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
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