Average Medicaid Office Visit Payments in Havertown, PA: $38.08
Avg. Paid
$38.08
Range
$0.00 – $113.03
Total Claims
36,207
Providers
52
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 Havertown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Xiaobin Li
2010 W Chester Pike |
$22.08 | 11,114 | 8,417 |
|
Child Guidance Resource Centers Inc
2000 Old West Chester Pike |
$72.59 | 2,256 | 2,208 |
|
Karl G Schwabe
301 W Chester Pike |
$45.02 | 2,254 | 2,150 |
|
Lin Liu
2010 W Chester Pike Ste 448 |
$45.11 | 2,008 | 1,684 |
|
Alison Downes
820 Merion Ave |
$91.88 | 1,808 | 1,787 |
|
Michael J Prematta
400 W Township Line Rd |
$41.64 | 1,743 | 1,640 |
|
Veronica Carolina Angulo Diaz
301 W Chester Pike Ste 201 |
$55.89 | 1,707 | 1,440 |
|
Satyen Undavia
301 W Chester Pike |
$40.28 | 1,608 | 1,566 |
|
Miteswar Purewal
700 E Township Line Rd |
$2.57 | 1,345 | 1,271 |
|
Shailen Jalali
700 E Township Line Rd |
$2.33 | 1,214 | 1,122 |
|
Athos R Cerrato
1120 W Township Line Rd Fl 2 |
$42.22 | 810 | 551 |
|
Adriana S Prawak
525 W Chester Pike |
$77.82 | 676 | 642 |
|
Robby J Wiemer
850 W Chester Pike |
$19.95 | 581 | 495 |
|
Kyong Bin Park
525 W Chester Pike |
$17.42 | 581 | 506 |
|
Anastasia Karamanides
525 W Chester Pike Ste 201 |
$23.49 | 575 | 557 |
|
Tara Parekh Cooney
2010 W Chester Pike Ste 406 |
$43.82 | 509 | 507 |
|
Sean Christopher Flynn
525 W Chester Pike Ste 201 |
$23.56 | 490 | 475 |
|
Patricia Ann Clancy
525 W Chester Pike Ste 201 |
$26.99 | 450 | 436 |
|
Philip Brian Gilman
1010 W Chester Pike |
$33.07 | 440 | 435 |
|
American Treatment Network Llc
1120 W Township Line Rd |
$89.46 | 401 | 286 |
|
Larry H Chou
525 West Chester Pike |
$65.34 | 325 | 317 |
|
Adam Michael Thompson
525 West Chester Pike |
$85.34 | 324 | 306 |
|
Andrew T Teplica
2800 W Township Line Rd |
$16.92 | 280 | 266 |
|
Navin Ramani
700 E Township Line Rd |
$1.19 | 269 | 259 |
|
Sakthipriya Janarthanan
301 W Chester Pike Ste 201 |
$25.62 | 259 | 247 |
|
Zachary David Hauser
525 W Chester Pike |
$76.33 | 233 | 227 |
|
Jack Elias Kazanjian
510 Darby Rd |
$81.48 | 207 | 198 |
|
Patricia Marie Ferro
403 W Chester Pike |
$13.91 | 189 | 184 |
|
Jenny Lee
2010 W Chester Pike Ste 448 |
$22.50 | 167 | 85 |
|
Main Line Urgent Care Medical Group, P.C.
1305 W Chester Pike |
$74.60 | 162 | 147 |
|
Danielle A Greenfield
2800 W Township Line Rd |
$22.34 | 159 | 148 |
|
Jamie Green
700 E Township Line Rd |
$38.69 | 143 | 136 |
|
Tracy R Prematta
400 W Township Line Rd |
$30.48 | 124 | 122 |
|
Robert J Cabry
525 W Chester Pike |
$85.62 | 110 | 109 |
|
Jeffrey Louis Butcher
1010 W Chester Pike |
$20.91 | 93 | 86 |
|
Bruce G Greenfield
2800 W Township Line Rd |
$17.01 | 88 | 80 |
|
Stephen M Humbert
2510 W Township Line Rd |
$19.92 | 80 | 78 |
|
Christopher Verica
2000 Old West Chester Pike |
$0.47 | 75 | 51 |
|
Michael A Negrey
56 W Eagle Rd |
$27.30 | 57 | 51 |
|
Vanessa Viloria
2010 W Chester Pike Ste 310 |
$22.09 | 47 | 38 |
|
Rhonda Sue Cornell
2800 W Township Line Rd |
$29.01 | 38 | 36 |
|
Charles Hurwitz
607 E Manoa Rd |
$69.13 | 28 | 28 |
|
Leroy Fleischer
301 W Chester Pike Ste 201 |
$34.34 | 27 | 26 |
|
Kelsey Lynne Smith
115 W Eagle Rd |
$49.07 | 25 | 25 |
|
Nicole Harnwell
1702 Melrose Ave |
$13.04 | 23 | 14 |
|
Walter J Adamek
1305 W Chester Pike |
$0.00 | 21 | 18 |
|
Lijuan Yuan
2010 W Chester Pike Ste 448 |
$50.00 | 16 | 14 |
|
Eric J Lake
525 W Chester Pike |
$47.15 | 16 | 15 |
|
Misha H Briere
525 W Chester Pike Ste 203 |
$97.10 | 15 | 15 |
|
Kelly L Scollon-Grieve
525 West Chester Pike |
$113.03 | 13 | 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 Havertown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Havertown, PA is $38.08 per claim, based on 36,207 claims from 52 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 Havertown, PA?
There are 52 Medicaid providers offering Office Visit related services in Havertown, PA according to public payment data.
What is the price range for Office Visit in Havertown, PA?
Medicaid reimbursement for Office Visit in Havertown, PA ranges from $0.00 to $113.03 per claim, with an average of $38.08. 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 Havertown, PA
Psychiatric Evaluation
Avg $61.26
41,118 claims
Physical Therapy
Avg $67.78
32,731 claims
Dental Cleaning & Exam
Avg $27.94
30,317 claims
Substance Abuse Treatment
Avg $186.98
25,835 claims
Speech Therapy
Avg $113.86
16,575 claims
Behavioral & Mental Health Therapy
Avg $40.44
15,144 claims
Nursing Facility Care
Avg $7.95
3,625 claims
Dental Filling
Avg $67.00
3,482 claims