Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sellersville, PA: $43.90

Avg. Paid

$43.90

Range

$0.00 – $119.76

Total Claims

17,081

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 Sellersville, PA

Provider	Avg. Paid	Claims	Patients
Warner Andrew Siegle 601 Lawn Ave	$28.11	2,039	1,894
Lindsey Baranik 711 Lawn Ave Ste 5	$47.53	1,939	1,878
Richard T Kratz 711 Lawn Ave	$44.95	1,496	1,457
Deborah R Faccenda 711 Lawn Ave	$43.41	1,414	1,385
Anuta Dolha 711 Lawn Ave	$43.91	1,309	1,274
Danielle Lee 711 Lawn Avenue	$40.16	932	905
Brandon Bryce Martin 670 Lawn Ave # 4	$49.86	849	759
Jessica A Feldman 920 Lawn Ave	$52.04	758	736
Christine P Newman 700 Lawn Ave	$63.51	734	713
Xin C Wang 920 Lawn Ave	$55.52	577	559
Kimberly Gail Smith 670 Lawn Ave Ste 4	$50.61	532	486
Kelly A Moretski 711 Lawn Ave	$65.06	527	511
Keren Hancock 670 Lawn Ave	$51.08	524	479
Padmapriya Marpuri 807 Lawn Ave	$53.38	404	311
Pennridge Pediataric Associates Inc 711 Lawn Ave	$0.00	320	298
Deborah J Bolanowski 711 Lawn Ave	$40.71	314	311
Victoria Taylor Brady 711 Lawn Ave Ste 5	$40.81	264	256
Ilana Zeises 915 Lawn Ave	$36.95	242	220
Fidel Dale Mendres Bautista 915 Lawn Ave	$30.70	236	221
James Louis Spears 915 Lawn Avenue	$24.02	178	150
Kathleen Lukaszewski 817 Lawn Ave	$38.29	147	141
Wei Zheng 920 Lawn Ave	$119.76	138	136
Grace H Shin 1107 Bethlehem Pike	$34.26	135	131
Vishal Sanjay Desai 601 Lawn Avenue	$26.29	101	94
Anishee Shah Undavia 920 Lawn Ave	$61.58	98	96
Ronald P Markos 817 Lawn Ave	$39.12	86	86
Nina A Drinnan 807 Lawn Ave	$2.67	78	67
Anthony J Magdalinski 915 Lawn Ave	$28.96	65	63
Albert G Driver 817 Lawn Ave	$20.89	63	58
Patricia Ann Madden 670 Lawn Ave Ste 4	$56.34	60	59
James Christopher Watson 915 Lawn Ave	$31.96	58	51
Howard S Zipin 915 Lawn Ave	$42.01	57	52
John J O'Connor 817 Lawn Ave	$27.40	54	53
Michael J Cassidy 1107 Bethlehem Pike	$29.20	43	42
Jordan Jay Lubowitz 711 Lawn Ave	$29.87	31	28
Richard Alan Buckler 920 Lawn Ave	$0.00	26	26
Inki Hong 1107 Bethlehem Pike	$60.81	26	25
Syed Abdul Sami Karim 711 Lawn Ave Ste 3	$33.77	26	26
Ernest Earl Cope 711 Lawn Ave	$29.01	25	25
Miroslawa Sonali Jablonski-Cohen 670 Lawn Ave	$48.07	15	15
John Martin Minnich 711 Lawn Ave	$30.73	15	12
Stephen Kupersmith 670 Lawn Ave	$57.74	14	14
Joanna Marie Klimaski 670 Lawn Ave Ste 4	$2.50	14	14
Samuel R Coleman 670 Lawn Ave Ste 3	$26.41	14	14
Nathan James Davis 1107 Bethlehem Pike	$52.59	14	13
John Allen Godfrey 711 Lawn Ave	$48.27	13	13
Sara Arn 1105 Bethlehem Pike Unit B3	$30.97	13	12
David Anthony Travis 670 Lawn Ave	$18.84	13	12
William J O'Toole 1107 Bethlehem Pike	$31.51	13	13
Jerome M Burke 1107 Bethlehem Pike	$31.24	13	13

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 Sellersville, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sellersville, PA is $43.90 per claim, based on 17,081 claims from 52 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 Sellersville, PA?

There are 52 Medicaid providers offering Office Visit related services in Sellersville, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Sellersville, PA ranges from $0.00 to $119.76 per claim, with an average of $43.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sellersville, PA: $43.90

Providers Offering Office Visit in Sellersville, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Sellersville, PA

Case Management Services

X-Ray

Emergency Room Visit

CT Scan (Computed Tomography)

EKG / ECG (Electrocardiogram)

Podiatry (Foot Care)

Home Health Visit

Ambulance Transport