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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Southampton, PA: $45.90

Avg. Paid

$45.90

Range

$3.49 – $155.21

Total Claims

12,660

Providers

22

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 Southampton, PA

Provider Avg. Paid Claims Patients
Roman Bronfenbrener

1122 Street Rd Ste 204

 $3.49 3,378 3,239
Emily Angel Decarlo

319 2Nd Street Pike

 $67.11 2,807 2,751
Sadia Mufti

295 Buck Rd Ste 106

 $40.87 1,696 1,623
Claire Kopylov

1122 Street Rd Ste 204

 $82.41 1,445 1,308
Michael E Clark

207 Lakeside Drive

 $49.37 1,090 1,048
Donald K. Marcus

729 Grove Ave Unit 4

 $42.53 421 408
Judith Lawrence Outten

928 Jaymor Rd Ste B-150

 $155.21 361 336
Jerry M Roth

501 Street Rd Ste 101

 $50.40 338 312
James William Flanagan

1844 Street Rd

 $55.22 298 284
William Camp Pace

729 Grove Ave Unit 4

 $42.10 288 238
Sheryl J Menacker

319 2Nd Street Pike

 $27.64 130 124
Christina Y Kim

501 Street Rd Ste 101

 $51.85 99 95
Divya Sareen

729 Grove Ave Unit 4

 $22.53 78 65
Deanna L Haugh

1844 Street Rd

 $58.19 57 52
Angela V. Lawton

729 Grove Ave Unit 4

 $67.55 29 28
Richard B Prince

319 2Nd Street Pike

 $11.73 29 29
Sharon Dyckman

1018 Street Rd

 $13.78 29 29
Richard L. Tepper

729 Grove Ave

 $27.10 25 25
Nargiza Mahmudova

963 Street Rd Ste 103B

 $30.08 25 24
Anna Marrissa Mazor

45 2Nd Street Pike Ste 100

 $40.72 13 12
Melissa Lee

501 Street Rd Ste 101

 $35.72 12 12
Vantage Eyecare, Llc

319 2Nd Street Pike Ste B

 $29.71 12 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 Southampton, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Southampton, PA is $45.90 per claim, based on 12,660 claims from 22 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 Southampton, PA?

There are 22 Medicaid providers offering Office Visit related services in Southampton, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Southampton, PA ranges from $3.49 to $155.21 per claim, with an average of $45.90. 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 Southampton, PA

Physical Therapy

Avg $38.13

34,647 claims

Durable Medical Equipment (DME)

Avg $20.40

7,839 claims

Dental Cleaning & Exam

Avg $24.98

7,217 claims

Eye Exam

Avg $7.02

6,203 claims

Emergency Room Visit

Avg $97.41

1,852 claims

Dental Filling

Avg $50.98

1,497 claims

Ultrasound

Avg $67.36

1,039 claims

Vaccines & Immunizations

Avg $12.99

938 claims