Average Medicaid Office Visit Payments in King Of Prussia, PA: $51.77
Avg. Paid
$51.77
Range
$6.22 – $153.72
Total Claims
52,287
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 King Of Prussia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Tran
120 Valley Green Ln Ste 510 |
$55.41 | 15,270 | 13,637 |
|
Marisa Lynne Quattrone
840 First Ave Ste 400 |
$55.06 | 7,980 | 6,848 |
|
Bernard Okem Ogon
583 Shoemaker Road |
$59.13 | 3,526 | 3,267 |
|
Megan Eleanor Oliveira
107 Town Center Rd |
$7.10 | 3,484 | 3,121 |
|
Christine Ellen Pulice
550 S Goddard Blvd |
$70.91 | 2,593 | 2,540 |
|
Kimberly A Richardson
210 Mall Blvd |
$15.09 | 2,093 | 1,971 |
|
Charissa Gardner Myers
700 S Henderson Rd Ste 306 |
$17.67 | 1,569 | 1,467 |
|
Tiffany Tucker
550 S Goddard Blvd |
$6.22 | 1,488 | 1,452 |
|
Kenneth Kearns
950 Pulaski Dr Ste 100 |
$93.07 | 1,327 | 1,298 |
|
Childrens Hospital Of Philadelphia
550 S Goddard Blvd |
$34.31 | 1,073 | 946 |
|
Sosunmolu Opememi Shoyinka
150 S Warner Rd Ste 130 |
$76.64 | 833 | 478 |
|
Meredith N Osterman
950 Pulaski Dr Ste 100 |
$117.59 | 785 | 762 |
|
Jennifer Mary Avallone
550 S Goddard Blvd |
$94.43 | 745 | 715 |
|
Michael Robert O'Brien
170 N Henderson Rd Ste 310 |
$100.80 | 696 | 657 |
|
Ayan Chatterjee
200 Mall Blvd |
$49.44 | 693 | 622 |
|
Arti Patel
210 Mall Blvd |
$37.44 | 634 | 617 |
|
Lauren Woodward
491 Allendale Rd Ste 223 |
$67.31 | 594 | 592 |
|
Kelly Galvin
210 Mall Blvd Ste 100 |
$55.75 | 575 | 554 |
|
Catherine Dillane
120 Valley Green Ln Ste 510 |
$53.31 | 549 | 505 |
|
Anthony P Mannarino
901 E 8Th Ave Ste 101 |
$40.53 | 431 | 400 |
|
Sanjana Bhatia-Patel
120 Valley Green Ln Ste 510 |
$36.03 | 417 | 390 |
|
P. Michael Glowacki
210 Mall Blvd |
$20.48 | 396 | 373 |
|
Prachi Dilip Kothari
550 S Goddard Blvd Fl 2 |
$74.12 | 392 | 305 |
|
Nicole Elaine Wilson-Carr
357 S Gulph Rd |
$65.67 | 384 | 359 |
|
Daniel John Lorenzana
950 Pulaski Dr Ste 100 |
$65.26 | 365 | 342 |
|
Takiya Boyd
601 S Henderson Rd Ste 150 |
$11.56 | 356 | 334 |
|
Arun Nadiga
550 S Goddard Blvd |
$43.42 | 354 | 340 |
|
Philip Gregory Hirshman
583 Shoemaker Rd |
$65.17 | 347 | 261 |
|
Lauren Jennifer Becton
550 S Goddard Blvd |
$79.10 | 343 | 339 |
|
Leonid I Katolik
950 Pulaski Dr Ste 100 |
$81.79 | 291 | 273 |
|
Stephanie Sweet
950 Pulaski Dr Ste 100 |
$153.72 | 247 | 237 |
|
Bushra I Malik
120 Valley Green Ln Ste 510 |
$58.09 | 231 | 221 |
|
Leni S.G Mampallil
120 Valley Green Ln Ste 510 |
$14.96 | 175 | 167 |
|
Joseph Louis Castelli
583 Shoemaker Rd |
$66.11 | 169 | 133 |
|
Thomas J. Gillon
950 Pulaski Dr Ste 100 |
$82.09 | 166 | 159 |
|
Samantha Arlene Diangelus
210 Mall Blvd Ste 210 |
$18.98 | 117 | 107 |
|
David S. Zelouf
950 Pulaski Dr Ste 100 |
$80.96 | 98 | 93 |
|
Allison Maleski
860 1St Ave Ste 8B |
$27.08 | 91 | 74 |
|
Christiana Nwogu
210 Mall Blvd Ste 102 |
$12.04 | 87 | 86 |
|
Marina Yakovevna Sigidin
120 Valley Green Ln Ste 510 |
$40.88 | 83 | 76 |
|
Eileen Simpson
700 S Henderson Rd Ste 308C |
$12.59 | 61 | 61 |
|
Michael Robert Napkori
550 S Goddard Blvd |
$49.21 | 35 | 35 |
|
Eric Liu
700 S Henderson Rd Ste 308C |
$70.16 | 16 | 16 |
|
Mitchell Carney Wilkinson
160 N Gulph Rd Ste 2350 |
$60.51 | 16 | 13 |
|
Samantha P Flanagan
120 Valley Green Ln Ste 510 |
$85.30 | 15 | 12 |
|
Sidney M Jacoby
950 Pulaski Dr Ste 100 |
$90.67 | 15 | 15 |
|
Darnell Alexandre
550 S Goddard Blvd |
$37.43 | 15 | 15 |
|
Johnna Kathryn Sullivan
312 S Henderson Rd |
$24.00 | 15 | 12 |
|
Kristen Jones
120 Valley Green Ln Ste 510 |
$109.68 | 14 | 14 |
|
Beatrice Desir
680 American Ave Ste 302 |
$129.48 | 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 King Of Prussia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in King Of Prussia, PA is $51.77 per claim, based on 52,287 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 King Of Prussia, PA?
There are 52 Medicaid providers offering Office Visit related services in King Of Prussia, PA according to public payment data.
What is the price range for Office Visit in King Of Prussia, PA?
Medicaid reimbursement for Office Visit in King Of Prussia, PA ranges from $6.22 to $153.72 per claim, with an average of $51.77. 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 King Of Prussia, PA
Molecular & Genetic Testing
Avg $21.82
116,708 claims
Durable Medical Equipment (DME)
Avg $114.05
71,949 claims
Ambulance Transport
Avg $99.02
40,973 claims
Dental Cleaning & Exam
Avg $28.42
39,489 claims
Physical Therapy
Avg $48.32
17,119 claims
Eye Exam
Avg $36.81
14,369 claims
Speech Therapy
Avg $61.60
6,703 claims
Dental Filling
Avg $63.78
5,867 claims