Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Springfield, PA: $37.56

Avg. Paid

$37.56

Range

$0.00 – $83.59

Total Claims

73,960

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 Springfield, PA

Provider	Avg. Paid	Claims	Patients
Moore Eye Care, P.C. 1001 Baltimore Pike Ste 208	$40.99	12	12
Jennifer Stephanie Mcgarry 795 Baltimore Pike	$22.08	12	12
Melanie Berman 100 W Sproul Rd Ste 120	$15.10	12	12
Susanne Christine Macavoy 965 Baltimore Pike Ste B2	$25.77	14	14
Emily Carr 1006 Baltimore Pike	$0.00	16	12
Jessalyn Nishimori 1260 E Woodland Ave	$35.77	28	28
Daniel S Martin 9 N Brookside Rd	$13.48	28	28
Yash Suthar 760 W Sproul Rd Ste 200	$50.98	30	24
Amy Erdman 196 W Sproul Rd	$0.00	32	28
Cynthia Lacapra 965 Baltimore Pike Ste B2	$10.71	45	42
Jasmine Barksdale Cobb 100 W Sproul Rd	$50.05	65	60
Seung Hee Hong 417 Baltimore Pike	$72.40	83	83
Joseph Panzera 417 Baltimore Pike	$45.92	86	84
Faahud Afeef Yafai 100 W Sproul Rd Ste 224	$22.76	89	82
Kelley Marie Dickson 1260 E. Woodland Ave	$2.81	90	86
Elizabeth Clark 965 Baltimore Pike Ste B2	$14.76	93	89
Jason Keiner 1260 E Woodland Ave	$22.56	99	89
Emily Verger Fry 527 Baltimore Pike	$72.77	114	114
Keala Rae Tekolste 100 W Sproul Rd	$21.41	116	108
Edward C Cikowski 965 Baltimore Pike	$25.78	128	122
Sean Patrick Conroy 100 W Sproul Rd	$32.17	133	125
Shavon Adams 795 Baltimore Pike	$76.29	137	133
Hans Erik Wangsness 100 W Sproul Rd Ste 122	$27.62	145	140
Shira Adina Kamm Alberts 795 Baltimore Pike	$15.76	152	143
Daniel Asihene 1260 E Woodland Ave	$30.97	154	145
Marcia Arem 196 W Sproul Rd	$51.08	167	166
Steven D. Grossinger 891 Baltimore Pike	$4.04	174	154
Lissette Casas Galban 1001 Baltimore Pike Ste 109	$53.02	189	179
Meghan Pepper 100 W Sproul Rd	$23.07	208	188
Ashley Marie Ard 795 Baltimore Pike	$28.68	230	219
Florin Vlasie 417 Baltimore Pike	$0.53	233	220
Maura Patricia Mccarthy 1260 E Woodland Ave Ste 200	$22.91	254	240
Sneha Anil Patel 196 W Sproul Rd Ste 107	$33.53	258	220
Michael Dennis Johnson 417 Baltimore Pike	$40.65	267	239
Margret Trotzky 196 W Sproul Rd	$40.46	270	263
Deborah Longo-Malloy 1260 E Woodland Ave	$22.17	324	315
Matthew Smith 196 W Sproul Rd Ste 205	$43.59	353	346
Nimshavathani Thaver 1260 E Woodland Ave	$36.96	468	451
Aravinda Ayyagari 417 Baltimore Pike	$1.31	482	420
Mariessa Molloy 527 Baltimore Pike	$65.94	505	460
Cansu Baycora 1260 E Woodland Ave	$18.99	515	493
William J Warning 1260 E Woodland Ave	$17.32	520	501
Sandra Dormeus 795 Baltimore Pike	$26.64	529	490
An Thien Vo 100 W Sproul Rd Ste 100	$38.57	536	526
Charlene Jones 1001 Baltimore Pike Ste 14Ll	$83.59	564	545
Hannah Schug Sperring 400 S State Rd Ste 210	$2.38	612	595
Kumkum Ahluwalia 196 W Sproul Rd	$44.20	614	512
Larisa Cheipesh 965 Baltimore Pike	$26.48	624	579
Lela B Gould 9 N. Brookside Road	$0.44	641	621
Karen Lee Smith 965 Baltimore Pike Ste B2	$22.57	664	621

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 Springfield, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Springfield, PA is $37.56 per claim, based on 73,960 claims from 87 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 Springfield, PA?

There are 87 Medicaid providers offering Office Visit related services in Springfield, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Springfield, PA ranges from $0.00 to $83.59 per claim, with an average of $37.56. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Springfield, PA: $37.56

Providers Offering Office Visit in Springfield, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Springfield, PA

Ambulance Transport

Non-Emergency Medical Transportation

EKG / ECG (Electrocardiogram)

Eye Exam

Physical Therapy

Dental Cleaning & Exam

Vaccines & Immunizations

Nursing Facility Care