Average Medicaid Office Visit Payments in Wynnewood, PA: $54.52
Avg. Paid
$54.52
Range
$0.19 – $138.90
Total Claims
77,541
Providers
131
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 Wynnewood, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Soorena Khojasteh
100 E Lancaster Ave Ste 261 |
$58.43 | 6,706 | 6,425 |
|
Beverly Marie Vaughn
100 E Lancaster Ave |
$56.54 | 6,389 | 5,443 |
|
Robert Henry Becker
100 E Lancaster Ave |
$138.90 | 3,620 | 3,524 |
|
Jonathan Frank Paolini
100 E Lancaster Ave |
$54.14 | 3,224 | 2,523 |
|
Kathryn Rose Finley
100E Lancaster Ave B11 |
$24.17 | 3,105 | 3,014 |
|
M Susan Burke
100 E Lancaster Ave |
$20.86 | 2,839 | 2,760 |
|
Benjamin Larson
100 E Lancaster Ave Ste B11 |
$23.22 | 2,801 | 2,728 |
|
Matthew Joseph Delmonico
100 E Lancaster Ave Ste B11 |
$46.89 | 2,726 | 2,648 |
|
Janice Lofft
100 E Lancaster Ave |
$45.63 | 2,653 | 2,582 |
|
Katie Lynn Moody
100 E Lancaster Ave |
$62.87 | 2,439 | 1,730 |
|
Jeffrey Monk
100 E Lancaster Ave |
$42.35 | 2,168 | 1,685 |
|
Kar Lai Wong
100 E Lancaster Ave |
$42.45 | 2,081 | 2,017 |
|
Edward Lawrence Langan
Lankenau Med East |
$71.06 | 1,819 | 1,459 |
|
Deric C. Savior
100 E Lancaster Ave Ste B20 |
$50.90 | 1,563 | 1,327 |
|
Ying Hu
100 E Lancaster Ave Ste 560 |
$62.01 | 1,562 | 1,506 |
|
Licette Almonte
100 E Lancaster Ave Ste 216 |
$74.18 | 1,367 | 1,091 |
|
Kate M. Stampler
100 E Lancaster Ave |
$54.72 | 1,355 | 1,300 |
|
Nicole D Salva
100 East Lankenau Avenue |
$62.54 | 1,348 | 1,141 |
|
Shannon Nicole Grimes
100 E Lancaster Ave |
$70.50 | 1,316 | 1,032 |
|
W Randall Russell
100 E Lancaster Ave |
$30.77 | 1,114 | 838 |
|
Amber Lynn Sobuto
100 E Lancaster Ave |
$45.12 | 1,103 | 958 |
|
Emma Pennington Rose
100 E Lancaster Ave Ste B5 |
$55.19 | 976 | 764 |
|
Deepa Kamakshi Chellappa
100 E Lancaster Ave Ste B11 |
$22.68 | 827 | 794 |
|
Elizabeth Roth
100 E Lancaster Ave |
$49.20 | 803 | 762 |
|
David Taegon Park
100 E Lancaster Ave |
$55.20 | 803 | 775 |
|
Donna M Steel
100 E Lancaster Ave Ste 560 |
$69.81 | 763 | 734 |
|
Bruce Kornberg
100 East Lancaster Avenue |
$37.99 | 758 | 735 |
|
Molly Kaplan Gordon
100 E Lancaster Ave Ste 301 |
$72.65 | 756 | 590 |
|
Brooke Nicole Gaspari
100 E Lancaster Ave |
$62.16 | 742 | 699 |
|
Pradeep Ambadas Lothe
300 E Lancaster Ave |
$16.49 | 703 | 681 |
|
Lauren Josefa Hartwell
100 Lancaster Ave |
$73.70 | 683 | 577 |
|
Barbara A Cooper
100 E Lancaster Ave |
$15.95 | 676 | 657 |
|
Rebecca S Stern
100 Lancaster Avenue |
$56.89 | 674 | 625 |
|
David N Vegari
100 E Lancaster Ave |
$78.10 | 658 | 606 |
|
Michael C Schneider
119 Adrienne Ln |
$117.28 | 580 | 563 |
|
Stephanie Pam Langsam
100 E Lancaster Ave |
$65.30 | 529 | 389 |
|
James Nathan Becker
306 E Lancaster Ave Ste 300 |
$0.19 | 521 | 498 |
|
Vishal Patel
100 E Lancaster Ave |
$60.40 | 518 | 511 |
|
Daniel William Kurz
100 E Lancaster Ave Ste 330 |
$33.52 | 508 | 475 |
|
Kate M Taylor
100 West Lancaster Avenue |
$78.06 | 489 | 449 |
|
Laura B. Stiles
100 E Lancaster Ave |
$81.96 | 459 | 392 |
|
Gaurav Jain
100 E Lancaster Ave Ste 256 |
$51.62 | 445 | 432 |
|
Reena Nagar
100 E Lancaster Ave |
$58.29 | 419 | 398 |
|
Krupa Patel
100 E Lancaster Ave Ste 216 |
$73.80 | 408 | 313 |
|
Monica Dyan Miller
100 E Lancaster Ave |
$53.85 | 390 | 344 |
|
Katie M Hawthorne
100 E Lancaster Ave |
$55.65 | 388 | 372 |
|
Amy A Nathans
100 E Lancaster Ave # Areab5 |
$57.68 | 377 | 360 |
|
Gerard John Diefes
1001 City Line Ave |
$37.48 | 377 | 363 |
|
George Chamoun
100 E Lancaster Ave |
$53.33 | 339 | 324 |
|
Dina E Green
100 E Lancaster Ave |
$61.62 | 336 | 319 |
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 Wynnewood, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wynnewood, PA is $54.52 per claim, based on 77,541 claims from 131 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 Wynnewood, PA?
There are 131 Medicaid providers offering Office Visit related services in Wynnewood, PA according to public payment data.
What is the price range for Office Visit in Wynnewood, PA?
Medicaid reimbursement for Office Visit in Wynnewood, PA ranges from $0.19 to $138.90 per claim, with an average of $54.52. 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 Wynnewood, PA
EKG / ECG (Electrocardiogram)
Avg $7.47
79,090 claims
Emergency Room Visit
Avg $122.14
46,708 claims
Speech Therapy
Avg $137.12
29,056 claims
Blood Work & Lab Tests
Avg $6.35
24,875 claims
Nursing Facility Care
Avg $26.64
16,332 claims
X-Ray
Avg $6.55
7,738 claims
Dialysis
Avg $23.31
5,748 claims
Dental Cleaning & Exam
Avg $25.08
4,968 claims