Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Doylestown, PA: $46.44

Avg. Paid

$46.44

Range

$0.00 – $123.16

Total Claims

21,859

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 Doylestown, PA

Provider	Avg. Paid	Claims	Patients
Rebecca Neri 800 W State St	$40.15	3,667	2,898
Michael J Barmach 708 Shady Retreat	$40.59	1,707	1,647
Max Hentschel 318B N Main St	$53.43	1,652	1,576
Michael Nicholas 708 Shady Retreat Rd	$56.97	1,300	1,256
Lisa M Gaffney 708 N Shady Retreat Rd	$48.32	1,239	1,186
Lonnie B Kaplan 252 W Swamp Rd Ste 2	$36.45	1,082	1,050
Richard C Gaibler 14 Memorial Dr Ste B	$41.72	1,054	992
Sarah Spitalny 708 Shady Retreat Road	$55.05	991	973
Children'S Hospital Of Philadelphia 318-B N Main St	$40.17	952	848
Pamela Harrington 708 Shady Retreat Rd	$52.24	908	884
Margery Schonfeld 708 Shady Retreat Rd	$46.06	722	693
Sandra R Benanti 595 W State St	$76.02	707	661
Marlene Gerise Rossman 318B N Main St	$50.67	539	516
Meredith Menz 318B N Main St	$48.65	487	448
William Watkins 701 Hyde Park	$19.69	474	419
Elizabeth Whitney Mcvey 1745 S Easton Rd	$24.72	457	309
Wei Shen 310 Farm Ln	$54.36	429	394
Kyle John Mccormick 14 Memorial Dr Ste B	$45.11	379	345
Allison A. Berneking 253 W State St Ste B	$66.73	369	248
Kelli Jo Paris 599 W State St Ste 301	$68.06	290	273
Alena Blain 3956 Amberton Ct	$23.07	228	219
Daniel Morgan Koch 595 W State St	$101.75	226	218
Laura Brown Heacock 599 W State St	$35.44	212	210
Stephanie Barbetta 14 Memorial Dr Ste B	$38.94	207	189
Edward M. Fahy 3160 Wellington Rd	$30.95	199	196
Sean Ryan De Boer 310 Farm Ln	$33.92	192	186
Anthony F. Santoro 610 Farm Ln	$39.86	139	134
Richard A Kondan 599 W State St	$9.76	138	92
Regina Edelev 500 N West St	$56.49	131	106
Vivian W Yeh 708 N Shady Retreat Rd	$50.76	101	90
Donald Talenti 4259 W Swamp Rd Ste 108	$83.87	84	82
Karen T. Denucci 708 N Shady Retreat Rd	$23.82	81	71
Jean O Fitzgerald 708 N Shady Retreat Rd	$51.32	70	63
Maureen Borstein 708 N Shady Retreat Rd Ste 7	$66.23	61	59
Lisa Bengle 708 N Shady Retreat Rd Ste 5	$22.61	47	35
Arthur Nathan Gorham 252 W Swamp Rd Ste 41	$0.00	43	43
Jennifer Melissa Schwartz 599 W State St Ste 200	$103.45	42	42
Michelle Cammarata 5441 Weyhill Ln	$90.87	41	41
Carolyn E Ianieri 708 N Shady Retreat Rd	$54.33	29	25
Marion-Anna E Protano 599 W State St Ste 200	$60.95	28	28
Cailyn Prescott Scanlan 708 N Shady Retreat Rd Ste 7	$0.00	27	26
Virginia Fischer 14 Memorial Dr Ste B	$6.75	18	16
Mary Glenn Shuart 500 N West St	$0.00	16	12
Nancy Roe 708 N Shady Retreat Rd	$54.39	16	16
Alex J Soriano 102 Progress Dr.	$123.16	14	13
Kamela L Roth 599 W State St	$0.00	13	12
Jayne Koellhoffer 310 Farm Ln	$17.84	13	13
Mayurathan Kesavan 599 W State St Ste 200	$35.16	13	13
Emily Lind Sherrard 701 Hyde Park	$38.73	13	12
Les A Szekely 2003 Lower State Rd Unit 110	$37.45	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 Doylestown, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Doylestown, PA is $46.44 per claim, based on 21,859 claims from 50 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 Doylestown, PA?

There are 50 Medicaid providers offering Office Visit related services in Doylestown, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Doylestown, PA ranges from $0.00 to $123.16 per claim, with an average of $46.44. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Doylestown, PA: $46.44

Providers Offering Office Visit in Doylestown, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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