Average Medicaid Office Visit Payments in Kennett Square, PA: $43.52
Avg. Paid
$43.52
Range
$0.00 – $71.25
Total Claims
22,007
Providers
33
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 Kennett Square, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard J Conti
692 Unionville Rd |
$26.53 | 13 | 12 |
|
Geoffrey Schilling
692 Unionville Rd |
$1.72 | 13 | 12 |
|
April N Fisher
870 E Baltimore Pike |
$18.87 | 13 | 13 |
|
Lch Health And Community Services
731 W Cypress St |
$0.00 | 14 | 13 |
|
Cheryl A Hlavac
402 Mcfarlan Rd |
$53.27 | 20 | 18 |
|
Kelly Diamond Montalvo
300 Old Forge Ln Ste 302 |
$47.91 | 24 | 24 |
|
Martha Lynn Brinsfield
402 Mcfarlan Road |
$50.02 | 28 | 25 |
|
Sony P John
404 Mcfarlan Rd |
$44.73 | 40 | 38 |
|
Sharon Anghel
692 Unionville Rd |
$27.04 | 43 | 37 |
|
Steven M Ginsburg
402 Mcfarlan Rd |
$67.68 | 73 | 70 |
|
Henry Karcsh
891 E Baltimore Pike |
$59.46 | 83 | 82 |
|
Katelyn Suler
817 E Baltimore Pike Ste A |
$38.56 | 129 | 124 |
|
Seth S Haplea
402 Mcfarlan Rd |
$46.91 | 140 | 134 |
|
Michael J Duzy
404 Mcfarlan Rd |
$64.40 | 239 | 233 |
|
Paul J Alfieri
404 Mcfarlan Rd |
$6.10 | 265 | 224 |
|
Albert Joseph Iannucci
692 Unionville Rd |
$25.98 | 320 | 275 |
|
Megan Meredith Gaskill
402 Mcfarlan Road |
$69.51 | 374 | 362 |
|
Paula D. Brenn
731 W Cypress St |
$0.21 | 451 | 420 |
|
Michelle Anne Loftus
731 W. Cyprus Street |
$0.00 | 604 | 577 |
|
Katharine May Hoffer
731 W Cypress St |
$0.05 | 649 | 618 |
|
Venita Kaul
891 East Baltimore Pike |
$70.81 | 808 | 776 |
|
Children'S Hospital Of Philadelphia
817 E Baltimore Pike, Suite A |
$38.55 | 822 | 705 |
|
Swarnalatha Neema
731 West Cypress St |
$15.96 | 1,020 | 967 |
|
Jessica Feinerman Fuentes
830 W Cypress St |
$0.00 | 1,086 | 1,031 |
|
Jennifer Lynn Shrager
345 Scarlet Road |
$61.84 | 1,115 | 1,077 |
|
Jacquelyn Detweiler
891 E Baltimore Pike |
$54.93 | 1,208 | 1,165 |
|
Pedro M Solanet
830 W Cypress St |
$60.48 | 1,213 | 1,129 |
|
Joseph A Greco
731 W Cypress St |
$0.00 | 1,406 | 1,175 |
|
Sumathi Sundar
817 E Baltimore Pike Ste A |
$56.61 | 1,467 | 1,393 |
|
Matthew Pagano
404 Mcfarlan Rd Ste 101 |
$53.84 | 1,744 | 1,615 |
|
Carla Mccourt
891 East Baltimore Pike |
$70.44 | 1,774 | 1,721 |
|
Foot And Ankle Associates Llp
692 Unionville Rd |
$37.62 | 2,401 | 1,837 |
|
Elaine Gonzalez
891 E Baltimore Pike |
$71.25 | 2,408 | 2,305 |
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 Kennett Square, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kennett Square, PA is $43.52 per claim, based on 22,007 claims from 33 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 Kennett Square, PA?
There are 33 Medicaid providers offering Office Visit related services in Kennett Square, PA according to public payment data.
What is the price range for Office Visit in Kennett Square, PA?
Medicaid reimbursement for Office Visit in Kennett Square, PA ranges from $0.00 to $71.25 per claim, with an average of $43.52. 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 Kennett Square, PA
Physical Therapy
Avg $21.99
23,291 claims
Speech Therapy
Avg $29.74
13,561 claims
Substance Abuse Treatment
Avg $367.22
10,831 claims
Vaccines & Immunizations
Avg $21.18
8,358 claims
Home Health Visit
Avg $88.93
6,951 claims
Ambulance Transport
Avg $18.25
3,980 claims
Nursing Facility Care
Avg $46.01
3,339 claims
EKG / ECG (Electrocardiogram)
Avg $9.72
3,189 claims