Skip to content
Based on public Medicaid payment data.

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
Satyam Arora

1901 Hamilton St

$35.12 12 12
Johannah Valentine

3151 Walbert Ave Ste 301

$20.90 12 12
Katherine Nicole Perry

1250 S Cedar Crest Blvd Ste 300

$4.05 12 12
Mark R Houle

1200 S Cedar Crest Blvd

$0.94 12 12
Lei Li

3080 Hamilton Blvd

$38.67 12 12
Kevin Kinan Anbari

798 Hausman Rd Fl 1

$57.35 12 12
Swomya Prakash Bal

1901 Hamilton St

$61.00 12 12
Timothy Brian Coyle

1250 S Cedar Crest Blvd

$54.36 12 12
Katherine Olenick

1250 S Cedar Crest Blvd Ste 215

$0.00 12 12
Stella Linda Luo

5201 Hamilton Blvd

$31.89 12 12
Lehigh Valley Physician Group

1250 S Cedar Crest Blvd

$47.54 12 12
Christopher Lenivy

1250 S Cedar Crest Blvd Ste 205

$45.68 12 12
Peter F Rovito

842 N 19Th St

$144.50 12 12
Francis William Spear

1200 S Cedar Crest Blvd

$57.75 12 12
Tama Senick

3131 College Heights Blvd Ste 1200

$0.00 12 12
Scott W Beman

1240 S Cedar Crest Blvd

$41.55 12 12
Rachel Guerrera

1200 S Cedar Crest Blvd

$0.00 12 12
Bahar Jahanbin

3080 Hamilton Blvd

$50.04 12 12
Andrew Hunadi

1200 S Cedar Crest Blvd

$7.48 12 12
James Paul Reichart

1230 S Cedar Crest Blvd Stes 301, 302, 304

$28.09 12 12
Mandeep Singh Samra

1230 S Cedar Crest Blvd

$40.48 12 12
Talha Farooq Nazir

1250 S Cedar Crest Blvd

$56.63 12 12
Cedar Crest Pediatrics

1517 Pond Road

$68.25 12 12
Walter Jean

1250 S Cedar Crest Blvd Ste 400

$48.17 12 12
Dimitry Mikhaylovich Petrenko

1250 S Cedar Crest Blvd Ste 205

$41.45 12 12
Patrick Tarran Hickey

1501 N Cedar Crest Blvd

$35.51 12 12
Karen Matulonis Williams

1230 S Cedar Crest Blvd Stes 301, 302, 304

$0.00 12 12
Cyrus K Houshmand

3178 W Tilghman St

$0.00 12 12
Michael James Qaqish

1648 Hamilton St

$54.49 13 13
Christine H. Kim

1240 S Cedar Crest Blvd Ste 401

$39.04 13 13
Jonathan Kochuba

1230 S Cedar Crest Blvd

$37.36 13 12
Jonathan B Bingham

1250 S Cedar Crest Blvd Ste 215

$29.15 13 12
Sarah Stern

501 Cetronia Rd

$0.00 13 13
Carla Rossi

1250 S Cedar Crest Blvd

$41.99 13 12
Jazmine Irizarry

218 N 2Nd St

$0.00 13 13
Alexis Jacqueline Achey Lewis

1611 Pond Rd Ste 300

$34.58 13 13
Aamir Ijaz Ahmed

1200 S Cedar Crest Blvd

$49.87 13 13
Neiman A Ramjattan

1255 S Cedar Crest Blvd

$91.77 13 13
Diane Evelyn Deangelo

1230 S Cedar Crest Blvd

$0.00 13 13
Sacred Heart Healthcare System

421 Chew St

$46.50 13 13
Frederic A Stelzer

1501 N Cedar Crest Blvd

$38.19 13 13
Joshua Marc Levin

1259 S Cedar Crest Blvd Ste 100

$30.20 13 13
Daniel T Valancius

1255 S Cedar Crest Blvd

$24.32 13 12
Richard M Lieberman

5018 Medical Center Circle

$50.18 13 13
Apurva V Vyas

1250 S Cedar Crest Blvd

$36.79 13 13
Katherine M Thompson

1251 S Cedar Crest Blvd

$43.80 13 12
Mila Ju

1259 S Cedar Crest Blvd

$33.73 14 14
Sheldon H. Linn

322 S 17Th St

$56.32 14 13
Sarah A. Jones Sapienza

1210 S Cedar Crest Blvd Ste 1100

$88.15 14 14
Betty Bohorquez

1627 W Chew St

$32.82 14 14

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

Other Procedures in Allentown, PA