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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Macungie, PA: $19.04

Avg. Paid

$19.04

Range

$0.82 – $124.09

Total Claims

31,272

Providers

25

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 Macungie, PA

Provider Avg. Paid Claims Patients
Claudia Ferran

3371 Route 100

 $0.82 15,908 15,193
Syed Jafry

6451 Village Ln

 $21.24 4,944 4,717
Bharati Kalgi

3371 Route 100

 $56.61 2,377 2,293
Mahak Chopra

3371 Route 100

 $71.51 1,385 1,327
Radhika Chandramouli

6451 Village Ln

 $19.76 1,205 1,148
Yasir Hani Abunamous

6451 Village Ln

 $34.56 875 837
Suzanne Marie Spencer

3295 Pa Route 100

 $6.14 801 703
Eric T Cochran

3760 Brookside Rd

 $44.82 782 726
Ihab Abdelaal

3760 Brookside Rd

 $46.22 676 649
David Andrew Cohen

2550 Route 100

 $68.33 518 516
Lindsay Rae Pereira

6451 Village Ln

 $44.02 435 413
Valerie Diane Johnson

3295 Route 100 # Pa

 $4.77 310 282
Marina Domatova

3369 Route 100

 $124.09 216 215
Michael O'Connor

3760 Brookside Rd

 $46.55 142 138
Lucile Thelusmond

3295 Route 100

 $26.25 134 131
Reshma R Nair

6451 Village Ln

 $39.96 133 128
Fariba Kharazi

2550 Pa Route 100

 $57.67 113 106
Mark A. Notash

3369 State Route 100

 $86.52 89 85
John Bessada

6451 Village Ln

 $42.79 72 69
Jennifer Gleva Orlic

3295 Pa Route 100

 $25.30 53 52
Adam L Leferovich

6451 Village Ln

 $1.79 39 39
Russell H. Harris

3369 State Route 100

 $16.11 22 14
William Joseph Liaw

3760 Brookside Rd

 $41.81 17 16
Jicenda B Contreras

6451 Village Ln

 $9.99 13 13
Jill Bortz

3760 Brookside Rd

 $30.20 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 Macungie, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Macungie, PA is $19.04 per claim, based on 31,272 claims from 25 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 Macungie, PA?

There are 25 Medicaid providers offering Office Visit related services in Macungie, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Macungie, PA ranges from $0.82 to $124.09 per claim, with an average of $19.04. 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 Macungie, PA

Emergency Room Visit

Avg $87.97

64,390 claims

Physical Therapy

Avg $127.40

13,554 claims

EKG / ECG (Electrocardiogram)

Avg $2.29

10,868 claims

Blood Work & Lab Tests

Avg $4.18

8,909 claims

Nursing Facility Care

Avg $13.49

3,760 claims

Vaccines & Immunizations

Avg $0.65

3,521 claims

Urinalysis & Urine Tests

Avg $1.90

2,198 claims

Ambulance Transport

Avg $222.17

1,869 claims