Average Medicaid Office Visit Payments in Yardley, PA: $47.10
Avg. Paid
$47.10
Range
$0.00 – $109.09
Total Claims
52,697
Providers
69
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 Yardley, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samuel Bae
301 Oxford Valley Rd Ste 804 |
$63.92 | 4,899 | 4,702 |
|
Patrick M Adler
301 Oxford Valley Rd |
$25.39 | 3,516 | 3,387 |
|
Rudolf Khusid
1000 Floral Vale Blvd |
$11.55 | 3,249 | 3,144 |
|
Joseph Chun-Fu Huang
777 Township Line Rd |
$60.95 | 2,834 | 2,757 |
|
Esther Chung
1000 Floral Vale Blvd |
$95.40 | 2,501 | 2,465 |
|
Adel Shamsul Haque
209 Floral Vale Blvd |
$109.09 | 2,392 | 2,279 |
|
Laura L Tyree
407 Floral Vale Blvd |
$44.80 | 2,382 | 1,856 |
|
Bryon Joseph Lauer
680 Heacock Road |
$27.14 | 2,346 | 2,228 |
|
Janet Marcia Goldberg
1690 Big Oak Rd |
$30.60 | 1,818 | 1,684 |
|
Randolph John Miller
680 Heacock Rd Ste 101 |
$33.09 | 1,743 | 1,674 |
|
Briana C Mcdevitt
680 Heacock Rd |
$25.81 | 1,727 | 1,613 |
|
Sarah Burns
680 Heacock Road |
$29.71 | 1,565 | 1,501 |
|
Heather Lee Orman-Lubell
680 Heacock Rd |
$37.15 | 1,509 | 1,441 |
|
Daniela Marie O'Neil
1690 Big Oak Rd |
$48.83 | 1,481 | 1,302 |
|
Elizabeth D Thomas
385 Oxford Valley Rd |
$49.48 | 1,470 | 1,415 |
|
Christopher Sliwinski
407 Floral Vale Blvd |
$75.65 | 1,367 | 1,155 |
|
Katherine Anne Gargiulo
680 Heacock Rd Ste 101 |
$66.54 | 1,342 | 1,297 |
|
Nitin Kumar
680 Heacock Rd Ste 101 |
$38.54 | 1,161 | 1,113 |
|
Gabrielle Jeanne Costello
680 Heacock Rd Ste 101 |
$27.84 | 1,093 | 1,046 |
|
Clifford Strauss
301 Oxford Valley Rd |
$59.35 | 1,007 | 963 |
|
Brad Millman
777 Township Line Road |
$17.27 | 906 | 863 |
|
Nenita Batallones Retizos
1940 Kirkbride Cirlce |
$92.37 | 834 | 778 |
|
Blair Dickinson
680 Heacock Rd Ste 101 |
$36.43 | 770 | 718 |
|
Phebena Rency
657 Heacock Rd |
$3.95 | 739 | 721 |
|
Charles O Dougherty
62 South Main Street |
$53.36 | 690 | 650 |
|
Jenny Pittappilly
657 Heacock Rd |
$29.23 | 593 | 573 |
|
Tara Dever Morris
903 Floral Vale Blvd |
$38.66 | 503 | 487 |
|
Paul Grena
301 Oxford Valley Rd Ste 901 |
$54.46 | 477 | 452 |
|
Nancy M Covone
657 Heacock Rd |
$22.97 | 476 | 448 |
|
Maria Dats
407 Floral Vale Blvd |
$0.00 | 463 | 447 |
|
Farhan Tahir
301 Oxford Valley Rd Ste 404 |
$76.68 | 423 | 415 |
|
Stc Pediatrics Llc
680 Heacock Rd Ste 101 |
$25.95 | 395 | 350 |
|
Lawrence Richard Peck
1690 Big Oak Rd |
$43.71 | 304 | 283 |
|
Peter Serpico
1000 Floral Vale Blvd |
$41.53 | 283 | 277 |
|
Steven Goldberg
301 Oxford Valley Rd |
$63.40 | 267 | 254 |
|
Melissa Serravallo
903 Floral Vale Blvd |
$65.99 | 258 | 255 |
|
Summit Clinical Group Llc
25 S Main St |
$3.19 | 232 | 226 |
|
Lance B Wilson
777 Township Line Road |
$44.45 | 221 | 211 |
|
Kanan Patel
1356 Lexington Dr |
$3.94 | 206 | 201 |
|
Roselyn Kellen Stanger
1000 Floral Vale Blvd |
$63.14 | 191 | 189 |
|
Cleofe P Evangelista
301 Oxford Valley Rd |
$29.52 | 170 | 127 |
|
Jordan L Roberts
903 Floral Vale Blvd |
$78.93 | 166 | 164 |
|
Kevin Furey
301 Oxford Valley Rd |
$51.53 | 144 | 137 |
|
Jason Sing
301 Oxford Valley Rd Ste 1000 |
$15.83 | 142 | 135 |
|
Tps V Of Pa,, Llc
680 Heacock Rd |
$50.44 | 137 | 112 |
|
Stanley J Sliwinski
407 Floral Vale Blvd |
$61.76 | 120 | 103 |
|
Robin Mary Hurst
33 S Delaware Ave |
$53.77 | 109 | 97 |
|
Jill K Stavalone
1690 Big Oak Rd |
$100.28 | 94 | 85 |
|
Bruce Bernard Dershaw
1000 Floral Vale Blvd |
$21.06 | 92 | 87 |
|
Adam Brandon Blechman
385 Oxford Valley Rd Ste 312 |
$95.60 | 87 | 85 |
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 Yardley, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Yardley, PA is $47.10 per claim, based on 52,697 claims from 69 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 Yardley, PA?
There are 69 Medicaid providers offering Office Visit related services in Yardley, PA according to public payment data.
What is the price range for Office Visit in Yardley, PA?
Medicaid reimbursement for Office Visit in Yardley, PA ranges from $0.00 to $109.09 per claim, with an average of $47.10. 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 Yardley, PA
Dental Cleaning & Exam
Avg $25.72
25,734 claims
Physical Therapy
Avg $37.39
8,450 claims
Emergency Room Visit
Avg $61.54
7,483 claims
EKG / ECG (Electrocardiogram)
Avg $14.58
6,266 claims
Mammogram
Avg $64.59
4,766 claims
Vaccines & Immunizations
Avg $14.20
4,214 claims
Ultrasound
Avg $51.07
2,827 claims
Dental Filling
Avg $56.19
2,600 claims