Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Plymouth Meeting, PA: $53.35

Avg. Paid

$53.35

Range

$0.00 – $125.39

Total Claims

30,559

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 Plymouth Meeting, PA

Provider	Avg. Paid	Claims	Patients
Gemma Services 512 Township Line Rd	$125.39	3,198	3,042
Alexander R Salomon 3031 Walton Rd	$45.89	3,102	2,966
John Bernard Evans 3031 Walton Rd	$44.65	2,859	2,735
Anton Orlin 4060 Butler Pike Ste 200	$73.66	2,489	2,412
Emmanuel Mukendi 2250 Hickory Rd	$0.18	1,537	1,457
Song-Ok Susan Chin 3031 Walton Rd	$43.50	1,392	1,310
Michael Weisner 2901 Jolly Rd	$45.81	1,199	1,134
Frances Laura Israel 2901 Jolly Rd	$4.79	1,165	887
Leah Sorokorensky 2901 Jolly Rd	$5.02	948	933
Michael Adrian Klufas 4060 Butler Pike	$92.07	906	894
Marc J Spirn 4060 Butler Pike	$93.69	882	868
Tianming Zhou 4070 Butler Pike Ste 200	$54.30	828	773
Jason Hsu 4060 Butler Pike	$94.60	818	809
Pediatric Associates Of Plymouth Inc. 3031 Walton Rd	$18.85	742	596
Dalia A Mohammed 4070 Butler Pike Ste 20	$18.66	738	701
Ashley J Miller 500 W Germantown Pike	$42.24	672	649
Carl D Regillo 4060 Butler Pike	$63.64	603	585
Alicia Anne Boellner-Kahn 3031 Walton Rd	$44.47	581	568
Howard Green 580 W Germantown Pike	$10.42	542	418
Jennifer M. Mccarthy 4070 Butler Pike	$15.82	503	479
Robert J. Pearlstein 2901 Jolly Rd	$52.37	461	444
Richard S Kaiser 4060 Butler Pike	$98.89	398	384
Yoshihiro Yonekawa 4060 Butler Pike Ste 200	$78.91	387	357
Marc Daryl Tan Estioko 610 W Germantown Pike Ste 150	$41.07	364	341
Michael Nathan Cohen 4060 Butler Pike Ste 200	$109.83	347	346
Mojgan Javadi 2250 Hickory Rd	$6.88	306	263
Chelsea Moore 2400 Butler Pike	$14.93	306	296
Emily Van-Otoo 2400 Butler Pike	$12.03	289	275
Sun Hee Park 4070 Butler Pike Ste 200	$13.03	202	192
Wesley Stephan Hwang 4070 Butler Pike Ste 200	$13.74	192	175
Eimy Aguilar 2901 Jolly Rd	$24.45	150	149
Mitchell S. Fineman 4060 Butler Pike	$87.36	133	130
Barbara Ann Saba 2400 Butler Pike	$19.92	125	121
Allen C Ho 4060 Butler Pike	$53.90	99	95
Rita M Dundon 4070 Butler Pike Ste 200	$29.84	99	94
Brian Michael Shafer 633 W Germantown Pike Ste 100	$1.66	96	90
James F Vander 4060 Butler Pike	$78.22	81	81
Darius Clemons 2901 Jolly Rd	$42.92	72	71
Mary Anne Gazdick 3031 Walton Rd	$42.91	67	67
Alan Stuart Josselson 4070 Butler Pike Ste 200	$38.38	66	65
Mohammed Ali Khan 4060 Butler Pike Ste 200	$59.58	55	52
Salman A Wali 633 W Germantown Pike Ste 105	$63.59	55	55
Allyson S Donavos 2901 Jolly Rd	$54.86	54	54
Dolores Regina Tornambe 4070 Butler Pike Ste 200	$13.35	50	49
Carl H Park 4060 Butler Pike	$71.31	49	49
Ajay Eapen Kuriyan 4060 Butler Pike Ste 200	$37.53	49	49
Kaylyn Okken 2901 Jolly Rd	$28.39	42	41
James Philip Dunn 4060 Butler Pike	$33.39	39	37
Amy Patel 2901 Jolly Rd	$18.49	28	26
Philip Pearlstein 2901 Jolly Rd	$0.00	27	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 Plymouth Meeting, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plymouth Meeting, PA is $53.35 per claim, based on 30,559 claims from 61 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 Plymouth Meeting, PA?

There are 61 Medicaid providers offering Office Visit related services in Plymouth Meeting, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Plymouth Meeting, PA ranges from $0.00 to $125.39 per claim, with an average of $53.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Plymouth Meeting, PA: $53.35

Providers Offering Office Visit in Plymouth Meeting, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Plymouth Meeting, PA

Eye Exam

Nursing Facility Care

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Physical Therapy

Ambulance Transport

Speech Therapy

Blood Work & Lab Tests