Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Phila, PA: $37.18

Avg. Paid

$37.18

Range

$0.00 – $90.20

Total Claims

197,942

Providers

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 Phila, PA

Provider	Avg. Paid	Claims	Patients
Monica Mallory-Whitmore 1401 S 31St St	$0.79	51,839	46,721
Pasquale Mignano 2 Penn Blvd	$54.35	22,165	20,073
Albert Einstein Medical Center 5501 Old York Rd	$80.46	20,496	16,249
Ramcel Munoz Quien 100 E Lehigh Ave	$62.77	10,652	9,878
Doray Ibrahim Gurkaynak 3400 Aramingo Ave	$58.87	10,358	10,172
Richard C Harkaway 9880 Bustleton Ave	$22.54	7,802	7,263
Hospital Of University Of Pennsylvania 3400 Spruce St	$90.20	7,741	7,314
Pamela Naval-Blyden 9122 Frankford Ave	$43.22	6,120	5,832
Charna M. Coren 7901 Bustleton Ave	$71.05	5,666	5,036
Einstein Community Health Associates, Inc 101 E Olney Ave	$43.80	5,521	4,967
Karl Whitley 3509 N Broad St	$52.07	4,665	4,487
Scott Travor 4510 Frankford Ave	$33.91	4,101	3,872
Audrey Ann Fisher 100 E Lehigh Ave	$28.17	3,469	2,964
Neil Stuart Rapoport 7318 Frankford Ave	$23.26	2,757	1,960
Shubha Narayan 4510 Frankford Ave	$1.89	2,621	2,540
Michael Lieb 2000 Grant Ave	$33.79	2,414	2,311
Kyle David Montgomery 2317 E Westmoreland St	$18.03	2,348	2,197
Larry Saul Kramer 9331 Old Bustleton Ave	$28.85	2,342	2,219
Kareema Hilton 1401 S 31St St Fl 2	$0.00	1,830	1,696
Fereidoun Bakhsh Tehrani 6521 Frankford Ave	$45.51	1,541	1,347
Leena Vadaketh 321 W Girard Ave	$0.07	1,410	1,320
Intercommunity Action, Inc 6122 Ridge Ave	$0.00	1,171	1,048
Janet E Young 4510 Frankford Ave	$0.98	1,087	996
Kem Yenal 1741 Frankford Ave	$32.80	1,043	992
Howard Marc Rosner 1809-13 Oregon Ave	$44.75	952	908
Edward J Filippone 2228 S Broad St	$17.53	924	842
Brian D Fedgchin 2422 S Broad St	$40.58	918	885
Dennis Ilozulike Eneanya 2100 W Girard Ave	$56.33	849	742
Betty Tsang 3601 A St	$5.51	840	804
Glenn S Cooper 2422 S Broad St	$33.44	772	749
Public Health Management Corporation 5675 N Front St	$0.00	651	575
Efua Asamoah-Odei 227 N Broad St Ste 301	$18.38	640	575
Maggie A. Bowers 1412 Fairmount Ave Fl 2	$0.00	612	552
Steven J Nierenberg 2422 S Broad St	$34.35	569	554
Larry Paul Doroshow 7131 Ridge Ave	$45.31	524	505
John Francis Lozowski 2923 E Thompson St	$59.82	510	454
Veronica A Covalesky 1703 S Broad St	$44.51	508	494
Jack L Garden 2422 S Broad St	$50.48	442	408
William J Dennis 3823 J St	$46.63	432	421
Farhat Hassan 5000 Woodland Ave	$72.19	418	384
Debra Lynne Somers 9331 Old Bustleton Ave	$58.08	418	410
Nicole A Kimzey 2625 W Girard Ave	$31.80	414	369
Jack Rubinlicht 1304 Rhawn St	$20.84	378	353
Barry Alan Bravette 1703 S Broad St	$47.10	362	359
Tandeep K Bhatti 5401 Old York Rd	$47.83	354	348
Ashika Kapoor 5501 Old York Rd	$50.05	348	272
Jessica Bricker 2130 Spring Garden St	$7.34	329	316
Kristi Johnson 2840 W Dauphin St	$34.30	294	286
Abegael N Lorico 7602 Central Ave	$30.87	289	246
Eric D Newman 2228 S Broad St	$35.67	272	114

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 Phila, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Phila, PA is $37.18 per claim, based on 197,942 claims from 87 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 Phila, PA?

There are 87 Medicaid providers offering Office Visit related services in Phila, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Phila, PA ranges from $0.00 to $90.20 per claim, with an average of $37.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Phila, PA: $37.18

Providers Offering Office Visit in Phila, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Phila, PA

Case Management Services

Psychiatric Evaluation

Emergency Room Visit

Vaccines & Immunizations

Eye Exam

Blood Work & Lab Tests

Substance Abuse Treatment

Hearing Test (Audiometry)