Average Medicaid Office Visit Payments in West Grove, PA: $60.71
Avg. Paid
$60.71
Range
$0.53 – $113.82
Total Claims
16,015
Providers
26
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 Grove, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George Keith Henry
455 Woodview Rd, Suite 230 |
$43.64 | 1,951 | 1,467 |
|
Melinda Olivencia-Lozada
105 Vineyard Way Ste 200 |
$113.82 | 1,938 | 1,545 |
|
Kiley Dale Mitchell
900 W Baltimore Pike |
$60.13 | 1,277 | 1,202 |
|
Cathy Lynn Taylor
390 Vineyard Way |
$69.27 | 1,229 | 1,191 |
|
Atley Aaron
105 Vineyard Way |
$0.53 | 1,113 | 1,011 |
|
Arkell Lucas
1011 W Baltimore Pike Ste 208 |
$57.55 | 1,037 | 731 |
|
Jennifer Mcdonald
390 Vineyard Way. Suite 501 |
$63.05 | 953 | 924 |
|
Deborah Bross Drop
455 Woodview Road |
$65.85 | 907 | 877 |
|
Scott Andrew Resweber
1015 W Baltimore Pike |
$71.67 | 724 | 712 |
|
Vicky Scheid
455 Woodview Road |
$57.85 | 621 | 609 |
|
Cheryl Lowe
455 Woodview Road |
$65.33 | 611 | 592 |
|
Linda Barkasy
455 Woodview Road |
$59.67 | 582 | 555 |
|
Michael A. Barkasy
900 W Baltimore Pike |
$47.78 | 507 | 478 |
|
Daniel N Duran
900 W Baltimore Pike |
$42.21 | 471 | 454 |
|
Children'S Hospital Of Philadelphia
455 Woodview Rd Ste 220 |
$42.82 | 414 | 393 |
|
Theresa Renee Metanchuk
455 Woodview Rd |
$104.29 | 364 | 351 |
|
Sharon Jarrett
1011 W Baltimore Pike |
$48.22 | 304 | 291 |
|
Michael Augustus Chiusano
1011 W Baltimore Pike |
$2.25 | 265 | 233 |
|
Steven J Breslow
390 Vineyard Way Bldg 500 |
$39.88 | 185 | 172 |
|
Heather Dyan Carrion
1011 W Baltimore Pike |
$91.56 | 180 | 168 |
|
David G Rooney
105 Vineyard Way |
$79.00 | 143 | 130 |
|
John N Daghir
455 Woodview Rd Ste 100 |
$82.29 | 75 | 72 |
|
Stefanie Margit Steiner
900 W Baltimore Pike Ste 200 |
$38.23 | 68 | 65 |
|
Stephen Naylor
455 Woodview Rd Ste 100 |
$21.69 | 64 | 44 |
|
Jeanne Marie Kelly
455 Woodview Rd |
$75.47 | 19 | 19 |
|
Timothy Joseph Downey
1 Commerce Blvd Ste 201 |
$23.15 | 13 | 13 |
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 Grove, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Grove, PA is $60.71 per claim, based on 16,015 claims from 26 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 Grove, PA?
There are 26 Medicaid providers offering Office Visit related services in West Grove, PA according to public payment data.
What is the price range for Office Visit in West Grove, PA?
Medicaid reimbursement for Office Visit in West Grove, PA ranges from $0.53 to $113.82 per claim, with an average of $60.71. 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 Grove, PA
Dental Cleaning & Exam
Avg $29.79
27,005 claims
Physical Therapy
Avg $23.75
17,601 claims
Speech Therapy
Avg $12.41
10,486 claims
Ambulance Transport
Avg $56.52
6,068 claims
Dialysis
Avg $114.48
4,437 claims
Dental Filling
Avg $64.29
3,858 claims
Vaccines & Immunizations
Avg $18.68
3,523 claims
Emergency Room Visit
Avg $54.99
2,766 claims