Average Medicaid Office Visit Payments in Trevose, PA: $47.68
Avg. Paid
$47.68
Range
$0.00 – $89.33
Total Claims
57,151
Providers
16
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 Trevose, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Barry Scott Kroll
4829 E Street Rd |
$47.70 | 18,713 | 17,286 |
|
Gerard Anthony Margiotti
4828 E Street Rd |
$50.15 | 11,033 | 10,216 |
|
Gerard Anthony Margiotti
4829 E Street Rd |
$48.01 | 9,712 | 9,005 |
|
Margiotti & Kroll Pediatrics, P.C.
4829 E Street Rd |
$33.03 | 4,060 | 3,545 |
|
Priscilla Korto A Tyler
2509 Grove Ln |
$89.33 | 3,038 | 2,732 |
|
Bonnie G Nadel
4829 E Street Rd |
$46.89 | 2,649 | 2,494 |
|
Larry Steven Hahn
339 E Street Rd |
$47.38 | 1,959 | 1,794 |
|
Gay L Fried
6 Neshaminy Interplex |
$37.59 | 1,904 | 1,537 |
|
Michele Lynn Pelley
4829 Street Rd. |
$47.44 | 1,656 | 1,544 |
|
Nicallina Marie Abel
339 E Street Rd |
$37.10 | 779 | 737 |
|
Norma Carandang-Panis
4829 E Street Rd |
$0.00 | 689 | 637 |
|
Amber L. Albert
4829 Street Road |
$0.78 | 408 | 402 |
|
Jeffrey S Weisman
6 Neshaminy Interplex |
$16.02 | 341 | 315 |
|
Carrie A Weiss
2500 Neshaminy Interplex Dr |
$23.65 | 127 | 127 |
|
Sherry L Shire-Misnik
2500 Interplex Dr |
$26.50 | 71 | 69 |
|
Internet Behavioral Care, Pc
4610 E Street Rd |
$30.83 | 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 Trevose, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Trevose, PA is $47.68 per claim, based on 57,151 claims from 16 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 Trevose, PA?
There are 16 Medicaid providers offering Office Visit related services in Trevose, PA according to public payment data.
What is the price range for Office Visit in Trevose, PA?
Medicaid reimbursement for Office Visit in Trevose, PA ranges from $0.00 to $89.33 per claim, with an average of $47.68. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Trevose, PA
Case Management Services
Avg $71.59
158,887 claims
Home Health Visit
Avg $214.83
20,618 claims
Vaccines & Immunizations
Avg $12.21
13,136 claims
CT Scan (Computed Tomography)
Avg $93.83
11,879 claims
X-Ray
Avg $10.17
11,104 claims
Nursing Facility Care
Avg $15.54
2,318 claims
Hearing Test (Audiometry)
Avg $5.80
563 claims
EKG / ECG (Electrocardiogram)
Avg $10.63
419 claims