Average Medicaid Office Visit Payments in West Chester, PA: $52.44
Avg. Paid
$52.44
Range
$0.00 – $109.48
Total Claims
90,357
Providers
129
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 West Chester, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James David Ward
770 Miles Rd Ste 1 |
$52.64 | 9,478 | 9,004 |
|
Levelle Drose-Bigatel
1601 Mcdaniel Dr |
$81.93 | 5,180 | 5,011 |
|
Ellen D Freed
West Chester University |
$40.00 | 5,048 | 4,086 |
|
Henry Gai Hung Luu
1450 E Boot Rd Ste 200C |
$35.39 | 5,045 | 4,597 |
|
George Nicholas Spyropoulos
1646 W Chester Pike |
$48.23 | 3,375 | 3,200 |
|
Manuel Ferreira
915 Old Fern Hill Rd |
$52.69 | 2,378 | 2,112 |
|
Michelle Quirk
701 E Marshall St |
$57.96 | 2,332 | 2,283 |
|
Kimberly Bay
795 East Marshall St |
$71.86 | 2,151 | 2,090 |
|
Sharon Oehler
440 East Marshall St |
$66.37 | 2,105 | 2,042 |
|
Nicole Paul
681 Metro Ct |
$58.16 | 1,992 | 1,928 |
|
Daniel Evering
915 Old Fern Hill Rd Ste 1 |
$80.73 | 1,982 | 1,839 |
|
Melissa L Delaney
606 E Marshall St |
$53.57 | 1,940 | 1,716 |
|
Richard J Mansfield
915 Old Fern Hill Rd |
$52.72 | 1,912 | 1,699 |
|
Geoffrey R. Simon
795 E Marshall St |
$65.79 | 1,807 | 1,757 |
|
Lydia G Slavish
915 Old Fern Hill Rd. |
$52.74 | 1,530 | 1,376 |
|
Vinod Kumar Kataria
529 Maple Ave |
$52.03 | 1,502 | 1,463 |
|
Advocare, Llc
1246 W Chester Pike |
$27.27 | 1,376 | 1,184 |
|
Christine I Kansky
915 Old Fern Hill Rd Ste D600 |
$40.82 | 1,326 | 1,211 |
|
Danielle Trojanowski
770 Miles Rd |
$65.97 | 1,317 | 1,279 |
|
Children'S Hospital Of Philadelphia
770 Miles Rd Ste 1 |
$40.03 | 1,311 | 1,167 |
|
Alan Michael Askinas
915 Old Fern Hill Rd. |
$54.84 | 1,274 | 1,120 |
|
Jeffrey Fendrick
440 East Marshall St |
$50.89 | 1,250 | 1,201 |
|
John R Walsh
210 Willowbrook Ln |
$59.74 | 1,232 | 1,194 |
|
Mian A. Jan
531 Maple Ave. |
$33.24 | 1,218 | 1,171 |
|
Alison Leigh Kelley
440 E Marshall St Fl 3 |
$50.53 | 1,199 | 1,161 |
|
Mary Donovan
770 Miles Rd |
$60.39 | 1,113 | 1,080 |
|
Andrew Joseph Mehalick
915 Old Fern Hill Rd |
$70.90 | 1,088 | 1,047 |
|
Colin Michael Turney
210 Willowbrook Lane |
$26.10 | 1,087 | 1,034 |
|
Judene W Wint-Martin
975 Westtown Rd |
$65.91 | 1,072 | 956 |
|
Jennifer Beauchamp Akins
915 Old Fern Hill Rd |
$54.61 | 915 | 818 |
|
Matthew S Kane
795 E Marshall St |
$30.85 | 872 | 856 |
|
Kelly Ashmead
440 E Marshall St |
$48.76 | 870 | 852 |
|
Rosemary Giacobbe
1246 W Chester Pike |
$29.92 | 854 | 830 |
|
Ira H. Lavoe
1246 W Chester Pike |
$36.34 | 835 | 816 |
|
Kevin Dabundo
1161 Mcdermott Dr Ste 101 |
$20.87 | 830 | 807 |
|
Halette Lasker Anderson
1246 W Chester Pike |
$33.17 | 788 | 762 |
|
Kristin Nicole Fontana-Magowan
8 S Wayne St Ste O |
$71.76 | 760 | 621 |
|
Manyan Ng
1246 W Chester Pike |
$31.07 | 758 | 736 |
|
Shabih U Khan
835 W Chester Pike |
$42.33 | 732 | 630 |
|
Ariella Rosalie Jolly
226 W Market St |
$58.38 | 731 | 445 |
|
Carol Curley
440 East Marshall St |
$66.43 | 714 | 696 |
|
Coleen Anne Korzen
915 Old Fern Hill Rd Ste 6600 |
$53.35 | 714 | 645 |
|
Shanti Krishnan
440 East Marshall Street |
$65.62 | 714 | 689 |
|
Amy Baumgartner Akins
440 E Marshall St |
$72.17 | 656 | 637 |
|
Rama Devi Mandapati
210 Willowbrook Ln |
$48.99 | 605 | 585 |
|
Nova Monteiro
440 E Marshall St |
$53.58 | 603 | 570 |
|
Wendy Wallace
795 East Marshall St |
$61.71 | 592 | 575 |
|
Lori Schwartz
795 East Marshall St |
$73.06 | 569 | 555 |
|
Radhika Lakhani
1246 W Chester Pike Ste 303 |
$28.24 | 556 | 545 |
|
Qurratulain Baig
520 Maple Ave Ste 4 |
$23.76 | 497 | 469 |
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 West Chester, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Chester, PA is $52.44 per claim, based on 90,357 claims from 129 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 West Chester, PA?
There are 129 Medicaid providers offering Office Visit related services in West Chester, PA according to public payment data.
What is the price range for Office Visit in West Chester, PA?
Medicaid reimbursement for Office Visit in West Chester, PA ranges from $0.00 to $109.48 per claim, with an average of $52.44. 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 West Chester, PA
Physical Therapy
Avg $40.76
339,199 claims
Speech Therapy
Avg $78.69
181,595 claims
Substance Abuse Treatment
Avg $63.51
95,946 claims
Case Management Services
Avg $76.95
51,188 claims
Dental Cleaning & Exam
Avg $29.38
51,093 claims
Emergency Room Visit
Avg $128.64
34,181 claims
Blood Work & Lab Tests
Avg $7.26
23,928 claims
EKG / ECG (Electrocardiogram)
Avg $9.40
22,728 claims