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 |
|---|---|---|---|
|
Caroline Murphy Cook
1205 Langhorne Newtown Rd Ste 102 |
$58.04 | 12 | 12 |
|
Sweta Vania Carpenter
402 Middletown Blvd Ste 214 |
$47.70 | 12 | 12 |
|
Enrique Aradillas Lopez
1203 Langhorne Newtown Rd Ste 138 |
$2.62 | 13 | 13 |
|
Susan Ellen Ritorto
540 Woodbourne Rd |
$0.00 | 13 | 13 |
|
Alfred Trang
1203 Langhorne Newtown Rd Ste 225 |
$147.79 | 13 | 13 |
|
Laura E. Mooar
1205 Langhorne Newtown Rd Ste 400 |
$27.79 | 14 | 13 |
|
Terry M Kanefsky
1205 Langhorne Newtown Rd |
$41.90 | 14 | 13 |
|
John A Youssef
240 Middletown Blvd Ste 205 |
$54.60 | 14 | 14 |
|
William L. Kliefoth
240 Middletown Boulevard |
$84.24 | 14 | 14 |
|
Thomas Laurie Shultz
240 Middletown Blvd |
$19.56 | 14 | 13 |
|
William Vito Telesco
380 Middletown Blvd |
$0.00 | 15 | 12 |
|
Mark R. Mclaughlin
1203 Langhorne Newtown Rd |
$48.49 | 15 | 15 |
|
Karim Nathan
1205 Langhorne Newtown Rd Ste 400 |
$95.77 | 16 | 16 |
|
Antoinette Luongo
1203 Langhorne Newtown Rd |
$44.65 | 16 | 16 |
|
Maureen Tessler
1413 E Lincoln Hwy |
$27.78 | 18 | 13 |
|
Sadeer B Hannush
400 Middletown Blvd |
$28.49 | 18 | 18 |
|
Justin D Harmon
1203 Langhorne Newtown Rd Ste 225 |
$48.40 | 26 | 24 |
|
Anand Haridas
1203 Langhorne Newtown Rd |
$44.52 | 27 | 27 |
|
Edward J. Ford
1203 Langhorne Newtown Rd Ste 120 |
$52.29 | 27 | 27 |
|
Victoria Rose Ries
360 Middletown Blvd Ste 402 |
$1.32 | 29 | 26 |
|
Youval Katz
240 Middletown Blvd Ste 205 |
$69.84 | 31 | 31 |
|
Jonathan P Oline
390 Middletown Blvd |
$1.58 | 32 | 26 |
|
John A Avallone
1203 Langhorne Newtown Rd Ste 120 |
$43.37 | 32 | 32 |
|
Ajay Kumar
240 Middletown Blvd |
$38.73 | 34 | 28 |
|
James J Kilcoyne
1203 Langhorne Newtown Rd Ste 400 |
$76.41 | 38 | 38 |
|
Muhammad Anis
240 Middletown Blvd |
$27.92 | 39 | 36 |
|
Vincent F. Sardi
360 Middletown Blvd |
$23.16 | 40 | 38 |
|
Amy Elizabeth Penza
380 Oxford Valley Rd |
$49.59 | 41 | 40 |
|
Rakesh Shah
1203 Langhorne Newtown Rd |
$55.62 | 42 | 42 |
|
Amanda Kooker
582 Middletown Blvd Ste B90 |
$57.72 | 42 | 39 |
|
Robert Danoff
380 Oxford Valley Rd |
$57.64 | 47 | 43 |
|
Allison Allen
1203 Langhorne Newtown Rd Ste 225 |
$14.60 | 49 | 43 |
|
Sandra Agatha Miskiel
1201 Langhorne Newtown Rd |
$57.02 | 50 | 45 |
|
Syed Atif Hussain
1203 Langhorne Newtown Rd |
$55.91 | 51 | 42 |
|
Steven Kutalek
1205 Langhorne Newtown Rd Ste 400 |
$65.84 | 55 | 53 |
|
David J Defilippis
1203 Langhorne Newtown Rd |
$28.41 | 56 | 51 |
|
Radhakrishna R Kalakuntla
825 Town Center Dr Ste 148 |
$42.63 | 63 | 63 |
|
Ian Garrahy
240 Middletown Blvd Ste 205 |
$63.27 | 65 | 64 |
|
Thomas Steven Guagliardo
825 Town Center Dr |
$26.83 | 69 | 69 |
|
Gary Ross Sirken
825 Town Center Drive |
$21.99 | 70 | 69 |
|
Sparsha Kukunoor
240 Middletown Blvd Ste 205 |
$52.31 | 91 | 85 |
|
Holly Cunningham
40 Martin Gross Dr |
$4.41 | 101 | 79 |
|
John Furrey
1208 Langhorne Newtown Rd |
$46.00 | 110 | 95 |
|
Kimon Alexander Kostopoulos
825 Town Center Drive |
$27.34 | 118 | 114 |
|
Daniel Jacob Lebovic
1203 Langhorne Newtown Rd Ste 135 |
$35.54 | 118 | 100 |
|
Andrew C Friedman
390 Middletown Blvd |
$24.63 | 121 | 112 |
|
Zubin Paulson Kolangaden
825 Town Center Dr |
$19.21 | 121 | 118 |
|
Joseph E Scogna
1205 Langhorne Newtown Rd |
$41.75 | 127 | 123 |
|
Rajnikant S Shah
240 Middletown Blvd Ste 101C |
$109.27 | 128 | 128 |
|
Eyad Kanawati
370 Middletown Blvd |
$44.36 | 144 | 136 |
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.
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 Langhorne, PA
Emergency Room Visit
Avg $134.87
85,020 claims
Blood Work & Lab Tests
Avg $2.07
65,222 claims
EKG / ECG (Electrocardiogram)
Avg $7.28
31,236 claims
Physical Therapy
Avg $31.85
20,606 claims
Dental Cleaning & Exam
Avg $26.00
17,070 claims
Urinalysis & Urine Tests
Avg $0.76
15,092 claims
X-Ray
Avg $8.85
12,196 claims
Nursing Facility Care
Avg $21.73
10,990 claims