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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Warminster, PA: $35.04

Avg. Paid

$35.04

Range

$0.00 – $77.58

Total Claims

9,308

Providers

23

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 Warminster, PA

Provider Avg. Paid Claims Patients
Howard Steven Shapiro

399 York Rd

 $26.73 1,613 1,494
Jonathan P. Andrews

225 Newtown Rd

 $51.57 1,384 1,295
Rosemary Monica Harris

225 Newtown Rd

 $13.77 1,270 1,182
Gregory Palko

225 Newtown Rd

 $48.06 873 809
Robert Lane Topkis

350 W Street Rd

 $42.72 644 612
Stephanie Ann Harris

225 Newtown Rd

 $44.80 541 512
Kimberly Zawistoski

225 Newtown Rd

 $40.61 502 440
Christopher Lee Kirby

350 W Street Rd

 $6.11 471 429
Valley Pediatrics Pc

866 W Bristol Rd

 $26.29 379 326
Jeanine Fulginiti

225 Newtown Rd

 $69.19 328 326
Jennifer Hamilton

225 Newtown Rd

 $37.15 231 223
Varun Saxena

205 Newtown Rd

 $27.97 218 201
Gina Lynn Stone

225 Newtown Rd Fl 2

 $33.46 194 179
Mary R O'Neill

225 Newtown Road 2Nd Floor

 $26.50 175 171
Tomasz Staniszewski

374 Grant Ave

 $49.09 156 152
Merideth Michelle Stabilito

610 Louis Dr

 $11.61 105 101
Alexis Sweeney

225 Newtown Rd

 $53.94 56 51
Lin-Fan Wang

610 Louis Dr

 $46.78 53 51
Alec Proctor

930 W Street Rd

 $7.94 33 27
Kristin Michelle Noonan

225 Newtown Rd

 $42.93 29 28
Gintaras Antanavicius

225 Newtown Rd

 $77.58 27 26
Tamara Chew

600 Louis Dr

 $0.00 14 13
Man Tri Vu

632 York Rd

 $61.59 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 Warminster, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warminster, PA is $35.04 per claim, based on 9,308 claims from 23 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 Warminster, PA?

There are 23 Medicaid providers offering Office Visit related services in Warminster, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Warminster, PA ranges from $0.00 to $77.58 per claim, with an average of $35.04. 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 Warminster, PA

Case Management Services

Avg $60.93

65,096 claims

Speech Therapy

Avg $36.82

22,622 claims

Chiropractic Care

Avg $12.44

9,954 claims

Eye Exam

Avg $20.55

7,437 claims

Nursing Facility Care

Avg $24.71

5,773 claims

Physical Therapy

Avg $66.11

5,318 claims

EKG / ECG (Electrocardiogram)

Avg $7.47

3,407 claims

Dental Cleaning & Exam

Avg $26.61

2,869 claims