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
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 Paoli, PA
X-Ray
Avg $6.25
35,440 claims
EKG / ECG (Electrocardiogram)
Avg $6.73
24,596 claims
Emergency Room Visit
Avg $117.01
21,913 claims
Nursing Facility Care
Avg $43.12
12,528 claims
CT Scan (Computed Tomography)
Avg $39.26
11,767 claims
Speech Therapy
Avg $89.67
9,016 claims
Blood Work & Lab Tests
Avg $8.86
8,509 claims
Physical Therapy
Avg $34.31
2,709 claims