Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Phoenixville, PA: $42.60

Avg. Paid

$42.60

Range

$0.00 – $100.04

Total Claims

40,154

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 Phoenixville, PA

Provider	Avg. Paid	Claims	Patients
Ira Scott Cantor 1220 Valley Forge Rd	$44.65	5,518	4,628
Jillian Wawrzyniak 826 Main Street	$21.89	3,276	3,100
Stephanie B Kaliner 300 Schuylkill Rd.	$43.53	2,799	2,655
Lucy Hornstein 1288 Valley Forge Rd	$35.41	2,527	2,009
Le Wang 824 Main St Ste 101	$27.03	1,562	1,005
Maurice Rozwat 824 Main St	$29.48	1,394	1,328
Vanessa Marie Canas 799 Gay St	$56.48	1,345	1,272
David A Berkson 450 Cresson Blvd Ste 110A	$67.94	1,290	1,276
Peter D Smith 824 Main St	$51.76	1,269	1,190
Cathryn Mcwilliams 824 Main St	$37.32	1,225	1,165
Pochau Anne Tsoi 824 Main St	$36.91	1,206	1,152
Gina M. Cantarella 799 Gay St	$59.11	1,192	1,145
Carlene Allana Denis 799 Gay St	$58.53	1,136	1,083
Amy Jane Cadieux 799 Gay St	$60.69	1,125	1,051
Allison L Shirker 799 Gay St	$58.94	1,082	1,027
Amy L Siegel 824 Main St	$30.51	997	960
Joy A Britcliffe 1041 W Bridge St	$50.60	911	896
Serge-Emile Simpson 140 Nutt Rd	$50.69	855	772
Healthy Measures Llc 1260 Valley Forge Rd Ste 109	$0.00	779	496
Mark Brown 826 Main St	$10.45	774	748
Dana A Devaney 824 Main St	$42.07	747	717
Jonathan F. Rosenfeld 826 Main St Ste 202	$40.88	663	630
Charles I Schwartz 824 Main St	$39.09	638	620
H. Barry Raff 824 Main St Ste 201	$78.64	619	606
Leila C Dumagsa Mcgowan 824 Main Street	$47.35	501	485
Laurence V Cramer 826 Main St	$36.70	480	466
Dennis Tosti Monteiro 1288 Valley Forge Rd	$21.99	473	357
Herbert Fischer 824 Main St	$62.55	460	438
Fredric L Cohen 799 Gay St	$62.72	364	337
Benjamin Chan 824 Main St Ste 100	$40.81	361	344
Melissa Lynne Hawtin 824 Main St	$47.15	352	337
Joseph Hellman 824 Main St Ste 306	$100.04	317	314
Paul B Swanson 826 Main St	$34.80	281	261
Brian J Broker 826 Main St	$39.67	206	187
Alyssa Kurtz 799 Gay St	$51.42	183	175
Lucinda Danyo Hammaker 1041 W Bridge St	$41.28	128	125
Janet R Zolli 826 Main Street	$22.29	104	103
Anne Marie Gregor 140 Nutt Rd	$40.18	100	95
Allegra Hayakawa 799 Gay St	$60.96	95	91
Raymond Kovalski 826 Main Street	$33.90	81	81
Thomas D. Giovinazzo 824 Main St	$52.51	81	77
Darlene Karen Vernon 824 Main St Ste 201	$43.91	59	59
Jesiel Jovany Lombay 450 Cresson Blvd Ste 110A	$85.80	58	55
Hang Nguyen 824 Main St	$31.98	55	53
Carol F Actor 826 Main St	$55.30	48	47
Kellen Kovalovich 420 W. Linfield Trappe Road	$56.17	48	46
Concetta M Poidomani 799 Gay St	$52.54	42	41
Kevin W Kramer 140 Nutt Road	$44.41	41	41
Besma Samdani 826 Main St	$35.39	41	39
Diana Bisson Bragoli 1288 Valley Forge Rd	$35.04	39	26

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 Phoenixville, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Phoenixville, PA is $42.60 per claim, based on 40,154 claims from 62 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 Phoenixville, PA?

There are 62 Medicaid providers offering Office Visit related services in Phoenixville, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Phoenixville, PA ranges from $0.00 to $100.04 per claim, with an average of $42.60. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Phoenixville, PA: $42.60

Providers Offering Office Visit in Phoenixville, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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