Average Medicaid Office Visit Payments in Allentown, PA: $49.53
Avg. Paid
$49.53
Range
$0.00 – $196.33
Total Claims
843,711
Providers
705
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 Allentown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert S Dolansky
501 Cetronia Rd |
$74.75 | 69,039 | 65,955 |
|
John J Scaffidi
2200 Hamilton St Ste 111 |
$60.48 | 38,464 | 37,309 |
|
David E Burnham
401 N 17Th St |
$27.67 | 19,864 | 18,394 |
|
Amit Sareen
1200 S Cedar Crest Blvd |
$67.74 | 15,978 | 15,434 |
|
Srinivas N. Halthore
1210 S Cedar Crest Blvd Ste 2400 |
$101.07 | 13,132 | 12,423 |
|
Kimberly Derezil
1702 W Allen St |
$53.27 | 11,961 | 7,373 |
|
Gianna Casini
1627 Chew St |
$60.27 | 8,407 | 7,496 |
|
Anita C Daniels-Rodriguez
1627 W Chew St |
$15.64 | 8,233 | 7,982 |
|
Maha Alchaer
3570 Hamilton Blvd |
$45.29 | 7,945 | 7,251 |
|
Leah Ashley Bonaparte-Dotta
400 N 17Th St |
$64.44 | 7,911 | 6,221 |
|
Maria Lynn Jones
1200 S Cedar Crest Blvd |
$8.50 | 7,591 | 7,063 |
|
Maneesh Ailawadi
2200 Hamilton St Ste 111 |
$63.32 | 7,516 | 6,819 |
|
Loanna T Nguyen
2895 Halmilton Blvd |
$78.50 | 7,066 | 6,739 |
|
Christine Ting-Hua Wang
1627 Chew St |
$17.99 | 6,696 | 6,547 |
|
Lisa Michelle Dapuzzo-Argiriou
Lehigh Valley Hospital, 17Th & Chew Streets |
$43.55 | 6,401 | 5,621 |
|
Diana Alderfer Lengel
365 S Cedar Crest Blvd |
$37.08 | 6,382 | 5,350 |
|
Orlando J Penaloza
17Th And Chew Streets |
$8.26 | 6,361 | 5,874 |
|
Sri Kiran Chennupati
1210 S Cedar Crest Blvd |
$112.34 | 6,283 | 6,232 |
|
Mary C Stock
1730 Chew St |
$6.13 | 6,121 | 5,697 |
|
Angelle Brooks Thompson
1648 Hamilton St |
$43.13 | 5,968 | 4,732 |
|
Gohar Ashraf
1611 Pond Rd Ste 400 |
$27.05 | 5,953 | 5,546 |
|
Anne Marie Coughlin
1627 Chew St |
$11.56 | 5,860 | 5,727 |
|
Simon George Tabchi
2895 Hamilton Blvd Ste 101 |
$30.06 | 5,813 | 5,087 |
|
Frank Sperrazza
141 E Emaus Ave |
$25.68 | 5,732 | 5,576 |
|
Adam Michael Donnelly
1627 Chew St |
$17.11 | 5,563 | 5,440 |
|
Karine Thevenin
141 E Emaus Ave |
$22.86 | 5,455 | 5,306 |
|
Barry I Berger
1250 S Cedar Crest Blvd |
$71.08 | 5,227 | 5,069 |
|
Caroline Perkowski
1200 S Cedar Crest Blvd |
$40.68 | 5,073 | 4,646 |
|
Kamini Kalola
17Th And Chew Street |
$12.67 | 5,073 | 4,982 |
|
Michele Rene Clement
1210 S Cedar Crest Blvd |
$118.29 | 5,020 | 4,958 |
|
Pavel Enrique Terreros
1447 W Hamilton St |
$24.60 | 4,810 | 4,502 |
|
Stephanie Rita Straka
501 Cetronia Rd Ste 115 |
$79.85 | 4,723 | 4,672 |
|
Roy Rajan
1210 S Cedar Crest Blvd Ste 1100 |
$108.67 | 4,580 | 4,540 |
|
Emily Brophy
1611 Pond Rd |
$60.35 | 4,574 | 4,316 |
|
Atira Rahman
450 W Chew St |
$0.19 | 4,537 | 4,177 |
|
Victor Martin Otero
501 Cetronia Road |
$74.05 | 4,463 | 4,353 |
|
Treasure Ngozi Ada Walker
1245 S Cedar Crest Blvd Ste 201 |
$15.03 | 4,361 | 4,084 |
|
Kimberly Brown
17Th And Chew Street |
$15.17 | 4,264 | 4,155 |
|
Wendy Rush Spinosa
3080 Hamilton Blvd |
$14.95 | 4,219 | 3,980 |
|
Daniel Schwartzman
29 N 9Th St |
$55.01 | 4,131 | 4,063 |
|
Gene V. Levinstein
451 W Chew St |
$32.64 | 4,083 | 3,854 |
|
Jose E Santiago Rivera
1255 S Cedar Crest Blvd |
$47.61 | 4,062 | 3,938 |
|
Maria C Erazo
451 Chew St |
$36.45 | 4,030 | 3,244 |
|
David Meehan
401 N 17Th St |
$49.87 | 4,025 | 3,748 |
|
Ernesto Rodriguez-Granados
1611 Pond Rd |
$64.06 | 4,021 | 3,803 |
|
Frank James Jackson
1250 S Cedar Crest Blvd Ste 110 |
$124.79 | 3,930 | 3,404 |
|
Archana Chaudhari
1230 S Cedar Crest Blvd Ste 201 |
$5.23 | 3,910 | 3,754 |
|
John Howard Dehoff
1210 S Cedar Crest Blvd |
$9.65 | 3,906 | 3,743 |
|
Neil Howard Feldman
1251 S Cedar Crest Blvd Ste 301 |
$40.54 | 3,860 | 3,683 |
|
Neelam Sarwar
1627 Chew St |
$1.06 | 3,789 | 3,697 |
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 Allentown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Allentown, PA is $49.53 per claim, based on 843,711 claims from 705 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 Allentown, PA?
There are 705 Medicaid providers offering Office Visit related services in Allentown, PA according to public payment data.
What is the price range for Office Visit in Allentown, PA?
Medicaid reimbursement for Office Visit in Allentown, PA ranges from $0.00 to $196.33 per claim, with an average of $49.53. 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 Allentown, PA
Blood Work & Lab Tests
Avg $10.86
943,239 claims
Emergency Room Visit
Avg $120.90
630,031 claims
EKG / ECG (Electrocardiogram)
Avg $9.14
219,793 claims
Urinalysis & Urine Tests
Avg $4.72
157,228 claims
Dental Cleaning & Exam
Avg $31.97
153,579 claims
Pathology & Lab Services
Avg $34.24
140,404 claims
X-Ray
Avg $12.49
103,042 claims
Vaccines & Immunizations
Avg $8.38
95,140 claims