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
Jillian Elaine Gansert 1260 E Woodland Ave Ste 200	$0.27	3,868	3,703
Marko Dimiskovski 417 Baltimore Pike	$50.24	3,427	3,314
Letitia Ann O'Kicki 1260 E Woodland Ave	$0.22	2,960	2,565
Jonathan Lee 196 W Sproul Rd	$65.61	2,758	2,668
Katherine Mary Mahon 1260 E. Woodland Ave	$21.81	2,477	2,386
Khristopher Minh Nguyen 1001 Baltimore Pike Ste 208	$69.64	2,363	2,266
John R Traverso 965 Baltimore Pike Ste B2	$21.09	2,322	2,256
Chinenye Iheme 400 S State Rd Ste 210	$49.99	2,295	2,219
Mehmooda Syeed 1001 Baltimore Pike	$71.48	2,219	2,126
Sonum Singh 196 W Sproul Rd Ste 205	$59.46	1,990	1,936
Wayne Christopher Raneiro 417 Baltimore Pike	$75.54	1,990	1,866
Megan A Burman 400 S State Rd Ste 210	$48.55	1,961	1,832
Sonia Bisaccia 1001 Baltimore Pike Ste 109	$42.13	1,897	1,539
Philip Bixby 1260 E. Woodland Ave	$0.42	1,812	1,733
Gail Partridge 965 Baltimore Pike Ste B2	$0.20	1,745	1,648
Thomas Yuen 1260 E Woodland Ave	$5.97	1,677	1,616
James J. Bresnahan 891 Baltimore Pike	$20.37	1,615	1,179
Walter Kornienko 760 W Sproul Rd Ste 200	$73.55	1,609	1,539
Jennifer Hosp Galasso 196 West Sproul Road	$63.83	1,503	1,477
Kathleen Destefano Glenn 196 W Sproul Rd	$57.55	1,451	1,399
Sarah Ann Morchen 1260 E Woodland Ave	$21.45	1,407	1,353
Joshua Steiner 100 W Sproul Rd Ste 100	$45.63	1,369	1,227
Michelle Ann-Marie Hepburn 196 West Sproul Road	$57.42	1,335	1,305
David Baxter 1260 E Woodland Ave	$55.54	1,264	1,181
Anne Rogers Donnelly 1260 E Woodland Ave	$20.68	1,214	1,185
Kimberly L Campbell 760 W Sproul Rd Ste 200	$61.94	1,200	1,166
John Godfrey 760 W Sproul Rd Ste 200	$59.46	1,095	1,050
Michael J Gredzik 1006 Baltimore Pike	$55.45	1,091	1,041
Paul Kolecki 417 Baltimore Pike	$0.07	1,059	1,001
Ancil Jones 760 W Sproul Rd Ste 200	$67.33	1,029	983
Monica Hehir 190 W Sproul Rd Ste 208	$59.42	978	922
Personic Health Care Llc 905 W Sproul Rd Ste 106	$8.95	925	603
Drexel Hill Pediatric Associates 400 S State Rd Ste 210	$23.41	917	810
Ashu Singh Kudesia 1260 E Woodland Ave	$9.22	813	756
Children'S Hospital Of Philadlephia 1001 Baltimore Pike Unit 10A	$39.64	771	710
Anne Callaghan 196 W Sproul Rd	$59.88	766	750
William Joseph Demedio 46 Greenhill Rd	$37.30	674	600
Karen Lee Smith 965 Baltimore Pike Ste B2	$22.57	664	621
Lela B Gould 9 N. Brookside Road	$0.44	641	621
Larisa Cheipesh 965 Baltimore Pike	$26.48	624	579
Kumkum Ahluwalia 196 W Sproul Rd	$44.20	614	512
Hannah Schug Sperring 400 S State Rd Ste 210	$2.38	612	595
Charlene Jones 1001 Baltimore Pike Ste 14Ll	$83.59	564	545
An Thien Vo 100 W Sproul Rd Ste 100	$38.57	536	526
Sandra Dormeus 795 Baltimore Pike	$26.64	529	490
William J Warning 1260 E Woodland Ave	$17.32	520	501
Cansu Baycora 1260 E Woodland Ave	$18.99	515	493
Mariessa Molloy 527 Baltimore Pike	$65.94	505	460
Aravinda Ayyagari 417 Baltimore Pike	$1.31	482	420
Nimshavathani Thaver 1260 E Woodland Ave	$36.96	468	451

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

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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