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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Newtown, PA: $46.32

Avg. Paid

$46.32

Range

$0.00 – $146.11

Total Claims

34,733

Providers

31

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 Newtown, PA

Provider Avg. Paid Claims Patients
Rachel Rapp

104 Pheasant Run Ste 116B

 $31.69 13,717 12,859
Catherine R Spratt Turner

638 Newtown Yardley Rd

 $47.10 3,472 3,131
Carrie Nomikos

2189 Second Street Pike

 $0.10 2,395 2,173
Priya C Stephen

104 Pheasant Run Ste 116B

 $33.73 1,894 1,830
Myanh Thi Nguyen

200 S Lincoln Ave

 $146.11 1,863 1,711
Steven A Levy

104 Pheasant Run

 $70.04 1,641 1,588
Jabbar Ben Zafar

3 Penns Trl

 $88.07 1,106 1,053
Children'S Hospital Of Philadelphia

104 Pheasant Run Ste 116B

 $43.52 966 847
Kelly A Cann

104 Pheasant Run

 $60.41 931 890
Urszula Wierciszewska

104 Pheasant Run

 $61.28 926 895
Naline L Lai

104 Pheasant Run

 $56.30 826 797
Julie Kardos

104 Pheasant Run

 $67.16 708 695
Huma Siddiqui

104 Pheasant Run

 $69.16 605 590
Neetu Dhawan

104 Pheasant Run Ste 105A

 $30.17 577 456
Stephanie Michelle Amendola

104 Pheasant Run

 $76.25 561 529
John Paul Palu-Regan

104 Pheasant Run Ste 123

 $59.93 494 430
Michele Demuth Henderson

104 Pheasant Run

 $60.29 371 352
Brad Jay Tinkelman

503 Washington Ave

 $40.25 263 250
Elsa I Martinez

2842 S Eagle Rd

 $0.00 255 220
Randy Brister

104 Pheasant Run

 $25.65 195 191
Patricia M Patrick

11 Friends Ln

 $10.95 166 132
Kristina Hofmeister Attryde

200 S Lincoln Ave

 $46.64 139 130
Paula S Seth

104 Pheasant Run

 $59.26 136 132
Yuhan Gu

100 Brandywine Blvd Ste 100

 $67.71 135 126
Jennifer Morris Hegarty

100 Brandywine Blvd Ste 100

 $46.88 133 128
Harmony Bonnes

3 Penns Trl

 $50.09 103 96
Waseem Butt

3 Penns Trl

 $41.82 76 75
Faith Michelle Leshner Meltzer

6 S Sycamore St

 $53.57 28 12
Heather Gottlieb

2189 Second Street Pike

 $37.62 25 25
Richard L Hyman

104 Pheasant Run

 $17.02 14 12
Elizabeth Manetta

2873 S Eagle Rd

 $33.83 12 12

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 Newtown, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newtown, PA is $46.32 per claim, based on 34,733 claims from 31 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 Newtown, PA?

There are 31 Medicaid providers offering Office Visit related services in Newtown, PA according to public payment data.

What is the price range for Office Visit in Newtown, PA?

Medicaid reimbursement for Office Visit in Newtown, PA ranges from $0.00 to $146.11 per claim, with an average of $46.32. 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 Newtown, PA

Blood Work & Lab Tests

Avg $2.14

117,120 claims

Home Health Visit

Avg $120.86

111,955 claims

Speech Therapy

Avg $18.02

56,766 claims

Physical Therapy

Avg $99.73

24,058 claims

Ambulance Transport

Avg $9.42

16,544 claims

Podiatry (Foot Care)

Avg $6.27

16,463 claims

Vaccines & Immunizations

Avg $20.10

16,454 claims

Urinalysis & Urine Tests

Avg $1.12

11,831 claims