Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lehighton, PA: $34.42

Avg. Paid

$34.42

Range

$0.17 – $98.87

Total Claims

45,274

Providers

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 Lehighton, PA

Provider	Avg. Paid	Claims	Patients
Aimee Marie Johnson 363 N 1St St	$0.17	6,332	5,816
Robert A Durako 1001 Mahoning St	$37.66	4,898	4,455
Sarada Kadewari 281 N 12Th Street	$42.55	4,560	4,271
Joseph M Mcginley 856 Interchange Rd	$37.13	3,870	3,631
Marnie Cunningham 428 S 7Th St	$43.05	2,794	1,863
David Thomas Ogurek 363 N 1St St	$30.07	2,675	2,474
Andrew Dean Shoemaker 281 N 12Th St Ste F	$21.60	2,419	2,276
David O'Neill 1001 Mahoning St	$39.57	2,394	2,245
Jeffrey Edware Burtaine 575 S. 9Th Street	$51.33	2,093	2,038
Kenneth R Sharp 363 N 1St St	$37.50	1,598	1,567
Jon David Hernandez 2226 Blakeslee Boulevard Dr E Ste 200	$41.83	1,324	1,271
Ahmed M Hasan 204 State Rd	$38.61	1,196	1,175
Alessandro S Boschi 180 N 12Th St	$44.00	1,187	1,019
Joshua Alan Nochumson 2226 Blakeslee Boulevard Dr E Ste 200	$35.56	1,174	1,143
Francis J Braconaro 2226 Blakeslee Boulevard Dr E Ste 200	$53.35	877	785
William M Markson 1241 Blakeslee Boulevard Dr E	$44.55	824	811
Priya Patel 770 State Rd	$45.63	778	724
Michael Mclane 1241 Blakeslee Boulevard Dr E Ste 3	$48.53	761	749
Michael Lawrence Grimaldi 2226 Blakeslee Boulevard Dr E Ste 200	$50.34	666	646
Frank Golden 1290 Blakeslee Boulevard Dr W Ste 1	$16.18	358	332
Eric Michael Pridgen 575 S 9Th St Ste 5	$74.13	329	304
Lakshminarayana Gajula 281 N 12Th St	$59.86	320	309
Asia Anaise Williams 2128 Blakeslee Boulevard Dr E	$78.25	300	290
Shahzad A Khan 525 Iron Street	$32.27	286	281
Peter J Baddick 2175 Blakeslee Boulevard Dr W	$12.56	215	209
The Carbon Schuylkill Community Hospital, Inc. 575 S 9Th St Ste 7	$61.22	172	160
Northeast Pediatrics Llc 281 N 12Th St	$28.60	147	124
Todd Richard Banning 1241 Blakeslee Boulevard Dr E	$39.82	127	126
Dimitry Belogorodsky 2226 Blakeslee Boulevard Dr E	$66.53	116	112
St Luke'S Hospital 211 North 12Th Street	$98.87	116	108
Daniel George Walker 2175 Blakeslee Boulevard Dr W	$14.48	93	82
Dennis James Kondash 211 N 12Th St	$12.82	79	46
Garry M Carbone 281 N 12Th St Ste C	$51.05	60	49
Mahreema Jawairia 204 State Rd	$53.94	52	51
Rebecca M Geiger 1638 Blakeslee Boulevard Dr E	$12.89	38	28
Kelly A Toth 211 N 11Th Street	$57.05	19	19
St Luke'S Hospital 211 N 12Th St	$90.00	14	14
Elena Brinker 363 N 1St St	$10.28	13	13

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 Lehighton, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lehighton, PA is $34.42 per claim, based on 45,274 claims from 38 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 Lehighton, PA?

There are 38 Medicaid providers offering Office Visit related services in Lehighton, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Lehighton, PA ranges from $0.17 to $98.87 per claim, with an average of $34.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Lehighton, PA: $34.42

Providers Offering Office Visit in Lehighton, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Lehighton, PA

Ambulance Transport

Home Health Visit

Vaccines & Immunizations

EKG / ECG (Electrocardiogram)

Speech Therapy

Dental Cleaning & Exam

Emergency Room Visit

Hearing Test (Audiometry)