Average Medicaid Office Visit Payments in Media, PA: $37.43
Avg. Paid
$37.43
Range
$0.08 – $253.36
Total Claims
48,694
Providers
92
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 Media, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Zakir H Khandkar
420 N Orange St |
$12.80 | 6,302 | 5,902 |
|
Denne Michelle Thomas-Patterson
176 S New Middletown Rd |
$45.36 | 5,340 | 5,134 |
|
Allison T. Hannan
1088 W Baltimore Pike |
$16.98 | 2,711 | 2,618 |
|
Michael B Torrence
1223 N Providence Rd |
$55.68 | 2,353 | 2,288 |
|
David K Hadley
1098 W Baltimore Pike |
$63.78 | 2,263 | 1,932 |
|
Ashley Susan Cautillo
1098 W Baltimore Pike Ste 3106 |
$52.17 | 1,441 | 1,317 |
|
Joseph Manuel Ortiz
1098 W Baltimore Pike |
$23.75 | 1,374 | 1,328 |
|
Kathrine Lupo
1098 W Baltimore Pike Ste 3106 |
$73.02 | 1,343 | 1,189 |
|
Stacy-Ann T Thomas-Leslie
510 E Baltimore Pike |
$0.08 | 1,264 | 1,214 |
|
Charles Dewitt Hummer
5201 Pennell Rd Ste C |
$52.51 | 1,146 | 1,017 |
|
Philip Siu
1098 W Baltimore Pike Ste 3403 |
$1.85 | 1,119 | 1,015 |
|
Sueny M Seeney
1098 W Baltimore Pike |
$70.15 | 1,027 | 816 |
|
Betsy G Race
100 Granite Dr |
$42.70 | 930 | 899 |
|
Anthony Pontarelli
1098 W Baltimore Pike |
$20.51 | 928 | 905 |
|
Martine Benoit
600 N Jackson St |
$0.38 | 804 | 684 |
|
Roselle Mesmer
53 W Baltimore Pike Ste 100 |
$55.41 | 782 | 749 |
|
Michael Andrew Lashner
53 W Baltimore Pike Ste 100 |
$70.75 | 777 | 763 |
|
Leemu Valerie Kerkula
5201 Pennell Rd Ste A |
$41.46 | 747 | 705 |
|
Carol L Tanzio
176 S New Middletown Rd |
$15.16 | 712 | 690 |
|
Anna Mesina
1098 W Baltimore Pike Ste 3106 |
$59.18 | 667 | 621 |
|
Christine Martinez
2 W Baltimore Ave Ste 101 |
$11.33 | 605 | 578 |
|
Yousuf Khan
1088 W Baltimore Pike Ste 2506 |
$58.57 | 597 | 539 |
|
Katie Achtert
1098 W Baltimore Pike Ste 3109 |
$33.13 | 595 | 514 |
|
Jie Xu
1098 W Baltimore Pike |
$74.50 | 588 | 520 |
|
Alison Gaudet
100 Granite Dr |
$45.04 | 577 | 561 |
|
Joannie T Yeh
1098 W Baltimore Pike |
$10.48 | 541 | 525 |
|
Jennifer Cutilli
1098 W Baltimore Pike Ste 3106 |
$74.92 | 521 | 474 |
|
Benjamin Jacobs
1078 W Baltimore Pike |
$46.74 | 520 | 432 |
|
Allison R Horowitz
100 Granite Dr |
$44.70 | 494 | 472 |
|
Thomas C Jacob
1088 West Baltimore Pike |
$25.86 | 436 | 375 |
|
Julia Ann Kasper
650 W State St |
$18.82 | 413 | 408 |
|
Guy M Nardella
1118 W Baltimore Pike Ste 100 |
$25.58 | 405 | 277 |
|
A'Sha Mable Brown
100 Granite Dr Ste 7 |
$28.84 | 401 | 311 |
|
Melissa Landon
1098 W Baltimore Pike |
$34.37 | 382 | 341 |
|
Children'S Hospital Of Philadelphia
1021 W Baltimore Pike |
$33.59 | 374 | 342 |
|
Joseph T Sincavage
1098 W Baltimore Pike |
$63.85 | 368 | 335 |
|
Regina M Vince
1098 W Baltimore Pike |
$6.32 | 365 | 350 |
|
Todd Rice
101 N Monroe St |
$9.82 | 329 | 324 |
|
George Lieb
1088 W Baltimore Pike Ste 2202 |
$33.46 | 325 | 320 |
|
Rosalia Hyatt
1098 W Baltimore Pike |
$31.11 | 288 | 226 |
|
Preston James Kick
605 West State Street |
$125.14 | 277 | 276 |
|
Charles Cameron Allred
1088 W Baltimore Pike Ste 2202 |
$31.23 | 263 | 256 |
|
Eren Taydas
1088 W Baltimore Pike |
$66.71 | 253 | 247 |
|
Nicole Marie Ganzekaufer
1098 W Baltimore Pike Ste 3109 |
$76.99 | 244 | 230 |
|
Megan Elizabeth Speare
1098 W Baltimore Pike |
$7.22 | 237 | 230 |
|
Denise Wilks
1098 W Baltimore Pike |
$77.14 | 232 | 207 |
|
Clare Goggins
176 S New Middletown Rd Ste 203 |
$56.95 | 213 | 209 |
|
Jamie Lee Paik
605 W State St |
$59.88 | 213 | 211 |
|
Amanda Stahl Piraino
1088 W Baltimore Pike |
$14.43 | 211 | 205 |
|
Ellah C. Nota
27 Glen Riddle Rd |
$13.11 | 204 | 195 |
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 Media, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Media, PA is $37.43 per claim, based on 48,694 claims from 92 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 Media, PA?
There are 92 Medicaid providers offering Office Visit related services in Media, PA according to public payment data.
What is the price range for Office Visit in Media, PA?
Medicaid reimbursement for Office Visit in Media, PA ranges from $0.08 to $253.36 per claim, with an average of $37.43. 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 Media, PA
Behavioral & Mental Health Therapy
Avg $138.67
59,848 claims
Physical Therapy
Avg $11.08
22,424 claims
Home Health Visit
Avg $145.28
19,254 claims
Emergency Room Visit
Avg $99.94
16,825 claims
Speech Therapy
Avg $23.89
15,800 claims
Dental Cleaning & Exam
Avg $42.18
11,040 claims
EKG / ECG (Electrocardiogram)
Avg $11.23
10,865 claims
Nursing Facility Care
Avg $15.11
10,665 claims