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 |
|---|---|---|---|
|
Sadie M Thompson
100 E Lancaster Ave |
$93.76 | 12 | 12 |
|
Ali R Keramati
100 E Lancaster Ave |
$55.19 | 12 | 12 |
|
Lauren A Rome
100 E Lancaster Ave |
$30.87 | 12 | 12 |
|
Robert Alan Promisloff
1001 City Line Ave |
$42.32 | 12 | 12 |
|
Henry Peter Schoonyoung
100 E Lancaster Ave |
$41.62 | 13 | 12 |
|
Catherine L Kuntz
100 E Lancaster Ave |
$52.53 | 13 | 13 |
|
Aqeel Ahmed Siddiqui
100 E Lancaster Ave Ste 130 |
$20.84 | 13 | 12 |
|
Charles Breish
100 E Lancaster Ave |
$28.07 | 13 | 13 |
|
Hyon Ju Park
137 Lankenau Medical Building W |
$3.67 | 13 | 13 |
|
Katy Michelle Doroshow
100 E Lancaster Ave |
$47.31 | 13 | 12 |
|
Ana Recober- Montilla
100 E Lancaster Ave Lmc Bldg East, Suite 256 |
$68.83 | 13 | 13 |
|
Colleen M Hanley
100 E Lancaster Ave |
$50.72 | 13 | 13 |
|
Rayna Sophie Tarlow
306 E Lancaster Ave Ste 400 |
$46.56 | 14 | 13 |
|
Joseph A. De Leon
300 E Lancaster Ave |
$78.93 | 14 | 14 |
|
Bevin Lashley Dolan
100 E Lancaster Ave |
$23.81 | 15 | 12 |
|
Jerome Santoro
100 E Lancaster Ave |
$40.30 | 15 | 13 |
|
Heather Denean Mahoney
100 E Lancaster Ave Ste 353 |
$27.50 | 15 | 14 |
|
Sherrie Stiffler Freilich
100 E Lancaster Ave |
$67.07 | 15 | 12 |
|
Lawrence L Livornese
100 E Lancaster Ave |
$39.36 | 15 | 12 |
|
Rebecca Dunn
100 E Lancaster Ave Ste 330 |
$22.04 | 16 | 15 |
|
Rita Jirjis El-Hajj
100 E Lancaster Ave Ste 560 |
$58.04 | 17 | 14 |
|
Raymond Michael Belden
100 E Lancaster Ave |
$68.90 | 18 | 18 |
|
Ned Z Carp
100 E Lancaster Ave |
$26.67 | 25 | 24 |
|
Norman G. Rosenblum
100 E Lancaster Ave Ste 661 |
$31.38 | 25 | 25 |
|
Tashawni Marjorie Channer
100 E Lancaster Ave |
$34.07 | 25 | 25 |
|
Fredy O Chaparro
100 E Lancaster Ave Ste 556 |
$55.98 | 25 | 25 |
|
Jennifer Gill
100 E Lancaster Ave Ste 330 |
$30.36 | 27 | 27 |
|
Adena R. Brewington-Brown
100 E Lancaster Ave |
$43.44 | 31 | 25 |
|
Mitchell Sternlieb
100 E Lancaster Ave |
$44.46 | 31 | 29 |
|
Lucas Zahir Margolies
100 E Lancaster Ave |
$85.17 | 36 | 36 |
|
Brett C Gilbert
100 E Lancaster Ave |
$49.52 | 40 | 36 |
|
Kumar Nadhan
100 E Lancaster Ave |
$4.80 | 40 | 38 |
|
David A Cohen
100 E Lancaster Ave |
$28.39 | 40 | 38 |
|
Shana Schreiber Dalal
100 E Lancaster Ave |
$15.60 | 42 | 39 |
|
Timothy A Shapiro
100 E Lancaster Ave |
$29.61 | 48 | 42 |
|
Scott Allen Rushton
100 E Lancaster Ave Ste 280 |
$100.19 | 49 | 49 |
|
Mark D Avart
100 E Lancaster Ave Ste 456 |
$3.09 | 52 | 50 |
|
David Ufberg
100 E Lancaster Ave |
$72.27 | 54 | 36 |
|
Thomas J Meyer
100 E Lancaster Ave |
$34.55 | 55 | 52 |
|
Caitlin S Farabaugh
100 E Lancaster Avenue |
$31.84 | 56 | 54 |
|
Donald Duane Peterson
100 E Lancaster Ave |
$38.54 | 56 | 54 |
|
William Francis Morano
100 E Lancaster Ave |
$84.72 | 58 | 53 |
|
Joseph Rayfield Triggs
100 E Lancaster Ave |
$76.38 | 61 | 61 |
|
Gan Xin Yan
100 E Lancaster Ave |
$29.12 | 64 | 64 |
|
Om Amin
100 E Lancaster Ave Ste 361 |
$43.60 | 68 | 59 |
|
Norman A Brest
100 E Lancaster Ave |
$71.78 | 69 | 63 |
|
Eric Marc Russell
100 E Lancaster Ave |
$4.98 | 82 | 56 |
|
Jacob Philip Reiss
100 Lancaster Ave |
$17.92 | 82 | 77 |
|
Eliot B Friedman
100 E Lancaster Ave Ste 230 |
$35.51 | 87 | 84 |
|
John Michael Clark
100 E Lancaster Ave |
$58.12 | 92 | 92 |
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