medical Center Blvd |
$21.12 | 1,324 | 1,125 |
|
Peter Anthony D'Orsaneo
2201 Providence Ave |
$112.21 | 1,290 | 631 |
|
Gianna Rafetto
2112 Providence Ave |
$73.51 | 1,262 | 1,010 |
|
Amanda Thuy-Vy Dinh
1 Medical Center Blvd Ste 205 |
$29.44 | 1,236 | 1,172 |
|
Ashley Nicole Henderson
30 Medical Center Boulevard |
$50.07 | 1,210 | 1,181 |
|
Joel R Perloff
2112 Providence Ave |
$70.79 | 1,159 | 1,113 |
|
Erica Turner
2600 W 9Th St |
$1.25 | 1,136 | 1,074 |
|
Alan H Zweben
1 Medical Center Blvd |
$14.78 | 1,101 | 1,078 |
|
David Thomas Yucha
1 Medical Center Blvd |
$51.28 | 1,001 | 893 |
|
Katherine Yori-Biermaas
125 E 9Th St |
$0.28 | 994 | 909 |
|
Gwen Verlinghieri
2304 Edgmont Ave |
$48.91 | 986 | 974 |
|
Rahul Patel
1 Medical Center Blvd Dept Of |
$25.26 | 906 | 888 |
|
Jonathan B Finkel
1 Medical Center Blvd |
$65.33 | 881 | 832 |
|
Courtney Fay
1 Medical Center Blvd |
$24.22 | 862 | 847 |
|
Lilly Ann Yi
1 Medical Center Blvd |
$47.66 | 843 | 799 |
|
Jennifer Trosko Higgins
30 Medical Center Blvd Ste 205 |
$2.92 | 788 | 753 |
|
Lauren Victoria Manchester
1 Medical Center Blvd |
$65.11 | 784 | 779 |
|
Erin Jun
1 Medical Center Blvd Ste 332 |
$63.49 | 779 | 697 |
|
Patricia Ried
1 Medical Center Blvd |
$61.01 | 746 | 647 |
|
Christopher Alan Williams
30 Medical Center Blvd Ste 104 |
$25.80 | 742 | 708 |
|
Stephanie Tanner Walsh
30 Medical Center Blvd |
$4.21 | 739 | 724 |
|
Lisa Estelle Flores
2600 W 9Th St |
$0.00 | 716 | 642 |
|
Erin Pusz
1 Medical Center Blvd |
$0.00 | 711 | 689 |
|
John M Feehery
2112 Providence Ave |
$68.10 | 648 | 614 |
|
Danielle Marie Dinorscia
1 Medical Center Blvd |
$73.76 | 610 | 550 |
|
Jaime Pedraza
30 Medical Center Blvd Bldg 1 |
$117.14 | 605 | 594 |
|
John C Witherell
30 Medical Center Blvd Ste 104 |
$28.93 | 576 | 552 |
|
Carl Lynn Pierce
500 W 9Th St |
$23.92 | 562 | 550 |
|
Paul Stanley Zamostien
1 Medical Center Blvd |
$45.51 | 548 | 533 |
|
Robert K Noll
30 Medical Center Blvd |
$1.89 | 490 | 479 |
|
Michael A. Farber
1 Medical Center Blvd |
$59.62 | 482 | 476 |
|
Heather Marie Mascio
30 Medical Center Blvd |
$26.36 | 451 | 430 |
|
W. Gwynn Sinkinson
634 Sproul St |
$49.11 | 426 | 413 |
|
Juliette Coppa
1 Medical Center Blvd |
$15.60 | 358 | 333 |
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 Chester, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chester, PA is $32.58 per claim, based on 82,055 claims from 77 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 Chester, PA?
There are 77 Medicaid providers offering Office Visit related services in Chester, PA according to public payment data.
What is the price range for Office Visit in Chester, PA?
Medicaid reimbursement for Office Visit in Chester, PA ranges from $0.00 to $151.57 per claim, with an average of $32.58. 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 Chester, PA
Emergency Room Visit
Avg $124.13
86,311 claims
Substance Abuse Treatment
Avg $366.01
49,862 claims
Durable Medical Equipment (DME)
Avg $56.93
30,367 claims
Eye Exam
Avg $33.78
30,211 claims
Speech Therapy
Avg $2.33
30,083 claims
Blood Work & Lab Tests
Avg $6.54
26,458 claims
Vaccines & Immunizations
Avg $1.83
23,294 claims
Physical Therapy
Avg $4.85
20,288 claims