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
61
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 |
|---|---|---|---|
|
Suna Panah
1000 Germantown Pike Ste C3 |
$29.17 | 12 | 12 |
|
Joshua H Uhr
4060 Butler Pike Ste 200 |
$53.60 | 12 | 12 |
|
Arunan Sivalingam
4060 Butler Pike |
$37.38 | 13 | 13 |
|
Sunir Garg
4060 Butler Pike |
$42.81 | 14 | 13 |
|
Janis W. Rubin
4070 Butler Pike Ste 200 |
$8.32 | 14 | 13 |
|
Yashoda Dhruva Rao
2901 Jolly Rd |
$3.62 | 14 | 14 |
|
Nicholas Joseph Pagano
1000 Germantown Pike Ste J4 |
$28.81 | 15 | 13 |
|
Doreen Kay Pupo
2901 Jolly Rd |
$32.14 | 15 | 13 |
|
Jean Fatima Ryals
2250 Hickory Rd |
$36.91 | 16 | 14 |
|
Michael L. Peck
2901 Jolly Rd |
$18.48 | 20 | 19 |
|
Siobhan Mason
3031 Walton Rd Ste C101 |
$51.46 | 22 | 20 |
|
Philip Pearlstein
2901 Jolly Rd |
$0.00 | 27 | 26 |
|
Amy Patel
2901 Jolly Rd |
$18.49 | 28 | 26 |
|
James Philip Dunn
4060 Butler Pike |
$33.39 | 39 | 37 |
|
Kaylyn Okken
2901 Jolly Rd |
$28.39 | 42 | 41 |
|
Carl H Park
4060 Butler Pike |
$71.31 | 49 | 49 |
|
Ajay Eapen Kuriyan
4060 Butler Pike Ste 200 |
$37.53 | 49 | 49 |
|
Dolores Regina Tornambe
4070 Butler Pike Ste 200 |
$13.35 | 50 | 49 |
|
Allyson S Donavos
2901 Jolly Rd |
$54.86 | 54 | 54 |
|
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 |
|
Alan Stuart Josselson
4070 Butler Pike Ste 200 |
$38.38 | 66 | 65 |
|
Mary Anne Gazdick
3031 Walton Rd |
$42.91 | 67 | 67 |
|
Darius Clemons
2901 Jolly Rd |
$42.92 | 72 | 71 |
|
James F Vander
4060 Butler Pike |
$78.22 | 81 | 81 |
|
Brian Michael Shafer
633 W Germantown Pike Ste 100 |
$1.66 | 96 | 90 |
|
Allen C Ho
4060 Butler Pike |
$53.90 | 99 | 95 |
|
Rita M Dundon
4070 Butler Pike Ste 200 |
$29.84 | 99 | 94 |
|
Barbara Ann Saba
2400 Butler Pike |
$19.92 | 125 | 121 |
|
Mitchell S. Fineman
4060 Butler Pike |
$87.36 | 133 | 130 |
|
Eimy Aguilar
2901 Jolly Rd |
$24.45 | 150 | 149 |
|
Wesley Stephan Hwang
4070 Butler Pike Ste 200 |
$13.74 | 192 | 175 |
|
Sun Hee Park
4070 Butler Pike Ste 200 |
$13.03 | 202 | 192 |
|
Emily Van-Otoo
2400 Butler Pike |
$12.03 | 289 | 275 |
|
Mojgan Javadi
2250 Hickory Rd |
$6.88 | 306 | 263 |
|
Chelsea Moore
2400 Butler Pike |
$14.93 | 306 | 296 |
|
Michael Nathan Cohen
4060 Butler Pike Ste 200 |
$109.83 | 347 | 346 |
|
Marc Daryl Tan Estioko
610 W Germantown Pike Ste 150 |
$41.07 | 364 | 341 |
|
Yoshihiro Yonekawa
4060 Butler Pike Ste 200 |
$78.91 | 387 | 357 |
|
Richard S Kaiser
4060 Butler Pike |
$98.89 | 398 | 384 |
|
Robert J. Pearlstein
2901 Jolly Rd |
$52.37 | 461 | 444 |
|
Jennifer M. Mccarthy
4070 Butler Pike |
$15.82 | 503 | 479 |
|
Howard Green
580 W Germantown Pike |
$10.42 | 542 | 418 |
|
Alicia Anne Boellner-Kahn
3031 Walton Rd |
$44.47 | 581 | 568 |
|
Carl D Regillo
4060 Butler Pike |
$63.64 | 603 | 585 |
|
Ashley J Miller
500 W Germantown Pike |
$42.24 | 672 | 649 |
|
Dalia A Mohammed
4070 Butler Pike Ste 20 |
$18.66 | 738 | 701 |
|
Pediatric Associates Of Plymouth Inc.
3031 Walton Rd |
$18.85 | 742 | 596 |
|
Jason Hsu
4060 Butler Pike |
$94.60 | 818 | 809 |
|
Tianming Zhou
4070 Butler Pike Ste 200 |
$54.30 | 828 | 773 |
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.
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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Plymouth Meeting, PA
Eye Exam
Avg $23.49
76,686 claims
Nursing Facility Care
Avg $25.16
72,828 claims
Psychiatric Evaluation
Avg $104.69
48,205 claims
Behavioral & Mental Health Therapy
Avg $123.69
41,057 claims
Physical Therapy
Avg $65.98
30,932 claims
Ambulance Transport
Avg $192.11
19,978 claims
Speech Therapy
Avg $57.72
15,848 claims
Blood Work & Lab Tests
Avg $5.17
8,347 claims