Average Medicaid Office Visit Payments in Thorndale, PA: $37.70
Avg. Paid
$37.70
Range
$1.38 – $62.30
Total Claims
21,638
Providers
13
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 Thorndale, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Umair Moiz Malik
3149 Lincoln Hwy |
$45.19 | 14,643 | 12,864 |
|
Nadeem A Paroya
3149 Lincoln Hwy |
$21.24 | 3,814 | 3,444 |
|
Alexander Shpilman
3025 C G Zinn Rd |
$22.98 | 823 | 808 |
|
Antonio J Chamoun
3025 C G Zinn Rd |
$46.38 | 509 | 490 |
|
Deanne Butcher
3015 Lincoln Hwy |
$24.62 | 441 | 407 |
|
Josemi Ebby Joseph
3149 Lincoln Hwy Ste C |
$1.38 | 428 | 256 |
|
Navpreet Gill
3015 Lincoln Hwy |
$16.93 | 368 | 335 |
|
Jomarie Peters
50 James Buchanan Rd |
$4.14 | 197 | 194 |
|
Robert E. Schmidt
3628 Lincoln Hwy |
$3.23 | 161 | 156 |
|
Kristina Yi-Hwa Pao
3000 C G Zinn Rd |
$62.30 | 155 | 150 |
|
Inez Stoltzfus
200 Municipal Dr |
$14.29 | 67 | 64 |
|
Kelsey Lynn Hamill
3015 Lincoln Hwy |
$28.06 | 18 | 18 |
|
Drew R Chronister
3000 C G Zinn Rd |
$30.84 | 14 | 14 |
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 Thorndale, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Thorndale, PA is $37.70 per claim, based on 21,638 claims from 13 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 Thorndale, PA?
There are 13 Medicaid providers offering Office Visit related services in Thorndale, PA according to public payment data.
What is the price range for Office Visit in Thorndale, PA?
Medicaid reimbursement for Office Visit in Thorndale, PA ranges from $1.38 to $62.30 per claim, with an average of $37.70. 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 Thorndale, PA
EKG / ECG (Electrocardiogram)
Avg $7.98
11,488 claims
Eye Exam
Avg $24.93
3,024 claims
Nursing Facility Care
Avg $8.60
2,160 claims
Physical Therapy
Avg $21.75
852 claims
Echocardiogram
Avg $38.68
500 claims
Prescription Medications
Avg $0.00
402 claims
Dental Cleaning & Exam
Avg $26.02
232 claims
Dental Filling
Avg $67.48
29 claims