Average Medicaid Office Visit Payments in Willow Grove, PA: $51.33
Avg. Paid
$51.33
Range
$0.39 – $113.77
Total Claims
44,186
Providers
62
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 Willow Grove, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Grace Andoh
2400 Maryland Rd |
$31.93 | 3,870 | 3,213 |
|
Colleen Gulczynski
2510 Maryland Rd |
$25.05 | 3,333 | 3,138 |
|
Yaena Park
2701 Blair Mill Rd |
$59.31 | 3,150 | 2,992 |
|
Joshua Evan Goldberg
723 Fitzwatertown Rd |
$28.34 | 2,771 | 2,467 |
|
Michael Haessam Amini
2400 Maryland Rd Ste 20 |
$50.29 | 2,624 | 2,452 |
|
Nisha Abraham Cohen
735 Fitzwatertown Rd |
$67.40 | 2,565 | 2,250 |
|
Nicole Marie Dominick-Rizen
2510 Maryland Rd |
$46.57 | 2,511 | 2,345 |
|
Vahideh T Ameri
735 Fitzwatertown Rd |
$67.40 | 1,962 | 1,534 |
|
Kevin J Kelly
2701 Blair Mill Rd |
$98.51 | 1,921 | 1,908 |
|
Jimmy Joseph Ruiz
2729 Blair Mill Rd |
$48.25 | 1,840 | 1,620 |
|
Laura A Borthwick
735 Fitzwatertown Rd |
$65.30 | 1,673 | 1,370 |
|
Jessica Kroes
735 Fitzwatertown Rd Ste 4 |
$66.89 | 1,599 | 1,412 |
|
Diana Lopes London
2701 Blair Mill Rd Ste 6 |
$113.77 | 1,206 | 1,133 |
|
Tracy Mcgorry
2300 Computer Rd |
$61.31 | 1,163 | 1,038 |
|
Juanita Regina Kcomt
735 Fitzwatertown Rd |
$35.91 | 964 | 528 |
|
Christine Shea
2701 Blair Mill Rd |
$46.32 | 702 | 655 |
|
Elizabeth Diane Wisz
2701 Blair Mill Rd Ste C |
$47.65 | 671 | 618 |
|
Suneetha Jasty
2360 Maryland Rd |
$104.88 | 664 | 639 |
|
Sharon M Rice
2729 Blair Mill Rd Ste C |
$47.58 | 662 | 591 |
|
Inessa Parkansky
735 Fitzwatertown Rd |
$23.91 | 618 | 481 |
|
John Kleback
2510 Maryland Rd |
$37.83 | 584 | 561 |
|
Phedra Penn
2729 Blair Mill Rd |
$46.37 | 575 | 503 |
|
Sandra M Rappe
2701 Blair Mill Rd |
$43.55 | 561 | 481 |
|
Carolyn A Piccone
2729 Blair Mill Rd Ste C |
$47.68 | 528 | 463 |
|
Jessica Macconchie
1724 Crestview Ave |
$30.70 | 521 | 502 |
|
Majid Afzal Khan
735 Fitzwatertown Rd Ste 1 |
$37.75 | 476 | 270 |
|
Chad Arthur Krueger
2400 Maryland Rd Ste 20 |
$59.57 | 412 | 389 |
|
Brian Colum Cronin
735 Fitzwatertown Rd |
$37.10 | 409 | 205 |
|
Victor Elias Ghantous
735 Fitzwatertown Rd |
$35.38 | 332 | 196 |
|
Nathan Lent
221 Davisville Rd |
$50.62 | 322 | 310 |
|
Jessica M. Klemens
2701 Blair Mill Rd |
$48.36 | 300 | 275 |
|
Ryan Sholinsky
1113 Easton Rd |
$0.39 | 282 | 172 |
|
Saad Ahmed Khan
735 Fitzwatertown Rd Ste 1 |
$37.58 | 272 | 148 |
|
Katherine Ann Mcgeary
2510 Maryland Rd |
$34.27 | 242 | 231 |
|
Edward R Snipes
735 Fitzwatertown Rd |
$30.66 | 200 | 98 |
|
Sheenal V. Patel
2300 Computer Rd Ste E25 |
$59.52 | 177 | 168 |
|
Isaiah Levy
2325 Maryland Rd Ste 100 |
$48.23 | 167 | 148 |
|
Richard Goldberg
2400 Maryland Rd |
$30.55 | 165 | 147 |
|
True North Medical Group, Llc
2510 Maryland Rd Ste 160 |
$24.14 | 156 | 140 |
|
Alicia Ann Shields
2300 Computer Rd Ste E25 |
$72.60 | 118 | 95 |
|
Deirdre Murray Collins
735 Fitzwatertown Rd |
$32.77 | 116 | 77 |
|
Maria-Ramona A Evidente
2300 Computer Rd Ste E25 |
$96.41 | 114 | 110 |
|
Marie Smolenski
2510 Maryland Rd |
$46.94 | 110 | 101 |
|
Kevin Ye Hou
3941 Commerce Ave |
$38.00 | 82 | 78 |
|
North Willow Grove Pediatrics, Pc
2510 Maryland Rd |
$43.77 | 61 | 52 |
|
Evelyn Osei
240 Fitzwatertown Rd |
$65.83 | 45 | 32 |
|
Meghan O. Coleman
3941 Commerce Ave |
$45.39 | 42 | 41 |
|
Leah Kaminetzky
2300 Computer Rd Ste E25 |
$61.65 | 40 | 37 |
|
Kathryn Anne Bowry
2701 Blair Mill Rd Ste 20 |
$60.32 | 40 | 39 |
|
Donna Lee Patterson
2701 Blair Mill Rd |
$46.36 | 38 | 37 |
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 Willow Grove, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Willow Grove, PA is $51.33 per claim, based on 44,186 claims from 62 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 Willow Grove, PA?
There are 62 Medicaid providers offering Office Visit related services in Willow Grove, PA according to public payment data.
What is the price range for Office Visit in Willow Grove, PA?
Medicaid reimbursement for Office Visit in Willow Grove, PA ranges from $0.39 to $113.77 per claim, with an average of $51.33. 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 Willow Grove, PA
Ambulance Transport
Avg $92.41
21,806 claims
Physical Therapy
Avg $19.87
15,389 claims
Speech Therapy
Avg $9.62
14,177 claims
Vaccines & Immunizations
Avg $8.86
4,590 claims
Home Health Visit
Avg $61.39
4,270 claims
Dialysis
Avg $25.22
2,255 claims
X-Ray
Avg $18.22
1,856 claims
Eye Exam
Avg $39.14
855 claims