Based on public Medicaid payment data.

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

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
Arthur Lee Osterman 950 Pulaski Dr Ste 100	$43.26	12	12
Beatrice Desir 680 American Ave Ste 302	$129.48	13	12
Nishant Pandya 550 S Goddard Blvd	$15.38	13	13
Kristen Jones 120 Valley Green Ln Ste 510	$109.68	14	14
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
Johnna Kathryn Sullivan 312 S Henderson Rd	$24.00	15	12
Darnell Alexandre 550 S Goddard Blvd	$37.43	15	15
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
Michael Robert Napkori 550 S Goddard Blvd	$49.21	35	35
Eileen Simpson 700 S Henderson Rd Ste 308C	$12.59	61	61
Marina Yakovevna Sigidin 120 Valley Green Ln Ste 510	$40.88	83	76
Christiana Nwogu 210 Mall Blvd Ste 102	$12.04	87	86
Allison Maleski 860 1St Ave Ste 8B	$27.08	91	74
David S. Zelouf 950 Pulaski Dr Ste 100	$80.96	98	93
Samantha Arlene Diangelus 210 Mall Blvd Ste 210	$18.98	117	107
Thomas J. Gillon 950 Pulaski Dr Ste 100	$82.09	166	159
Joseph Louis Castelli 583 Shoemaker Rd	$66.11	169	133
Leni S.G Mampallil 120 Valley Green Ln Ste 510	$14.96	175	167
Bushra I Malik 120 Valley Green Ln Ste 510	$58.09	231	221
Stephanie Sweet 950 Pulaski Dr Ste 100	$153.72	247	237
Leonid I Katolik 950 Pulaski Dr Ste 100	$81.79	291	273
Lauren Jennifer Becton 550 S Goddard Blvd	$79.10	343	339
Philip Gregory Hirshman 583 Shoemaker Rd	$65.17	347	261
Arun Nadiga 550 S Goddard Blvd	$43.42	354	340
Takiya Boyd 601 S Henderson Rd Ste 150	$11.56	356	334
Daniel John Lorenzana 950 Pulaski Dr Ste 100	$65.26	365	342
Nicole Elaine Wilson-Carr 357 S Gulph Rd	$65.67	384	359
Prachi Dilip Kothari 550 S Goddard Blvd Fl 2	$74.12	392	305
P. Michael Glowacki 210 Mall Blvd	$20.48	396	373
Sanjana Bhatia-Patel 120 Valley Green Ln Ste 510	$36.03	417	390
Anthony P Mannarino 901 E 8Th Ave Ste 101	$40.53	431	400
Catherine Dillane 120 Valley Green Ln Ste 510	$53.31	549	505
Kelly Galvin 210 Mall Blvd Ste 100	$55.75	575	554
Lauren Woodward 491 Allendale Rd Ste 223	$67.31	594	592
Arti Patel 210 Mall Blvd	$37.44	634	617
Ayan Chatterjee 200 Mall Blvd	$49.44	693	622
Michael Robert O'Brien 170 N Henderson Rd Ste 310	$100.80	696	657
Jennifer Mary Avallone 550 S Goddard Blvd	$94.43	745	715
Meredith N Osterman 950 Pulaski Dr Ste 100	$117.59	785	762
Sosunmolu Opememi Shoyinka 150 S Warner Rd Ste 130	$76.64	833	478
Childrens Hospital Of Philadelphia 550 S Goddard Blvd	$34.31	1,073	946
Kenneth Kearns 950 Pulaski Dr Ste 100	$93.07	1,327	1,298
Tiffany Tucker 550 S Goddard Blvd	$6.22	1,488	1,452
Charissa Gardner Myers 700 S Henderson Rd Ste 306	$17.67	1,569	1,467
Kimberly A Richardson 210 Mall Blvd	$15.09	2,093	1,971
Christine Ellen Pulice 550 S Goddard Blvd	$70.91	2,593	2,540
Megan Eleanor Oliveira 107 Town Center Rd	$7.10	3,484	3,121
Bernard Okem Ogon 583 Shoemaker Road	$59.13	3,526	3,267

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.

Average Medicaid Office Visit Payments in King Of Prussia, PA: $51.77

Providers Offering Office Visit in King Of Prussia, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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