Average Medicaid Office Visit Payments in Lansdale, PA: $48.61
Avg. Paid
$48.61
Range
$0.00 – $97.13
Total Claims
59,742
Providers
63
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 Lansdale, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert O Detweiler
1970 North Broad Street |
$58.05 | 7,812 | 7,136 |
|
R. Melody Mayordo Reynolds
1000 Walnut St |
$50.77 | 6,491 | 5,722 |
|
Erin Shea
1970 N Broad St |
$16.02 | 4,221 | 3,913 |
|
Lisa B Yarnoff
1240 S Broad St Ste 130 |
$51.69 | 3,571 | 3,415 |
|
Bharati Bandyopadhyay
2031 N Broad St |
$56.59 | 3,175 | 2,882 |
|
Rosanna C Spear
1240 S Broad St Ste 130 |
$51.43 | 3,111 | 2,994 |
|
Jeanne Michelle Velasco
1240 S Broad St Ste 130 |
$79.90 | 2,927 | 2,843 |
|
Edward C Galena
1240 S Broad St Ste 130 |
$78.81 | 2,733 | 2,463 |
|
Rajni B Patel
2031 N Broad St |
$53.07 | 2,619 | 2,400 |
|
Julie E Rosner
2032 N. Broad Street |
$51.95 | 2,229 | 2,082 |
|
Elizabeth Walters
108 Cowpath Rd Ste 1 |
$0.00 | 2,218 | 2,081 |
|
Evan Kessler
1970 N Broad St |
$54.94 | 2,214 | 2,072 |
|
Stephanie Diane Shearer
1970 N Broad St |
$50.76 | 1,959 | 1,842 |
|
Priscilla Linne Sepe
2026 N Broad St |
$35.73 | 1,579 | 1,493 |
|
Jay M Mergaman
125 Medical Campus Dr Ste 205 |
$25.41 | 1,160 | 1,104 |
|
Lindsay Hummell
1019 S Broad St |
$27.38 | 1,062 | 959 |
|
Ram M Jhingan
2010 N Broad St Ste 100 |
$51.47 | 1,014 | 964 |
|
Dipti Shah-Parikh
1000 Walnut St |
$63.41 | 893 | 761 |
|
Amy Anne Colucci
840 S Valley Forge Rd |
$6.54 | 788 | 716 |
|
Clare Alyse Rech
1970 N Broad St |
$71.18 | 693 | 635 |
|
Urmi Das
1101 S Broad St |
$42.40 | 656 | 618 |
|
Megan Payne
1240 S Broad St Ste 200 |
$97.13 | 599 | 568 |
|
Victoria A. Weill
51 Medical Campus Drive |
$46.60 | 562 | 546 |
|
Neil Mushlin
1240 S Broad St Ste 220 |
$37.51 | 513 | 461 |
|
Advocare , Llc
1240 S Broad St Ste 130 |
$25.87 | 406 | 350 |
|
Robert O'Sullivan
125 Medical Campus Dr |
$52.24 | 392 | 382 |
|
Paula De Lima Eryazici
125 Medical Campus Dr Ste 101 |
$58.13 | 331 | 322 |
|
Daniel Deprince
1970 N Broad St |
$17.54 | 291 | 253 |
|
Seungeun Oh
172 Pinecrest Ln |
$33.92 | 281 | 273 |
|
Brianna Jacobs
1970 N Broad St |
$43.15 | 266 | 252 |
|
Denzel Wayne Pollock
125 Medical Campus Drive |
$58.05 | 243 | 239 |
|
Theresa M Bigelow
1240 S Broad St Ste 130 |
$52.75 | 242 | 237 |
|
Su Jung Kim
51 Medical Campus Dr |
$49.11 | 237 | 233 |
|
Leah Fahey
1240 S Broad St Ste 130 |
$48.15 | 229 | 225 |
|
Gina Ramos
840 S Valley Forge Rd |
$33.01 | 223 | 213 |
|
Michael Timothy Parke
1970 North Broad Street |
$42.01 | 218 | 199 |
|
Detweiler Family Medicine & Asso
1970 North Broad Street |
$30.36 | 216 | 185 |
|
Nina Maouelainin
1240 S Broad St Ste 220 |
$28.65 | 188 | 165 |
|
Susan D Ettinger
108 Cowpath Rd |
$34.06 | 152 | 146 |
|
James Michael Shettsline
920 N Broad St Ste 6 |
$35.12 | 136 | 122 |
|
Lansdale Pediatric And Adolescent Medical Associates, Llc
1240 S Broad St Ste 130 |
$35.64 | 110 | 99 |
|
Wilma Ivette Santiago
1970 N Broad St |
$39.38 | 108 | 102 |
|
Lori Rice
840 S Valley Forge Rd |
$19.88 | 98 | 90 |
|
Richard Lawernce Lizerbram
2032 N Broad St |
$6.56 | 71 | 61 |
|
Sarah Smith
108 Cowpath Rd Ste 1 |
$32.56 | 69 | 60 |
|
Alex Morse
125 Medical Campus Dr Ste 101 |
$64.98 | 68 | 68 |
|
Michael Scott Weinstein
1240 S Broad St Ste 220 |
$47.48 | 54 | 51 |
|
Morris Kliger
1019 S Broad St |
$19.39 | 43 | 39 |
|
Marat Mitelman
1970 North Broad Street |
$50.19 | 42 | 41 |
|
Colleen J Christian
1000 N Broad St |
$28.11 | 37 | 37 |
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 Lansdale, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lansdale, PA is $48.61 per claim, based on 59,742 claims from 63 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 Lansdale, PA?
There are 63 Medicaid providers offering Office Visit related services in Lansdale, PA according to public payment data.
What is the price range for Office Visit in Lansdale, PA?
Medicaid reimbursement for Office Visit in Lansdale, PA ranges from $0.00 to $97.13 per claim, with an average of $48.61. 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 Lansdale, PA
Home Health Visit
Avg $166.81
138,616 claims
Physical Therapy
Avg $17.63
90,303 claims
Speech Therapy
Avg $14.48
63,956 claims
Ambulance Transport
Avg $55.87
54,247 claims
Dental Cleaning & Exam
Avg $26.68
10,186 claims
EKG / ECG (Electrocardiogram)
Avg $8.90
7,935 claims
Vaccines & Immunizations
Avg $10.96
5,821 claims
Emergency Room Visit
Avg $114.61
5,798 claims