Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lansdale, PA: $48.61

Avg. Paid

$48.61

Range

$0.00 – $97.13

Total Claims

59,742

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 Lansdale, PA

Provider	Avg. Paid	Claims	Patients
Gerald F Cocchiaro 419 S Broad St	$48.09	12	12
Clifford Ehrlich 125 Medical Campus Dr Ste 101	$57.87	12	12
Eileen Mccole 1240 S Broad St Ste 220	$51.54	12	12
Sean M Smullen 2100 N Broad St	$31.25	12	12
Elizabeth A Sun 815 Sumneytown Pike Ste 210	$29.48	13	13
Eric T Rosenwinkel 125 Medical Campus Dr	$49.18	13	13
Jong Hyun Nam 815 Sumneytown Pike	$27.32	14	13
Jeffrey Portner 1019 S Broad St	$28.44	14	12
Carolyn Joyce Van Why 125 Medical Campus Dr	$48.81	15	14
James Barrett 125 Medical Campus Dr Ste 101	$57.00	16	13
Kristen Ashley Brennan 840 S Valley Forge Rd	$23.12	16	13
Vida A. Lemaire 2026 N Broad St	$3.53	17	17
Allyson N Snik 840 S Valley Forge Rd	$2.20	26	26
Colleen J Christian 1000 N Broad St	$28.11	37	37
Marat Mitelman 1970 North Broad Street	$50.19	42	41
Morris Kliger 1019 S Broad St	$19.39	43	39
Michael Scott Weinstein 1240 S Broad St Ste 220	$47.48	54	51
Alex Morse 125 Medical Campus Dr Ste 101	$64.98	68	68
Sarah Smith 108 Cowpath Rd Ste 1	$32.56	69	60
Richard Lawernce Lizerbram 2032 N Broad St	$6.56	71	61
Lori Rice 840 S Valley Forge Rd	$19.88	98	90
Wilma Ivette Santiago 1970 N Broad St	$39.38	108	102
Lansdale Pediatric And Adolescent Medical Associates, Llc 1240 S Broad St Ste 130	$35.64	110	99
James Michael Shettsline 920 N Broad St Ste 6	$35.12	136	122
Susan D Ettinger 108 Cowpath Rd	$34.06	152	146
Nina Maouelainin 1240 S Broad St Ste 220	$28.65	188	165
Detweiler Family Medicine & Asso 1970 North Broad Street	$30.36	216	185
Michael Timothy Parke 1970 North Broad Street	$42.01	218	199
Gina Ramos 840 S Valley Forge Rd	$33.01	223	213
Leah Fahey 1240 S Broad St Ste 130	$48.15	229	225
Su Jung Kim 51 Medical Campus Dr	$49.11	237	233
Theresa M Bigelow 1240 S Broad St Ste 130	$52.75	242	237
Denzel Wayne Pollock 125 Medical Campus Drive	$58.05	243	239
Brianna Jacobs 1970 N Broad St	$43.15	266	252
Seungeun Oh 172 Pinecrest Ln	$33.92	281	273
Daniel Deprince 1970 N Broad St	$17.54	291	253
Paula De Lima Eryazici 125 Medical Campus Dr Ste 101	$58.13	331	322
Robert O'Sullivan 125 Medical Campus Dr	$52.24	392	382
Advocare , Llc 1240 S Broad St Ste 130	$25.87	406	350
Neil Mushlin 1240 S Broad St Ste 220	$37.51	513	461
Victoria A. Weill 51 Medical Campus Drive	$46.60	562	546
Megan Payne 1240 S Broad St Ste 200	$97.13	599	568
Urmi Das 1101 S Broad St	$42.40	656	618
Clare Alyse Rech 1970 N Broad St	$71.18	693	635
Amy Anne Colucci 840 S Valley Forge Rd	$6.54	788	716
Dipti Shah-Parikh 1000 Walnut St	$63.41	893	761
Ram M Jhingan 2010 N Broad St Ste 100	$51.47	1,014	964
Lindsay Hummell 1019 S Broad St	$27.38	1,062	959
Jay M Mergaman 125 Medical Campus Dr Ste 205	$25.41	1,160	1,104
Priscilla Linne Sepe 2026 N Broad St	$35.73	1,579	1,493

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.

Average Medicaid Office Visit Payments in Lansdale, PA: $48.61

Providers Offering Office Visit in Lansdale, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Lansdale, PA

Home Health Visit

Physical Therapy

Speech Therapy

Ambulance Transport

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Vaccines & Immunizations

Emergency Room Visit