Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Horsham, PA: $18.45

Avg. Paid

$18.45

Range

$0.01 – $115.32

Total Claims

14,526

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 Horsham, PA

Provider	Avg. Paid	Claims	Patients
My V Cong 680 Blair Mill Rd	$0.82	2,581	2,505
Pedro Delgado 680 Blair Mill Rd	$0.01	2,531	2,479
Venkatesh Sundararajan 300 Welsh Rd Ste 104	$2.90	2,100	1,540
Erik Ira Soiferman 401 Horsham Rd	$41.93	1,758	1,655
Deepika Nandiraju 118 Welsh Rd Unit A	$51.25	677	665
Vamshi K Mallavarapu 118 Welsh Rd Unit B	$24.02	597	579
Highland R Campbell 401 Horsham Rd	$6.67	587	241
Isabel Kogan 118 Welsh Rd Unit A	$21.13	582	556
Carmen Cheng 508 Prudential Rd Ste 500	$30.35	399	365
Scott Eric Shapiro 118 Welsh Rd Unit B	$36.12	305	248
Olufunke Oludolapo Afolabi-Brown 200 Lakeside Dr Ste 226	$115.32	232	230
Aswin Mathew 118 Welsh Rd Unit B	$44.55	230	218
Continuing Care Medical Associates Pllc 401 Horsham Rd	$24.90	209	188
Eddy Mizrahi 118 Welsh Rd Unit B	$17.36	189	184
Regina C Mason 300 Welsh Rd Ste 145	$89.20	188	168
Emanuel Kostacos 118 Welsh Rd Unit B	$20.56	181	180
Harris B Cohen 201 Gibraltar Rd Ste 201	$37.57	159	149
Emma Stephane Taylor 201 Gibraltar Rd Ste 100	$6.73	158	68
Jason A Damsker 201 Gibraltar Rd Ste 120	$31.85	114	98
Joseph L Potz 201 Gibraltar Rd Ste 120	$24.68	97	87
Marc J Chernoff 201 Gibraltar Rd Ste 120	$31.96	94	89
Bruce D Klugherz 118 Welsh Rd Unit B	$24.67	91	89
Amy Lynn Constable 680 Blair Mill Rd	$38.72	73	73
John E Dudzinski 118 Welsh Rd Unit B	$21.62	64	63
Melissa Mosczczynski 300 Welsh Rd Ste 120	$16.03	61	52
Richard P Borge 118 Welsh Rd Unit B	$17.68	49	49
Joseph L Neri 118 Welsh Rd Unit B	$16.28	38	36
Jessica A Berman 201 Gibraltar Rd Ste 120	$51.61	26	25
Charles Alan Block 405 Caredean Dr	$39.58	26	26
Southeast Pa Pain Management, Ltd 508 Prudential Rd Ste 500	$24.59	21	21
Latoya Bonk 401 Horsham Rd	$4.61	16	15
Mark Enzerra 100 Witmer Rd	$80.23	15	15
Upasana Madan 118 Welsh Rd	$49.62	14	13
Marla Kelly Osner 401 Horsham Rd	$30.00	14	14
Michael Seidman 201 Gibraltar Rd Ste 120	$45.85	13	13
Michelle Lee Caporaletti 300 Welsh Rd Ste 104	$25.12	13	12
Abhinav Nair 118 Welsh Rd	$21.87	12	12
William G Petrucci 118 Welsh Rd Unit B	$26.34	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 Horsham, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Horsham, PA is $18.45 per claim, based on 14,526 claims from 38 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 Horsham, PA?

There are 38 Medicaid providers offering Office Visit related services in Horsham, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Horsham, PA ranges from $0.01 to $115.32 per claim, with an average of $18.45. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Horsham, PA: $18.45

Providers Offering Office Visit in Horsham, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

Pathology & Lab Services

Home Health Visit