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 |
|---|---|---|---|
|
Susmitha Dhanyamraju
1 Medical Center Blvd |
$55.48 | 12 | 12 |
|
Pierre G Frederique
1 Medical Center Blvd |
$17.37 | 13 | 13 |
|
Morris E. Mccray
2201 Providence Ave |
$37.69 | 16 | 15 |
|
Deepak S Mahajan
1 Medical Center Blvd |
$0.00 | 22 | 12 |
|
Steven W. Fischer
2112 Providence Ave |
$9.80 | 25 | 24 |
|
Hannah Teplitzky
1 Medical Center Blvd |
$127.47 | 30 | 29 |
|
Vera G Howland
30 Medical Center Blvd |
$8.60 | 31 | 30 |
|
Prospect Ccmc, Llc
301 W 15Th St |
$9.67 | 33 | 29 |
|
Barry D Rinker
1 Medical Center Blvd |
$6.40 | 48 | 45 |
|
Marijeta Pekez
1 Medical Center Blvd |
$66.02 | 54 | 53 |
|
Annmarie A Gaskin
1 Medical Center Blvd |
$62.04 | 55 | 54 |
|
Deborah A Ratner
1 Medical Center Blvd |
$58.62 | 62 | 59 |
|
Emily Drew Rose
1 Medical Center Blvd |
$37.08 | 67 | 63 |
|
Hannah Roni Troutman
30 Medical Center Blvd |
$54.14 | 71 | 71 |
|
John W Ashton
1 Medical Center Blvd |
$46.41 | 73 | 71 |
|
Sergey Zhitnikov
1 Medical Center Blvd |
$57.11 | 79 | 79 |
|
Pasquale Brancazio
1 Medical Center Blvd |
$66.60 | 84 | 82 |
|
Rudy Rahme
1 Medical Center Blvd Ste 231 |
$64.21 | 92 | 87 |
|
Kelly Tran
1 Medical Center Blvd |
$26.13 | 94 | 90 |
|
Amrit Bhardwaj
1 Medical Center Blvd Ste 205 |
$50.60 | 101 | 93 |
|
Mark A. Ginsburg
2112 Providence Ave |
$61.83 | 187 | 180 |
|
Bradley P Grayum
1 Medical Center Blvd |
$133.81 | 240 | 240 |
|
Chespenn Health Services
125 E 9Th St |
$26.71 | 269 | 257 |
|
Elaine Zhou
1 Medical Center Blvd |
$147.26 | 293 | 292 |
|
Tarek Sayed
1 Medical Center Blvd |
$27.39 | 297 | 255 |
|
Joseph Attoh Orraca-Tetteh
2621 W 9Th St |
$0.00 | 312 | 242 |
|
Erica Pasquarello
1 Medical Center Blvd Ste 532 |
$21.34 | 313 | 296 |
|
Juliette Coppa
1 Medical Center Blvd |
$15.60 | 358 | 333 |
|
W. Gwynn Sinkinson
634 Sproul St |
$49.11 | 426 | 413 |
|
Heather Marie Mascio
30 Medical Center Blvd |
$26.36 | 451 | 430 |
|
Michael A. Farber
1 Medical Center Blvd |
$59.62 | 482 | 476 |
|
Robert K Noll
30 Medical Center Blvd |
$1.89 | 490 | 479 |
|
Paul Stanley Zamostien
1 Medical Center Blvd |
$45.51 | 548 | 533 |
|
Carl Lynn Pierce
500 W 9Th St |
$23.92 | 562 | 550 |
|
John C Witherell
30 Medical Center Blvd Ste 104 |
$28.93 | 576 | 552 |
|
Jaime Pedraza
30 Medical Center Blvd Bldg 1 |
$117.14 | 605 | 594 |
|
Danielle Marie Dinorscia
1 Medical Center Blvd |
$73.76 | 610 | 550 |
|
John M Feehery
2112 Providence Ave |
$68.10 | 648 | 614 |
|
Erin Pusz
1 Medical Center Blvd |
$0.00 | 711 | 689 |
|
Lisa Estelle Flores
2600 W 9Th St |
$0.00 | 716 | 642 |
|
Stephanie Tanner Walsh
30 Medical Center Blvd |
$4.21 | 739 | 724 |
|
Christopher Alan Williams
30 Medical Center Blvd Ste 104 |
$25.80 | 742 | 708 |
|
Patricia Ried
1 Medical Center Blvd |
$61.01 | 746 | 647 |
|
Erin Jun
1 Medical Center Blvd Ste 332 |
$63.49 | 779 | 697 |
|
Lauren Victoria Manchester
1 Medical Center Blvd |
$65.11 | 784 | 779 |
|
Jennifer Trosko Higgins
30 Medical Center Blvd Ste 205 |
$2.92 | 788 | 753 |
|
Lilly Ann Yi
1 Medical Center Blvd |
$47.66 | 843 | 799 |
|
Courtney Fay
1 Medical Center Blvd |
$24.22 | 862 | 847 |
|
Jonathan B Finkel
1 Medical Center Blvd |
$65.33 | 881 | 832 |
|
Rahul Patel
1 Medical Center Blvd Dept Of |
$25.26 | 906 | 888 |
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