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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

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

Other Procedures in Plymouth Meeting, PA