Average Medicaid Office Visit Payments in Radnor, PA: $54.90
Avg. Paid
$54.90
Range
$8.64 – $89.69
Total Claims
12,357
Providers
21
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 Radnor, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ann L Steiner
250 King Of Prussia Rd |
$63.09 | 2,690 | 2,432 |
|
Meera Sivendran
145 King Of Prussia Road |
$69.29 | 1,924 | 1,897 |
|
Clinical Care Associates Of The University Of Pennsylvania Health
250 King Of Prussia Rd |
$57.22 | 1,562 | 1,418 |
|
Mitchell A Kaminski
259 N Radnor Chester Rd |
$18.06 | 1,305 | 1,252 |
|
Christine A Gearhart
250 King Of Prussia Rd |
$83.58 | 785 | 724 |
|
Peter B. Edde
145 King Of Prussia Rd Ste 205 |
$24.81 | 734 | 706 |
|
Ann L Honebrink
250 King Of Prussia Rd |
$65.71 | 545 | 534 |
|
Preethi Thomas
250 King Of Prussia Road |
$89.69 | 532 | 517 |
|
Rudolf Roth
250 King Of Prussia Rd |
$46.73 | 527 | 521 |
|
Carol R Fleischman
250 King Of Prussia Road |
$24.94 | 507 | 484 |
|
Sarah Schultz
145 King Of Prussia Rd Ste 205 |
$47.86 | 309 | 267 |
|
Kyle James Bardet
250 King Of Prussia Road |
$48.66 | 296 | 276 |
|
Steven A Feinstein
250 King Of Prussia Road |
$42.36 | 292 | 276 |
|
Mercedes Timko
250 King Of Prussia Rd |
$53.59 | 81 | 74 |
|
Erika L Tapino
250 King Of Prussia Road |
$59.90 | 53 | 50 |
|
Nazanin Moghbeli
250 King Of Prussia Rd |
$64.18 | 52 | 50 |
|
Kristin D'Emilio
145 King Of Prussia Road |
$15.04 | 50 | 46 |
|
Ryan Elizabeth Offer
250 King Of Prussia Rd |
$62.95 | 44 | 44 |
|
Alberta James
145 King Of Prussia Rd Ste 205 |
$8.64 | 36 | 26 |
|
Kari Adams Torp
250 King Of Prussia Rd |
$32.45 | 17 | 16 |
|
Laura Steffa
145 King Of Prussia Rd Ste 205 |
$59.54 | 16 | 12 |
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 Radnor, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Radnor, PA is $54.90 per claim, based on 12,357 claims from 21 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 Radnor, PA?
There are 21 Medicaid providers offering Office Visit related services in Radnor, PA according to public payment data.
What is the price range for Office Visit in Radnor, PA?
Medicaid reimbursement for Office Visit in Radnor, PA ranges from $8.64 to $89.69 per claim, with an average of $54.90. 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
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Radnor, PA
X-Ray
Avg $10.96
13,085 claims
Home Health Visit
Avg $89.53
3,292 claims
Eye Exam
Avg $42.09
2,329 claims
EKG / ECG (Electrocardiogram)
Avg $11.76
1,843 claims
Echocardiogram
Avg $52.13
1,535 claims
Speech Therapy
Avg $133.95
1,221 claims
Vaccines & Immunizations
Avg $22.08
1,145 claims
Substance Abuse Treatment
Avg $63.19
714 claims