Based on public Medicaid payment data.

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
Jane Sunoo 520 Maple Ave	$37.19	12	12
Andrew D Sitkoff 839 Lincoln Ave Ste A	$50.74	12	12
Michelle M Eisenhower 500 William Ebbs Ln	$35.29	12	12
Andrew Brian Old 915 Old Fern Hill Rd	$33.19	13	13
Sierra Alexis Mazzarella 510 E Gay St	$55.44	13	13
John H Benner 915 Old Fern Hill Rd	$38.84	13	13
Elise Piccione 701 E Marshall St	$95.27	13	13
Karen M Squire 1240 Wrights Lane	$36.80	14	14
Fred Martin Weinblatt 440 East Marshall Street	$25.87	14	13
Daniel Altman 440 East Marshall St	$70.31	14	12
Maria Vershvovsky 440 E Marshall St Ste 101	$71.98	14	13
Maureen Rose Hewitt 440 E Marshall St	$57.90	14	12
Jenny Fang Ma 795 E Marshall St Ste 301	$67.75	16	16
James Patterson 440 E Marshall St	$109.48	16	12
Diana L Wadlund 520 Maple Ave Ste 4	$25.71	16	14
Virginia E Keeler 1161 Mcdermott Dr	$33.99	18	18
David Walter D'Angelo 915 Old Fern Hill Rd Ste 103	$35.04	19	12
Cheryl R. Bellaire 1450 E Boot Rd Ste 600B	$35.21	21	12
Christopher L Baldi 915 Old Fern Hill Rd	$70.59	25	25
Laura Ann Rohrbaugh 1055 Andrew Dr	$78.29	25	25
Manish Kumar 1055 Andrew Dr	$68.78	25	25
Beth Ann Bingaman 1161 Mcdermott Dr	$19.71	27	26
Cindy Johana Larosa 915 Old Fern Hill Rd Ste 5	$41.11	28	24
William Clay Warnick 915 Old Fern Hill Rd	$50.82	28	27
Amanda Cabrera 760 Miles Rd	$20.60	29	28
Mark Ernst Tantorski 915 Old Fern Hill Rd	$83.18	32	29
Michael Stuart Rosen 795 E Marshall St	$38.91	37	37
Michael Edward Riordan 915 Old Fern Hill Rd Ste 5	$78.87	39	38
George H. Limpert 1240 Wrights Lane	$41.15	42	40
Sharayne Mark Coffin 915 Old Fern Hill Rd	$59.01	45	43
Matthew Ivin Walton 1624 Shadyside Rd	$41.42	46	46
Patience Marie Terkowski 701 E Marshall St	$42.35	53	42
Lawrence Aldo Notaro 1601 Mcdaniel Dr Ste 50	$17.21	58	51
Dianne D Hotmer 915 Old Fern Hill Rd.	$47.35	58	56
Riya Susan Chacko 915 Old Fern Hill Rd	$75.28	65	65
Sarah Todd 606 E Marshall St Ste 107	$93.30	69	68
Gregg L Neithardt 915 Old Fern Hill Rd	$51.88	74	72
Ronda Lynn Broady 1055 Andrew Dr	$62.83	76	75
Christine Tressel 1055 Andrews Drive	$74.18	78	77
Mary Brigandi 701 E Marshall St	$10.04	80	76
Sunil Saroha 440 E Marshall St	$67.08	81	77
Samira Dabiri Zanjani 210 Willowbrook Ln	$79.63	81	81
Sean Thompson 760 Miles Rd	$19.53	88	84
Jessica Lynn Fiore 1246 W Chester Pike Ste 303	$23.21	88	82
Joseph D. Becker 1246 W Chester Pike	$38.70	90	89
Michael R Costello 440 E Marshall St	$66.94	93	77
Joyce Liporace 701 E Marshall St	$60.27	93	91
Charles P. Catania 1240 Wrights Ln	$35.37	106	98
Ronald A Fronduti 210 Willowbrook Ln	$34.07	108	105
Douglas L Atlas 520 Maple Ave	$44.19	113	109

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.

Average Medicaid Office Visit Payments in West Chester, PA: $52.44

Providers Offering Office Visit in West Chester, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in West Chester, PA

Physical Therapy

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Substance Abuse Treatment

Case Management Services

Dental Cleaning & Exam

Emergency Room Visit

Blood Work & Lab Tests

EKG / ECG (Electrocardiogram)