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
Jennifer Marie Millado 100 E Lehigh Ave	$43.75	13	13
Lee Dickinson Rowe 2340 E Allegheny Ave	$0.00	14	14
Andorra Pediatrics Llc 8945 Ridge Ave Ste 5	$17.18	14	14
James C Volpe, Do, Pc 1337 S 9Th St	$0.00	15	15
Sidney Cohen 132 S 10Th St	$34.10	15	13
Marcia L Halpern 1840 South St	$59.34	16	16
E&M Healthcare 6608 Castor Ave	$30.23	18	14
Alan Jay Meltzer 2110 Spruce St	$10.00	21	12
Christopher James Adkins 1101 Chestnut St	$67.48	24	24
Michael C. Dimarino 1101 Chestnut St	$43.41	25	24
Steven Schutzbank 7341 Brookhaven Rd	$18.92	27	25
Michele Linne Hirsch 2 Penn Blvd	$21.85	28	25
Barbara A Kuns 9122 Frankford Ave	$31.77	29	29
Michael A Minni 701 E Cathedral Rd Ste 11	$38.99	31	29
V Blake Marshall 2230 Cottman Ave	$0.00	44	43
Keith L Wapner 230 W Washington Sq	$50.58	44	41
Adam Kendall Rowden 5501 Old York Rd	$76.13	50	50
Hemlata M Kalwani 7924 Bustleton Ave	$8.07	51	51
Cuckoo Choudhary 1101 Chestnut St	$46.48	54	53
Mitchell I. Conn 132 S 10Th St	$55.27	55	54
Einstein Practice Plan Inc 5501 Old York Rd	$38.65	56	52
Public Health Management Corporation 1900 N 9Th St	$0.00	57	54
Howard S. Kroop 1101 Chestnut St	$31.54	65	63
Pasquale A Colavita 2230 S Broad St	$48.25	72	69
Mustapha Shayegan 8118 Bustleton Ave	$23.80	75	75
Daranee Chewaproug 5501 Old York Rd	$34.29	77	72
Monjur Ahmed 1101 Chestnut St	$59.39	95	95
Heather Kulp 160 E Erie Ave	$47.47	100	100
Robert Stephen Auerbach 7602 Central Ave	$49.96	105	103
Daria Latch Pellegrino 5501 Woodland Avenue	$0.00	110	102
Alan M Mermelstein 7439 Frankford Ave	$30.16	113	108
Mariam Salahou 16 Old Ashton Rd	$35.85	164	150
Bruce L Bruskoff 1304 Rhawn St	$26.16	178	158
Melody Ann Piranian Andorra Pediatrics	$2.55	184	180
Lauren Sue Rosenberg 525 Jamestown St	$19.51	236	223
Tawanaha T Stokes 131 E Chelten Ave	$0.00	244	228
Shelley Blaker 5401 Old York Rd	$31.18	245	222
Eric D Newman 2228 S Broad St	$35.67	272	114
Abegael N Lorico 7602 Central Ave	$30.87	289	246
Kristi Johnson 2840 W Dauphin St	$34.30	294	286
Jessica Bricker 2130 Spring Garden St	$7.34	329	316
Ashika Kapoor 5501 Old York Rd	$50.05	348	272
Tandeep K Bhatti 5401 Old York Rd	$47.83	354	348
Barry Alan Bravette 1703 S Broad St	$47.10	362	359
Jack Rubinlicht 1304 Rhawn St	$20.84	378	353
Nicole A Kimzey 2625 W Girard Ave	$31.80	414	369
Farhat Hassan 5000 Woodland Ave	$72.19	418	384
Debra Lynne Somers 9331 Old Bustleton Ave	$58.08	418	410
William J Dennis 3823 J St	$46.63	432	421
Jack L Garden 2422 S Broad St	$50.48	442	408

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)