Average Medicaid Office Visit Payments in Norristown, PA: $51.02
Avg. Paid
$51.02
Range
$0.00 – $624.79
Total Claims
79,673
Providers
51
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 Norristown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Bernard Watson
31 E Fornance St |
$58.16 | 10,679 | 7,277 |
|
Maris Mosley
1330 Powell St |
$53.32 | 9,139 | 1,718 |
|
Mana Golzari
1401 Dekalb St |
$1.19 | 7,034 | 6,356 |
|
Dai Le Nguyen
6422 Kelly Dr |
$22.87 | 4,200 | 2,725 |
|
Ann D George
1330 Powell St |
$17.46 | 3,724 | 3,570 |
|
Johanna Owings
1401 Dekalb St |
$0.07 | 3,471 | 3,231 |
|
Sarah Britain Louise Smith-Benjamin
1330 Powell St Ste 409 |
$32.61 | 3,169 | 2,919 |
|
Hermine Stein
1330 Powell St Ste 409 |
$17.34 | 2,546 | 2,437 |
|
Jose Federico Andino Guarderas
1330 Powell St |
$15.33 | 2,442 | 2,351 |
|
Christopher Drumm
1437 Dekalb Street |
$21.98 | 2,436 | 2,298 |
|
Marino Leonardi
2705 Dekalb Pike |
$64.19 | 2,403 | 2,294 |
|
Sarah Mattea Taub
1340 Dekalb Street |
$60.75 | 2,356 | 2,268 |
|
Cameron Moore
1401 Dekalb St |
$88.60 | 2,097 | 1,933 |
|
Jessica Rose Mayer
2705 Dekalb Pike Ste 202 |
$44.95 | 2,004 | 1,903 |
|
Jeremy L. King
1301 Powell St |
$59.33 | 1,936 | 1,888 |
|
Shilpa Rajagopal
1437 Dekalb St Ste 100 |
$72.72 | 1,899 | 1,804 |
|
Peter K Kim
413 W Germantown Pike |
$624.79 | 1,842 | 1,677 |
|
Michael Yang
170 W Germantown Pike Ste C1 |
$51.73 | 1,788 | 1,722 |
|
Eric Yeh
1437 Dekalb St Ste 201 |
$51.33 | 1,592 | 1,512 |
|
Donald Mario Sesso
60 W Germantown Pike |
$45.89 | 1,525 | 1,493 |
|
Tosha Lee
1401 Dekalb St |
$0.04 | 1,395 | 1,276 |
|
Kelsey Elizabeth Mcglade
1401 Dekalb St |
$0.21 | 1,206 | 1,124 |
|
Joseph A Calamia
1437 Dekalb St |
$21.07 | 1,081 | 1,029 |
|
Barbara P Krzyspiak
1340 Dekalb St |
$54.65 | 1,031 | 1,015 |
|
Sabeena Shafi Fazili
703 Dekalb St |
$18.24 | 964 | 888 |
|
Danielle Christina Erkoboni-Wilbur
1340 Dekalb St Ste 4 |
$54.48 | 718 | 682 |
|
Eli Epstein Miller
1330 Powell St Ste 409 |
$57.37 | 675 | 652 |
|
Mignon Mercado De Leon
1330 Powell St |
$51.30 | 530 | 528 |
|
Heather Jeannine Santangelo Logan
3145 Middle School Dr |
$67.14 | 473 | 443 |
|
Elaine G Pendrak
2705 Dekalb Pike Ste 202 |
$43.27 | 464 | 451 |
|
Anthony Thomas
50 Beech Dr |
$0.10 | 400 | 342 |
|
Margaret Carrillo
60 Eagleville Rd |
$42.78 | 328 | 316 |
|
Zachary Hoover
160 W Germantown Pike Ste D2 |
$9.12 | 241 | 239 |
|
Delaware Valley Community Health, Inc.
1401 Dekalb St |
$31.16 | 240 | 211 |
|
Kyle Ericsson Solomon
160 W Germantown Pike Ste D2 |
$39.90 | 224 | 213 |
|
Sharese Tucker
2701 Dekalb Pike |
$14.20 | 203 | 196 |
|
Joseph Cipriano
905 Dekalb St |
$14.16 | 192 | 164 |
|
Bruce J Menkowitz
1401 Dekalb St |
$30.04 | 145 | 124 |
|
The Children'S Hospital Of Philadelphia
1437 Dekalb St Ste 100 |
$32.30 | 141 | 133 |
|
Dominic J Bontempo
2705 Dekalb Pike |
$15.23 | 140 | 102 |
|
Steven A Shapiro
160 W Germantown Pike Ste D2 |
$38.71 | 138 | 126 |
|
Samuel M Puleo
1401 Dekalb St |
$37.10 | 132 | 124 |
|
Lynn Michel
1221 Powell St |
$54.29 | 84 | 84 |
|
Edward Buonocore
1330 Powell St |
$66.43 | 72 | 70 |
|
Tiffany Daniel
2701 Dekalb Pike |
$0.00 | 34 | 28 |
|
Michael Xuehui Su
2701 Dekalb Pike |
$5.23 | 32 | 30 |
|
Jill Schneider
1330 Powell Street |
$35.37 | 29 | 26 |
|
Lara Joy Nakao
1308 Dekalb St |
$52.32 | 27 | 27 |
|
Caitlin May Carlsson
2701 Dekalb Pike |
$54.29 | 25 | 24 |
|
Ronit Z Sugar
1330 Powell St Ste 603 |
$27.60 | 15 | 13 |
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 Norristown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Norristown, PA is $51.02 per claim, based on 79,673 claims from 51 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 Norristown, PA?
There are 51 Medicaid providers offering Office Visit related services in Norristown, PA according to public payment data.
What is the price range for Office Visit in Norristown, PA?
Medicaid reimbursement for Office Visit in Norristown, PA ranges from $0.00 to $624.79 per claim, with an average of $51.02. 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 Norristown, PA
Blood Work & Lab Tests
Avg $7.20
740,909 claims
Speech Therapy
Avg $21.47
213,512 claims
Physical Therapy
Avg $23.17
172,572 claims
Urinalysis & Urine Tests
Avg $2.60
115,862 claims
Culture & Microbiology Tests
Avg $3.55
55,333 claims
Case Management Services
Avg $78.34
42,105 claims
Pathology & Lab Services
Avg $13.72
40,822 claims
Emergency Room Visit
Avg $119.05
22,740 claims