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
Ira Patel 2649 Schoenersville Rd	$43.52	12	12
Shannon Kearney 3535 High Point Blvd Ste 600	$99.40	12	12
Sam Skariah 2545 Schoenersville Rd Ste 300	$108.32	12	12
Meghan Cecelia Hoffner 2300 Highland Ave	$0.00	12	12
Stamatios G Psarros 701 Ostrum Street	$39.38	12	12
Lehigh Valley Physician Group 2545 Schoenersville Rd	$121.73	12	12
Maria Davis 1490 8Th Ave Ste 130	$47.03	12	12
Amy Lynn Jedlovec 2310 Highland Ave	$0.00	12	12
Brian David Kuronya 3833 Linden St	$39.93	12	12
Keith Alan Baker 801 Ostrum St	$39.25	12	12
Amber N Long 1200 Spring St	$54.19	12	12
Hina Trivedi 801 Ostrum St	$32.45	13	13
Paul Gulotta 1469 8Th Ave	$48.03	13	13
Patricia Rowland 2101 Emrick Blvd Ste 100	$4.33	13	13
Matthew Zheng 801 Ostrum St	$50.44	13	13
Ruchi D Patel 801 Ostrum St	$116.13	13	13
Josefina Andrea Valdivieso 2775 Schoenersville Rd	$16.53	13	12
Tomasz J Niewiarowski 306 S New St Ste 201	$51.81	13	13
Andrew Unger 3539 Skyline Dr	$87.65	13	12
Aaron Lasker 1417 8Th Ave	$94.04	13	13
Deborah W Sundlof 2649 Schoenersville Rd	$61.67	13	12
Joseph Ramzy 801 Ostrum St	$57.45	14	14
Vijay Palvia 801 Ostrum St	$57.09	14	14
Stephen Jude Ksiazek 2649 Schoenersville Rd Ste 301	$39.79	14	13
David A Shields 4311 Easton Ave	$35.96	14	13
William Jude Gould 3445 High Point Blvd	$63.41	14	14
Jessica L Denigris 325 W Broad St Fl 2	$5.00	14	14
Mohammed Z Islam 801 Ostrum St	$25.58	14	14
Tyesha T. Zuvarox 2310 Schoenersville Rd	$0.00	14	14
Paul Lewis Hermany 2649 Schoenersville Rd Ste 301	$43.62	16	16
Michael Frederick Busch 2775 Schoenersville Rd	$46.50	16	12
Michael Theodore Crowley 2545 Schoenersville Rd	$42.90	17	17
Richard W Snyder 701 Ostrum St	$54.99	17	17
Andrew Konopitski 801 Ostrum St	$70.89	19	19
Kristin Abbruzzi 306 S New St Ste 301	$40.77	20	20
Christopher Bauer 801 Ostrum St	$59.31	21	19
Carlos M Velas 865 E 4Th St	$0.00	21	21
Melanie Deluise 2300 Highland Ave	$20.86	22	22
Aliaskar Z Hasani 1469 8Th Ave	$33.20	23	16
Jovan Djuro Plamenac 1469 8Th Ave	$37.58	24	24
Adam D Dratch 701 Ostrum St	$39.88	24	24
Brian Francis Ropp 153 Brodhead Rd	$0.00	24	24
Rebecca G Cole 153 Brodhead Rd	$38.99	25	24
Omolara Olabisi Bamgbelu 2830 Easton Ave	$20.74	25	25
Lizbeth S De Padua 1417 Eighth Avenue	$43.50	25	24
Thomas George Donkar 801 Ostrum St	$87.16	25	24
Anil Saxena 3005 Brodhead Rd	$4.32	25	22
Michael Durkin 1469 8Th Ave	$45.37	26	26
Lehigh Valley Physician Group 2649 Schoenersville Rd	$66.56	26	26
Michael Doran 801 Ostrum St	$58.93	26	26

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

Office Visit in Other Cities

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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