Average Medicaid Office Visit Payments in Malvern, PA: $58.41
Avg. Paid
$58.41
Range
$0.00 – $104.23
Total Claims
7,827
Providers
21
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 Malvern, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Aleksandr Emerel
266 Lancaster Ave Ste 200 |
$49.33 | 1,331 | 1,246 |
|
Chun Yin
301 Lindenwood Dr |
$54.71 | 1,138 | 1,072 |
|
Ashley Hannah Anderson
266 Lancaster Ave |
$78.13 | 944 | 890 |
|
Eric C Zabat
266 Lancaster Ave |
$63.47 | 797 | 698 |
|
Richard Franklin Balotti
266 Lancaster Ave Ste 200 |
$71.12 | 761 | 720 |
|
Michael S Lee
266 Lancaster Ave |
$67.13 | 619 | 539 |
|
Robert A Ruggiero
266 Lancaster Ave |
$54.79 | 431 | 402 |
|
Rachel L. Kramer
325 Central Ave |
$42.88 | 421 | 404 |
|
Chigozie Blessing Amaefuna
101 Lindenwood Dr Ste 225 |
$51.43 | 302 | 220 |
|
Jennifer Clerisson
74 E Swedesford Rd Ste 150 |
$27.83 | 180 | 175 |
|
David Christopher Raab
266 Lancaster Ave |
$53.15 | 167 | 156 |
|
Itai Gans
266 Lancaster Ave Ste 200 |
$61.92 | 156 | 148 |
|
Jason Roy Miller
266 Lancaster Ave |
$55.53 | 133 | 124 |
|
Hajar Muhammad
2476 Swedesford Rd Ste 150 |
$15.96 | 112 | 98 |
|
Louis Joseph Ciliberti
266 Lancaster Ave |
$54.34 | 103 | 94 |
|
Ammarah Hussain
266 Lancaster Ave |
$104.23 | 74 | 74 |
|
Michael M Mikhail
111 Shandon Pl |
$21.79 | 60 | 59 |
|
Jonathan P Garino
266 Lancaster Ave |
$44.57 | 31 | 29 |
|
Jennifer Grace Kwan-Morley
266 Lancaster Ave |
$53.45 | 28 | 26 |
|
Stephanie Joan Morris
100 Deerfield Ln Ste 310 |
$74.76 | 25 | 25 |
|
Lisa A Neri
51 Valley Stream Pkwy Ste 1000 |
$0.00 | 14 | 14 |
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 Malvern, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Malvern, PA is $58.41 per claim, based on 7,827 claims from 21 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 Malvern, PA?
There are 21 Medicaid providers offering Office Visit related services in Malvern, PA according to public payment data.
What is the price range for Office Visit in Malvern, PA?
Medicaid reimbursement for Office Visit in Malvern, PA ranges from $0.00 to $104.23 per claim, with an average of $58.41. 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 Malvern, PA
Physical Therapy
Avg $23.31
8,468 claims
Home Health Visit
Avg $58.62
5,962 claims
Speech Therapy
Avg $15.98
5,650 claims
Nursing Facility Care
Avg $23.07
4,681 claims
Ambulance Transport
Avg $35.45
4,283 claims
Substance Abuse Treatment
Avg $4,344
3,518 claims
Durable Medical Equipment (DME)
Avg $42.58
3,086 claims
Chiropractic Care
Avg $12.94
834 claims