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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Paoli, PA: $53.20

Avg. Paid

$53.20

Range

$0.86 – $158.15

Total Claims

25,033

Providers

46

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 Paoli, PA

Provider Avg. Paid Claims Patients
Samantha Federo

1776 Lancaster Ave

$8.59 3,533 3,143
Luke Nathan Prest

2 Industrial Blvd

$43.63 2,705 2,597
Bilal Arshad Mannan

255 W Lancaster Ave

$84.80 2,644 2,113
James Richard Bollinger

209 W Lancaster Ave

$35.15 2,566 2,211
Tina Marie Demure

30 S Valley Rd Ste 101

$134.85 2,190 1,642
Daniel Brian Gilman

250 W Lancaster Ave Ste 340

$104.36 1,288 1,216
Neal Franklin Skop

Paoli Memorial Hospital Bldg 2

$38.24 1,156 1,135
Anne Rosato

250 West Lancaster Ave

$61.55 864 838
Robert Kenneth Cohen

250 W Lancaster Ave Ste 225

$19.34 802 761
Jeanna Ane Labik

250 West Lancaster Avenue

$64.71 744 713
Ira Strassman

250 West Lancaster Ave

$44.08 602 579
Elena Detaranto

1776 E Lancaster Ave

$2.39 561 222
Naspac-Nj Pllc

2 Industrial Blvd

$32.97 544 540
Xing Zhang

7 Maple Ave

$24.69 529 453
Catharine Clare Eleey

1676 E Lancaster Ave

$67.04 526 504
Kenneth Jay Gelman

250 West Lancaster Ave

$68.91 480 452
Kathryn Christine Moles

2 Industrial Blvd Ste 200

$114.58 462 430
Tony Wen-Wei Ku

53 Darby Rd Ste 1

$1.96 371 358
Scott Higgins Bailey

255 W Lancaster Ave Ste 201

$74.45 327 255
Rachel Michalek

255 W Lancaster Ave

$48.95 287 264
Oleg Grapp

255 W Lancaster Ave

$15.47 258 227
Laura Ellen Smith

2 Industrial Blvd Ste 100

$55.86 253 240
Joseph M Ardito

15 Industrial Blvd

$3.01 220 204
Children'S Hospital Of Philadelphia

2 Industrial Blvd Ste 100

$39.08 165 153
Rebecca S Witham

255 W Lancaster Ave

$27.41 125 65
Marie Elizabeth Vegliante

2 Industrial Blvd Ste 100

$52.88 102 100
Ruth Brobst

11 Industrial Blvd

$32.47 86 83
Michael Edmond Theriault

21 Industrial Blvd

$60.26 84 76
Ama Tettey-Fio

250 W Lancaster Ave Ste 340

$20.71 65 63
Karl Rosenfeld

254 W Lancaster Ave

$52.72 56 55
Michael Joseph Harkness

255 W Lancaster Ave

$0.86 55 50
Allison Hartranft

1776 E Lancaster Ave

$11.26 46 44
Lisa R Kallenbach

2 Industrial Blvd

$79.90 44 42
Lauren Kelly

255 W Lancaster Ave Ste 330

$24.10 43 41
Rachel Weinryb Totoro

255 West Lancaster Ave Suite 101

$3.73 41 38
Tressa Joan Silberberg

1776 Lancaster Ave Ste 8

$5.03 39 36
Maziar Seyedian

255 W Lancaster Ave Ste 232

$22.24 26 26
Matthew Levy

2 Industrial Blvd Ste 200

$58.88 25 24
Adrianna Gordon

1776 Lancaster Ave

$13.20 25 25
Philip A Adelman

21 Industrial Blvd

$44.72 15 12
Tracie M Safier

255 W Lancaster Ave

$21.00 14 13
Sandra Lynn Urtishak

255 W. Lancaster Ave.

$46.84 14 13
Marissa Marie Sudomoin

255 W Lancaster Ave

$74.34 14 13
Amy Leib

4 Industrial Blvd Ste 200

$26.92 13 13
Maria Madelyn Hannaway

21 Industrial Blvd Ste 101

$158.15 12 12
Colleen Schimpf

1676 W Lancaster Ave

$1.97 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 Paoli, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Paoli, PA is $53.20 per claim, based on 25,033 claims from 46 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 Paoli, PA?

There are 46 Medicaid providers offering Office Visit related services in Paoli, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Paoli, PA ranges from $0.86 to $158.15 per claim, with an average of $53.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Paoli, PA