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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
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

Other Procedures in Langhorne, PA