Average Medicaid Office Visit Payments in Darby, PA: $55.31
Avg. Paid
$55.31
Range
$0.00 – $95.96
Total Claims
76,138
Providers
59
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 Darby, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frank Ziskowski
1501 Lansdowne Ave |
$35.00 | 12 | 12 |
|
John Russell Gooch
1500 Lansdowne Ave |
$67.09 | 13 | 13 |
|
Prafulla Rajani Sequeira
1503 Lansdowne Ave Ste 3001 |
$60.63 | 17 | 17 |
|
Gregory Conrad Stachelek
1500 Lansdowne Ave |
$76.71 | 28 | 28 |
|
Trinity Health Mid-Atlantic Medical Group
1500 Lansdowne Ave |
$0.00 | 32 | 32 |
|
Dennis W Ivill
1501 Lansdowne Ave Ste 303 |
$24.69 | 32 | 24 |
|
Roger Liu
1500 Lansdowne Ave |
$31.60 | 40 | 39 |
|
Kanika Trehan
1501 Lansdowne Ave Ste 307 |
$58.13 | 59 | 52 |
|
Josephine Mator
1503 Lansdowne Ave Ste 3001 |
$64.22 | 62 | 62 |
|
Sundermurthy Yamini
1503 Lansdowne Ave Ste 3001 |
$76.85 | 82 | 79 |
|
Christopher Uddoh
1501 Lansdowne Ave Ste 208 |
$54.03 | 88 | 85 |
|
Ali S Ahmadinejad
1501 Lansdowne Ave |
$22.07 | 92 | 91 |
|
William M Urbas
1501 Lansdowne Ave |
$24.61 | 101 | 97 |
|
Cory R Hawley
1501 Lansdowne Ave |
$24.94 | 113 | 107 |
|
Mercy Pediatric Associates Pc
1503 Lansdowne Ave |
$14.97 | 115 | 107 |
|
Margaret Joan Fagan
1503 Lansdowne Ave |
$42.59 | 117 | 117 |
|
Leon E Clarke
1501 Lansdowne Ave Ste 210 |
$69.53 | 155 | 144 |
|
Tanzia Ahmed Nijhum
1500 Lansdowne Ave |
$93.10 | 174 | 169 |
|
Karen J Kish
1500 Lansdowne Ave Ste G103 |
$83.15 | 400 | 384 |
|
Rosaria Torres
1501 Lansdowne Ave |
$95.96 | 409 | 378 |
|
Meghana Vijay Dhamdhere
1503 Lansdowne Ave Ste 2000 |
$29.95 | 442 | 435 |
|
Chad Jordan Metzger
1500 Lansdowne Ave |
$3.64 | 525 | 473 |
|
Amit Deshpande
1501 Lansdowne Ave Ste 201 |
$37.02 | 545 | 528 |
|
Jennifer D Patel
1501 Lansdowne Ave |
$27.19 | 548 | 534 |
|
Carly Macker
1503 Lansdowne Ave Ste 3002 |
$49.80 | 553 | 530 |
|
Tiffany Holmes
1503 Lansdowne Ave Ste 3001 |
$73.83 | 610 | 594 |
|
Stacey A Anderson
1501 Lansdowne Ave Ste 302 |
$40.14 | 639 | 525 |
|
Manila Sharma
1500 Lansdowne Ave |
$24.30 | 757 | 612 |
|
Shormeh Yeboah Otsin
1501 Lansdowne Ave Fl 1 |
$14.27 | 776 | 762 |
|
Loc Van Tran
1501 Lansdowne Ave |
$12.32 | 782 | 725 |
|
Fazle Ali Noor
1501 Lansdowne Ave Ste 201 |
$32.39 | 913 | 879 |
|
Christine Yvonne Smith
1503 Lansdowne Ave Ste 3002 |
$49.91 | 930 | 893 |
|
James J Cosgrove
1501 Lansdowne Ave Ste 302 |
$54.13 | 950 | 852 |
|
Lorraine M Disipio
1501 Lansdowne Ave Fl 1 |
$23.66 | 965 | 930 |
|
Panagiotis Georgelos
1503 Lansdowne Ave |
$69.57 | 1,001 | 967 |
|
Jay W Hubsher
1501 Lansdowne Ave |
$32.66 | 1,127 | 1,102 |
|
Tristin Cadle
1501 Lansdowne Ave Fl 1 |
$69.25 | 1,179 | 1,124 |
|
Celsus Iegbeojai Ebba
869 Main St |
$34.92 | 1,448 | 1,303 |
|
Richard Hunn
1503 Lansdowne Ave |
$58.57 | 1,743 | 1,702 |
|
Martin O'Riordan
1503 Lansdowne Ave |
$60.01 | 1,965 | 1,912 |
|
Rafael Amaral
1501 Lansdowne Ave |
$68.95 | 2,062 | 1,929 |
|
Dhruvan Nimish Patel
1500 Lansdowne Ave |
$94.05 | 2,103 | 2,032 |
|
Rajesh Thirumaran
1500 Lansdowne Ave Ste G-103 |
$74.65 | 2,147 | 1,783 |
|
Steven Lichtenstein
1501 Lansdowne Ave |
$70.26 | 2,186 | 2,108 |
|
Douglas Lee Keagle
1501 Lansdowne Ave |
$25.02 | 2,251 | 2,190 |
|
Joseph Conroy
1503 Lansdowne Ave |
$71.34 | 2,317 | 2,234 |
|
Yu Yu Thar
1500 Lansdowne Ave |
$51.47 | 2,472 | 2,260 |
|
Leo Zacharias
1501 Lansdowne Ave Fl Mob1 |
$30.95 | 2,557 | 2,451 |
|
Ajay Pillai
1503 Lansdowne Ave |
$42.11 | 2,696 | 2,642 |
|
Joanne Hallie Alfandre
1503 Lansdowne Ave Ste 3002 |
$73.54 | 2,722 | 2,624 |
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 Darby, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Darby, PA is $55.31 per claim, based on 76,138 claims from 59 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 Darby, PA?
There are 59 Medicaid providers offering Office Visit related services in Darby, PA according to public payment data.
What is the price range for Office Visit in Darby, PA?
Medicaid reimbursement for Office Visit in Darby, PA ranges from $0.00 to $95.96 per claim, with an average of $55.31. 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 Darby, PA
X-Ray
Avg $7.03
46,172 claims
Blood Work & Lab Tests
Avg $2.94
35,855 claims
Emergency Room Visit
Avg $132.75
35,095 claims
EKG / ECG (Electrocardiogram)
Avg $12.87
27,065 claims
CT Scan (Computed Tomography)
Avg $45.86
26,843 claims
Ambulance Transport
Avg $192.65
9,276 claims
Physical Therapy
Avg $72.16
9,056 claims
Pathology & Lab Services
Avg $28.22
9,020 claims