Average Medicaid Office Visit Payments in Limerick, PA: $45.60
Avg. Paid
$45.60
Range
$0.00 – $122.69
Total Claims
13,999
Providers
18
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 Limerick, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Genevieve Asante-Odame
43 W Ridge Pike |
$122.69 | 13 | 12 |
|
Edward K Pavillard
420 W Linfield Trappe Rd |
$6.01 | 13 | 13 |
|
Heather Macomber Beauparlant
420 W Linfield Trappe Rd Ste 1000 |
$60.95 | 15 | 12 |
|
Demetrius E Bravidis
296 W Ridge Pike |
$0.00 | 18 | 16 |
|
Tyressa L Savage
332 W Ridge Pike |
$2.61 | 49 | 49 |
|
Kiera Mckendrick Mcelrone
420 W Linfield Trappe Rd Ste 1000 |
$33.71 | 119 | 96 |
|
Michael J Zappitelli
410 W Linfield Trappe Rd Ste 100 |
$17.29 | 140 | 137 |
|
Kathleen Marie Beatty
43 W Ridge Pike |
$26.10 | 153 | 143 |
|
Mark Real
420 W Linfield Rd |
$25.57 | 236 | 225 |
|
Somera Ali
410 W Linfield Trappe Rd Ste 100 |
$55.06 | 733 | 726 |
|
Susan Stitt
420 W Linfield Trappe Rd Ste 2100 |
$31.63 | 737 | 700 |
|
Johanne Personna-Policard
420 W Linfield Trappe Rd Ste 2300 |
$61.09 | 765 | 729 |
|
Janice Sumner
420 W Linfield Rd |
$37.40 | 839 | 795 |
|
Matthew Naegle
410 W Linfield Trappe Rd Ste 100 |
$56.89 | 911 | 890 |
|
Gabrielle Pezzulo
33 W Ridge Pike Ste 627 |
$62.39 | 1,388 | 1,298 |
|
Marta R Stella
420 W Linfield Trappe Rd |
$46.40 | 1,888 | 1,863 |
|
Larry A Feiner
542 N Lewis Rd Ste 101 |
$40.99 | 1,972 | 1,860 |
|
Manish Shah
410 W Linfield Trappe Rd Ste 120 |
$42.52 | 4,010 | 3,900 |
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 Limerick, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Limerick, PA is $45.60 per claim, based on 13,999 claims from 18 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 Limerick, PA?
There are 18 Medicaid providers offering Office Visit related services in Limerick, PA according to public payment data.
What is the price range for Office Visit in Limerick, PA?
Medicaid reimbursement for Office Visit in Limerick, PA ranges from $0.00 to $122.69 per claim, with an average of $45.60. 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 Limerick, PA
Dental Cleaning & Exam
Avg $23.71
5,901 claims
Physical Therapy
Avg $25.25
5,714 claims
Chiropractic Care
Avg $12.26
5,496 claims
Dental Filling
Avg $52.65
1,765 claims
Hearing Test (Audiometry)
Avg $12.80
1,229 claims
X-Ray
Avg $25.04
450 claims
Dialysis
Avg $16.32
296 claims
Speech Therapy
Avg $68.49
128 claims