Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Collegeville, PA: $32.27

Avg. Paid

$32.27

Range

$0.00 – $74.68

Total Claims

36,328

Providers

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 Collegeville, PA

Provider	Avg. Paid	Claims	Patients
Larissa F Dominy 409 Second Ave Ste 303	$52.18	6,803	6,183
Danielle Williams 1411 S Collegeville Rd	$0.16	4,212	3,922
Elizabeth Ann Filler 3770 Ridge Pike	$57.21	3,631	3,359
Rosalind Elise Cantrell 400 Arcola Rd	$28.22	2,421	2,230
Kerry R Kauffman 17 Iron Bridge Dr Ste 100	$10.27	1,898	1,753
Donald R. Brogan 17 Iron Bridge Dr Ste 100	$10.45	1,792	1,664
Kimberly Ann Tobin 611 Gravel Pike	$49.78	1,705	1,647
Shannon L. Vitelli 17 Iron Bridge Dr Ste 100	$12.25	1,574	1,491
Paul P Doghramji 555 2Nd Ave	$43.28	1,522	1,388
Marta Motel 17 Iron Bridge Dr Ste 150	$19.12	1,336	1,254
Vishal Datta 100 Market St Ste 300	$58.89	1,310	1,284
Asim Mohammad Warsi 1 Iron Bridge Dr	$13.07	1,184	1,131
Clara C. Tiburcio 1 Iron Bridge Dr Ste 150	$20.17	872	837
Erica A Ludwig 55 Park Ave	$18.42	677	622
Gina L Rose 17 Iron Bridge Dr Ste 150	$17.99	568	527
Christopher P. Bruno 599 Arcola Rd	$34.77	560	554
Jennifer Lee Dupre 17 Iron Bridge Dr Ste 150	$23.56	544	512
Ukpere Daniel Nimtor 305 Second Ave	$52.15	496	361
Gregory C Bolton 100 Market Streeet	$57.27	459	412
Fornance Physician Services, Inc. 17 Iron Bridge Dr Ste 100	$34.03	408	354
Jennifer Lynn Hughes 17 Iron Bridge Dr Ste 100	$13.85	397	371
Nawal A Youssef 3770 Ridge Pike	$57.72	353	326
Ogbugo Kalu Emeh 1411 S Collegeville Rd	$57.03	337	292
Julie R Heidrich 55 Park Ave	$21.07	325	293
David Summerall 55 Park Ave	$19.72	180	173
Mary M Bankhead 409 2Nd Ave Ste 303	$20.99	142	131
Laura Patricia Neufeld 55 Park Ave	$31.04	110	106
Cindy D Schmeltz 555 2Nd Ave	$39.04	105	102
Burton Ginsberg 78 Second Ave	$7.71	103	97
Kendall Maris Grasela 3770 Ridge Pike	$59.10	48	48
Timothy Fiorillo 78 2Nd Ave	$32.31	40	38
Dawn M Zapotok 599 Arcola Rd	$0.00	29	27
Robert J Talamo 100 Market St Ste 300	$40.10	28	28
Li C Tsai 100 Campus Dr Bldg A	$23.91	25	24
Sujana Reddy Kurri Yerram 305 Second Ave	$0.00	19	16
Megan Patricia Morris 4 Norsham Way	$25.72	17	16
Birgit Wiswe 555 2Nd Ave	$74.68	16	16
Ching Yeung 1411 S Collegeville Rd	$0.00	15	15
Malalay Ahmady 17 Iron Bridge Dr	$64.62	15	15
Christina Ryder 3774 Ridge Pike	$0.00	14	13
Panda Bear Pediatrics 555 South Second Avenue	$0.00	14	13
Nicole Kulisek 500 Arcola Rd	$27.96	12	12
Pamela J Franz 1411 S Collegeville Rd	$0.00	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 Collegeville, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Collegeville, PA is $32.27 per claim, based on 36,328 claims from 43 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 Collegeville, PA?

There are 43 Medicaid providers offering Office Visit related services in Collegeville, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Collegeville, PA ranges from $0.00 to $74.68 per claim, with an average of $32.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Collegeville, PA: $32.27

Providers Offering Office Visit in Collegeville, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Collegeville, PA

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Speech Therapy

Culture & Microbiology Tests

Ambulance Transport

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