Average Medicaid Office Visit Payments in Doylestown, PA: $46.44
Avg. Paid
$46.44
Range
$0.00 – $123.16
Total Claims
21,859
Providers
50
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 |
|---|---|---|---|
|
Les A Szekely
2003 Lower State Rd Unit 110 |
$37.45 | 12 | 12 |
|
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 |
|
Alex J Soriano
102 Progress Dr. |
$123.16 | 14 | 13 |
|
Mary Glenn Shuart
500 N West St |
$0.00 | 16 | 12 |
|
Nancy Roe
708 N Shady Retreat Rd |
$54.39 | 16 | 16 |
|
Virginia Fischer
14 Memorial Dr Ste B |
$6.75 | 18 | 16 |
|
Cailyn Prescott Scanlan
708 N Shady Retreat Rd Ste 7 |
$0.00 | 27 | 26 |
|
Marion-Anna E Protano
599 W State St Ste 200 |
$60.95 | 28 | 28 |
|
Carolyn E Ianieri
708 N Shady Retreat Rd |
$54.33 | 29 | 25 |
|
Michelle Cammarata
5441 Weyhill Ln |
$90.87 | 41 | 41 |
|
Jennifer Melissa Schwartz
599 W State St Ste 200 |
$103.45 | 42 | 42 |
|
Arthur Nathan Gorham
252 W Swamp Rd Ste 41 |
$0.00 | 43 | 43 |
|
Lisa Bengle
708 N Shady Retreat Rd Ste 5 |
$22.61 | 47 | 35 |
|
Maureen Borstein
708 N Shady Retreat Rd Ste 7 |
$66.23 | 61 | 59 |
|
Jean O Fitzgerald
708 N Shady Retreat Rd |
$51.32 | 70 | 63 |
|
Karen T. Denucci
708 N Shady Retreat Rd |
$23.82 | 81 | 71 |
|
Donald Talenti
4259 W Swamp Rd Ste 108 |
$83.87 | 84 | 82 |
|
Vivian W Yeh
708 N Shady Retreat Rd |
$50.76 | 101 | 90 |
|
Regina Edelev
500 N West St |
$56.49 | 131 | 106 |
|
Richard A Kondan
599 W State St |
$9.76 | 138 | 92 |
|
Anthony F. Santoro
610 Farm Ln |
$39.86 | 139 | 134 |
|
Sean Ryan De Boer
310 Farm Ln |
$33.92 | 192 | 186 |
|
Edward M. Fahy
3160 Wellington Rd |
$30.95 | 199 | 196 |
|
Stephanie Barbetta
14 Memorial Dr Ste B |
$38.94 | 207 | 189 |
|
Laura Brown Heacock
599 W State St |
$35.44 | 212 | 210 |
|
Daniel Morgan Koch
595 W State St |
$101.75 | 226 | 218 |
|
Alena Blain
3956 Amberton Ct |
$23.07 | 228 | 219 |
|
Kelli Jo Paris
599 W State St Ste 301 |
$68.06 | 290 | 273 |
|
Allison A. Berneking
253 W State St Ste B |
$66.73 | 369 | 248 |
|
Kyle John Mccormick
14 Memorial Dr Ste B |
$45.11 | 379 | 345 |
|
Wei Shen
310 Farm Ln |
$54.36 | 429 | 394 |
|
Elizabeth Whitney Mcvey
1745 S Easton Rd |
$24.72 | 457 | 309 |
|
William Watkins
701 Hyde Park |
$19.69 | 474 | 419 |
|
Meredith Menz
318B N Main St |
$48.65 | 487 | 448 |
|
Marlene Gerise Rossman
318B N Main St |
$50.67 | 539 | 516 |
|
Sandra R Benanti
595 W State St |
$76.02 | 707 | 661 |
|
Margery Schonfeld
708 Shady Retreat Rd |
$46.06 | 722 | 693 |
|
Pamela Harrington
708 Shady Retreat Rd |
$52.24 | 908 | 884 |
|
Children'S Hospital Of Philadelphia
318-B N Main St |
$40.17 | 952 | 848 |
|
Sarah Spitalny
708 Shady Retreat Road |
$55.05 | 991 | 973 |
|
Richard C Gaibler
14 Memorial Dr Ste B |
$41.72 | 1,054 | 992 |
|
Lonnie B Kaplan
252 W Swamp Rd Ste 2 |
$36.45 | 1,082 | 1,050 |
|
Lisa M Gaffney
708 N Shady Retreat Rd |
$48.32 | 1,239 | 1,186 |
|
Michael Nicholas
708 Shady Retreat Rd |
$56.97 | 1,300 | 1,256 |
|
Max Hentschel
318B N Main St |
$53.43 | 1,652 | 1,576 |
|
Michael J Barmach
708 Shady Retreat |
$40.59 | 1,707 | 1,647 |
|
Rebecca Neri
800 W State St |
$40.15 | 3,667 | 2,898 |
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.
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 Doylestown, PA
Speech Therapy
Avg $25.55
218,342 claims
Physical Therapy
Avg $29.79
126,578 claims
Case Management Services
Avg $74.64
80,772 claims
Ambulance Transport
Avg $40.58
49,274 claims
Home Health Visit
Avg $88.50
39,851 claims
Dental Cleaning & Exam
Avg $27.78
11,946 claims
X-Ray
Avg $3.53
9,274 claims
EKG / ECG (Electrocardiogram)
Avg $5.13
6,769 claims