Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Bethlehem, PA: $40.61

Avg. Paid

$40.61

Range

$0.00 – $208.78

Total Claims

336,752

Providers

412

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 Bethlehem, PA

Provider	Avg. Paid	Claims	Patients
Nancy Gabana 153 Brodhead Rd	$66.53	14,229	13,420
Star Community Health, Inc 511 E 3Rd St Ste 202	$5.43	10,486	9,103
Maya Z Greenberg 240 Union Station Plz	$0.05	8,051	7,561
Nicholas James Grimm 801 Ostrum St	$70.10	6,465	6,229
Dustin Adam Greenhill 801 Ostrum St.	$75.44	5,507	5,291
Faton Bilali 2300 Highland Ave	$14.40	5,248	4,988
Steven Allie Mortazavi 4250 Fritch Dr	$39.32	4,872	4,655
Imran Javed 635 E Broad St	$0.14	4,380	4,020
Margaret Mintus 2830 Easton Ave	$44.82	4,025	3,756
Zunera Chaudry 153 Brodhead Rd	$65.22	3,691	3,482
Kevin H. Cowell 3024 Easton Ave	$15.03	3,508	3,380
Troy Robert Wood 2775 Schoenersville Rd	$51.99	3,391	3,008
Aram Yousefi-Elmi 511 E 3Rd St	$0.00	3,155	3,038
James Evan Phillips 801 Ostrum St	$1.40	3,093	2,919
Raji George Mathew 2101 Emrick Blvd	$44.92	3,052	2,916
Marcos Manuel Martinez 2775 Schoenersville Rd	$40.01	3,018	2,864
Tyler Gifford 801 Ostrum St	$0.04	2,960	2,745
Vladimir Alhov 3805 Nazareth Pike	$21.00	2,909	2,645
Saima Sabeen Ahmed 153 Brodhead Rd	$0.89	2,771	2,693
Hassan Muhammad Abdullah 511 E 3Rd St Ste 200	$80.06	2,762	2,673
Yi Feng Chen 3101 Emrick Blvd Ste 211	$115.30	2,755	2,750
Patricia Donovan 2830 Easton Ave	$43.85	2,648	2,489
Faisal Al-Alim 2597 Schoenersville Rd Ste 100	$50.88	2,590	2,350
Michael Scott Schwartz 2545 Schoenersville Rd	$102.17	2,566	2,543
Tony Ohanian 801 Ostrum St	$42.09	2,522	2,387
Kristin Joy Marek 801 Ostrum St	$41.65	2,518	2,389
Karen Taverna-Miller 834 Eaton Ave Fl 1	$46.98	2,467	2,191
Michael M Sidhom 153 Brodhead Rd	$76.71	2,448	2,393
Olusegun Benjamin Bankole 153 Brodhead Rd	$40.97	2,396	1,826
Jyoti Gopal 2649 Schoenersville Rd	$31.90	2,373	2,287
Courtney Humphrey 2830 Easton Ave	$0.38	2,340	2,179
Beth Careyva 3024 Easton Ave	$49.68	2,311	2,217
Jason W. Rudolph 2775 Schoenersville Rd	$43.82	2,308	2,138
Alexandra Printz 2604 Schoenersville Rd	$2.48	2,278	2,144
Charles E. Digby 1530 8Th Ave Fl 2	$27.15	2,278	2,177
James M Sunday 2775 Schoenersville Rd	$44.99	2,278	2,142
Cara Corpora 3024 Easton Ave	$48.88	2,237	2,165
Michael J Nimeh 2300 Highland Ave	$38.36	2,201	2,092
Elizabeth Teresa Corbo 2545 Schoenersville Rd	$97.55	2,198	2,175
Bram Sakdiponephong 2830 Easton Ave	$46.08	2,174	2,053
Mawuli Brosius 801 Ostrum St	$43.50	2,167	2,008
Kelly Copeland Hall 834 Eaton Ave	$40.23	2,148	1,911
Michael Ehrig 2649 Schoenersville Rd	$46.94	2,133	2,066
Abigail Klitsch 325 W Broad St Fl 2	$57.48	2,123	1,992
Kristofer Steffen Matullo 801 Ostrum St	$48.54	2,114	2,052
Rachel O'Connell 801 Ostrum St	$52.37	2,101	2,010
Vasu Singh 4379 Easton Ave	$38.33	2,085	1,907
Nicole C Chiappetta 2775 Schoenersville Rd	$55.48	2,026	2,011
Daniel Sawares 801 Ostrum St	$0.12	2,017	1,980
Decosy Hercules 801 Ostrum St Ste 2	$45.30	2,015	1,866

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 Bethlehem, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bethlehem, PA is $40.61 per claim, based on 336,752 claims from 412 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 Bethlehem, PA?

There are 412 Medicaid providers offering Office Visit related services in Bethlehem, PA according to public payment data.

What is the price range for Office Visit in Bethlehem, PA?

Medicaid reimbursement for Office Visit in Bethlehem, PA ranges from $0.00 to $208.78 per claim, with an average of $40.61. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Bethlehem, PA: $40.61

Providers Offering Office Visit in Bethlehem, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Bethlehem, PA

Emergency Room Visit

Blood Work & Lab Tests

EKG / ECG (Electrocardiogram)

Durable Medical Equipment (DME)

X-Ray

Urinalysis & Urine Tests

Physical Therapy

Speech Therapy