Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Langhorne, PA: $49.28

Avg. Paid

$49.28

Range

$0.00 – $147.79

Total Claims

79,995

Providers

113

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 Langhorne, PA

Provider	Avg. Paid	Claims	Patients
Allison Dawn Otto 404 Middletown Blvd	$55.71	8,072	7,378
Chandresh Ambalal Patel 170 Middletown Blvd	$32.48	7,001	6,723
Edward P Spiegel 370 Middletown Blvd	$59.52	5,490	5,068
Robert Bartolanzo 320 Middletown Blvd	$44.72	4,523	4,135
Jorge Enrique Alvarez Pinzon 680 Middletown Blvd Ste 201	$62.76	4,269	3,979
Arjun Ramprasad 380 Oxford Valley Rd Fl 1	$61.34	4,119	3,944
Marcia R Klein-Chast 404 Middletown Blvd	$54.36	3,960	3,714
Julia Anne Mendola 680 Middletown Blvd Ste 201	$42.38	3,220	2,984
Denice Marie Barnes 404 Middletown Blvd	$54.79	2,790	2,672
Oluwafunmike Doyin Adigun 10 Meadowood Dr	$0.00	2,379	2,072
Oleksiy Lelyanov 680 Middletown Blvd	$71.25	2,016	1,882
Lisa Diasio 540 Woodbourne Rd	$66.57	1,953	1,739
Jennifer Kristin Berkowitz 1203 Langhorne Newtown Rd Ste 336	$66.55	1,799	1,741
Ekata H Rushi 1203 Langhorne Newtown Rd	$47.46	1,360	1,321
Kelly Ann Loftus 1205 Langhorne Newtown Rd	$74.62	1,331	1,287
Michael Ondik 402 Middletown Blvd	$74.01	1,182	1,114
Abdul Malik 1205 Langhorne Newtown Rd	$30.78	1,135	1,021
Ambily Pailo 1205 Langhorne Newtown Rd	$0.03	1,064	1,025
Alexander Ostrovsky 1203 Langhorne Newtown Rd	$35.59	920	870
Allison Ostash 404 Middletown Blvd	$46.16	902	823
Rowena Mcbeath 1203 Langhorne Newtown Rd Ste 335	$77.39	800	761
Marina Kravets 240 Middletown Blvd Ste 203	$13.24	717	694
Alan Bruce Schorr 380 Middletown Blvd	$58.66	700	684
Andrew Craig Margules 240 Middletown Blvd Ste 107	$38.41	691	656
Christopher Maslowski 340 E Maple Ave Ste 204C	$73.53	689	633
Brittany Baron 830 Town Center Dr	$61.11	659	606
Nirav K. Shah 1203 Langhorne Newtown Rd	$35.69	656	635
Richard Anthony Cautilli 1203 Langhorne Newtown Rd Ste 120	$69.16	646	617
Dinesh Dhanaraj 1203 Langhorne Newtown Rd Ste 120	$62.80	641	618
David Allen Cautilli 1203 Langhorne Newtown Rd Ste 120	$85.79	632	616
Rafael Cantos Castro 240 Middletown Blvd Ste 203	$33.55	597	567
Jonathan David White 380 Middletown Blvd Ste 700	$27.81	537	516
Mrugesh B Patel 240 Middletown Blvd	$18.23	519	499
Radhika Pathalapati 402 Middletown Blvd Ste 214	$23.95	512	502
Nishant Pravinchandra Patel 1203 Langhorne Newtown Rd Ste 125	$58.02	491	438
Michael David Smith 320 Middletown Blvd	$29.10	487	427
Sanjay M Madnani 300 Middletown Blvd Ste 103	$27.02	484	460
Mohammed Murtaza 370 Middletown Blvd	$37.62	459	431
Heather Ann Pauli 1205 Langhorne Newtown Rd Ste 108	$18.06	438	419
We Care Pediatrics, P.C. 404 Middletown Blvd	$13.17	433	336
Sarah Emily Goodheart 1203 Langhorne Newtown Rd Ste 336	$75.10	425	383
James C Barrese 1203 Langhorne Newtown Rd	$109.94	412	407
Deanna T Offenback 1205 Langhorne Newtown Rd Ste 102	$28.64	398	383
Mei Ling Zheng 680 Middletown Blvd Ste 201	$24.11	397	382
Emil L Matarese 680 Middletown Blvd	$51.77	393	379
Lindsay Alyse Machen 360 Middletown Blvd Ste 402	$27.21	358	334
Charles E Nicholson 240 Middletown Blvd Ste 203	$33.29	348	323
Scott Richard Mcclain 582 Middletown Blvd. Ste B22	$31.82	326	320
Lee S Halpern 1203 Langhorne Newtown Rd	$71.26	288	260
Srinivas S Atri 370 Middletown Blvd	$41.32	260	235

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 Langhorne, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Langhorne, PA is $49.28 per claim, based on 79,995 claims from 113 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 Langhorne, PA?

There are 113 Medicaid providers offering Office Visit related services in Langhorne, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Langhorne, PA ranges from $0.00 to $147.79 per claim, with an average of $49.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Langhorne, PA: $49.28

Providers Offering Office Visit in Langhorne, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Langhorne, PA

Emergency Room Visit

Blood Work & Lab Tests

EKG / ECG (Electrocardiogram)

Physical Therapy

Dental Cleaning & Exam

Urinalysis & Urine Tests

X-Ray

Nursing Facility Care