Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Exton, PA: $41.12

Avg. Paid

$41.12

Range

$0.32 – $130.00

Total Claims

67,424

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 Exton, PA

Provider	Avg. Paid	Claims	Patients
Sunil Alexander Chandy 495 Thomas Jones Way	$30.61	10,469	9,724
Anne D Fernando 154 Exton Square Mall	$0.32	6,061	5,599
Daniel Haile Selassie 495 Thomas Jones Way Ste 100	$45.66	3,694	3,529
Caitlin Webb 690 West Lincoln Highway	$68.57	3,310	3,162
Jennifer Hilliard Keah 495 Thomas Jones Way	$43.06	3,256	3,094
Eduardo Mercurio 728 West Lincoln Highway	$66.77	3,144	2,706
Jill Galinus Brazelton 690 West Lincoln Highway	$47.27	2,510	2,388
Emily Teresa Schoch 690 W Lincoln Hwy	$84.07	2,404	2,292
Constantine Andreas Serkes 750 W Lincoln Hwy	$32.31	2,213	2,063
Shannon Carolyn Mccormick 278 Eagleview Blvd	$42.54	2,146	1,909
Christopher James Meyer 750 W Lincoln Hwy	$35.38	2,141	2,022
Hyunduck Nah 609 Gordon Dr	$63.76	2,026	1,965
Jessy John 750 W Lincoln Hwy	$31.52	1,975	1,842
Valerie Louise Mcauley 770 W Lincoln Hwy	$39.14	1,446	1,323
Lyndsay Fay 750 W Lincoln Hwy	$36.83	1,411	1,294
Timothy Chen 684 W Lincoln Hwy	$21.66	1,399	1,247
Nicole Coffey 702 Gordon Dr	$61.55	1,362	1,217
John Patrick Manta 479 Thomas Jones Way	$52.48	1,250	1,200
Eduardo Meza 835 Springdale Dr	$78.50	1,239	1,164
Gina Michelle Hennessy 702 Gordon Dr	$33.40	931	884
Daley Marie Ford-Matz 702 Gordon Dr	$78.17	836	778
Avani S Mehta 702 Gordon Dr	$30.32	644	609
Alissa Cerny 702 Gordon Dr	$31.29	618	590
All Star Pediatrics, Llc 702 Gordon Dr	$27.83	610	485
Lewis W Lo 728 W Lincoln Hwy Fl 2	$67.36	564	519
Robert C. Duncheskie 702 Gordon Dr	$29.13	559	543
Melody Hu 100 Arrandale Blvd Ste 103	$29.06	551	498
Healthy Steps Pediatrics Llc 750 W Lincoln Hwy	$27.17	481	416
Stephen F Belfiglio 770 W Lincoln Hwy	$39.97	475	438
Teri Ellen Benn 728 W Lincoln Hwy Fl 2	$67.85	442	415
Justin Sloane 728 W Lincoln Hwy	$66.42	382	355
Danielle M Grande 105 E Uwchlan Ave	$18.19	381	358
Melissa A Callahan 320 Exton Cmns	$48.25	369	348
Christy Mary Joy 278 Eagleview Blvd	$25.70	365	265
Arthur Bart Hodess 154 Exton Square Mall	$32.23	350	346
Taylor A. Belokopyty 278 Eagleview Blvd	$33.81	322	313
Jennifer O. Melnychuk 702 Gordon Dr	$29.54	303	297
Christopher Joseph Lyons 479 Thomas Jones Way	$49.38	299	287
Alexander C. Keszeli 111 Arrandale Blvd	$40.70	289	269
Debbie M Preble 153 Exton Square Mall	$28.76	287	273
Michael J Richards 154 Exton Square Mall	$54.39	256	248
Adam J Mariotti 111 Arrandale Blvd	$33.81	238	224
Jenna L Martin 278 Eagleview Blvd	$48.33	227	225
Enjoli Rogers 495 Thomas Jones Way Ste 210	$46.18	226	222
Ian Dennis Holgado 93 W Devon Dr	$48.34	213	196
Michael Anthony Mcguire 770 W Lincoln Hwy	$34.15	204	185
Sujal P Ghelani 310 Exton Cmns	$35.99	193	188
John N Khalifa 93 W Devon Dr	$49.40	192	182
Lindsay Odell Pfeiffenberger 728 W Lincoln Hwy	$69.65	172	162
Anthony Mangiaracina 278 Eagleview Blvd	$78.08	170	170

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 Exton, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Exton, PA is $41.12 per claim, based on 67,424 claims from 81 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 Exton, PA?

There are 81 Medicaid providers offering Office Visit related services in Exton, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Exton, PA ranges from $0.32 to $130.00 per claim, with an average of $41.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Exton, PA: $41.12

Providers Offering Office Visit in Exton, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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