Average Medicaid Office Visit Payments in Flourtown, PA: $62.47
Avg. Paid
$62.47
Range
$0.92 – $146.34
Total Claims
7,090
Providers
19
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 Flourtown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melissa Ann Renzi
1107 Bethlehem Pike Ste 103 |
$48.47 | 1,082 | 1,072 |
|
Nancy Belser
1811 Bethlehem Pike |
$67.74 | 928 | 915 |
|
Peggy Defelice
1811 Bethlehem Pike |
$59.12 | 779 | 762 |
|
Jennifer Keller
1811 Bethlehem Pike |
$75.44 | 776 | 743 |
|
Catherine Hyun Bonita
1811 Bethlehem Pike |
$146.34 | 604 | 593 |
|
Megan Rae Kistler
1811 Bethlehem Pike |
$52.07 | 568 | 537 |
|
Larry Keller
1811 Bethlehem Pike |
$39.54 | 507 | 472 |
|
Carson Valley Children'S Aid
1419 Bethlehem Pike |
$42.39 | 400 | 377 |
|
Benjamin Raile
1811 Bethlehem Pike |
$53.25 | 381 | 371 |
|
Scott Tomaine
1811 Bethlehem Pike |
$49.36 | 236 | 233 |
|
Audrey Diane Scanlon
1811 Bethlehem Pike Ste A108 |
$40.82 | 213 | 206 |
|
Kathryn Limmer
1811 Bethlehem Pike |
$35.35 | 169 | 164 |
|
Sharon Mullin Corcoran
1811 Bethlehem Pike |
$59.02 | 161 | 158 |
|
Natasha Fonseka
1722 Bethlehem Pike |
$71.05 | 100 | 88 |
|
Thomas F Diaz
1722 Bethlehem Pike |
$34.27 | 72 | 71 |
|
Matthew Leonard Cadwallader
1401 Bethlehem Pike |
$0.92 | 49 | 49 |
|
Abdallah Bukari
1722 Bethlehem Pike |
$40.16 | 38 | 38 |
|
Margarita Elena Mcdonald
8 E Mill Rd |
$34.18 | 15 | 14 |
|
Nino Oqroshidze
1820 Bethlehem Pike |
$20.42 | 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 Flourtown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Flourtown, PA is $62.47 per claim, based on 7,090 claims from 19 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 Flourtown, PA?
There are 19 Medicaid providers offering Office Visit related services in Flourtown, PA according to public payment data.
What is the price range for Office Visit in Flourtown, PA?
Medicaid reimbursement for Office Visit in Flourtown, PA ranges from $0.92 to $146.34 per claim, with an average of $62.47. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Flourtown, PA
Behavioral & Mental Health Therapy
Avg $124.16
39,693 claims
EKG / ECG (Electrocardiogram)
Avg $8.05
21,047 claims
Dental Cleaning & Exam
Avg $26.95
5,617 claims
Emergency Room Visit
Avg $209.29
2,778 claims
Blood Work & Lab Tests
Avg $1.15
2,654 claims
Dialysis
Avg $13.79
2,201 claims
Psychiatric Evaluation
Avg $50.48
2,147 claims
Physical Therapy
Avg $17.65
1,576 claims