Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Pottstown, PA: $39.94

Avg. Paid

$39.94

Range

$0.00 – $111.65

Total Claims

96,350

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 Pottstown, PA

Provider	Avg. Paid	Claims	Patients
Maryallyson Brown 1610 Medical Dr Ste 105	$35.65	12	12
Kathryn R. Hennessey 119 Shoemaker Rd	$0.00	13	13
Christopher Todd Oswald 1569 Medical Dr Ste 202	$50.35	14	14
Nahid Sultana 1555 Medical Dr	$45.71	15	14
Chad Stewart Long 933 N Charlotte St	$0.00	16	16
Lawton O. Delisser 1600 E High St	$31.94	16	16
Michael Pawlowsky 1591 Medical Dr	$80.83	24	24
Lori A Lorant Tobias 1600 E High St	$2.31	26	17
Burhan Hameed 1591 Medical Dr	$34.39	28	27
Alexander Seng 1591 Medical Dr	$22.68	41	40
Community Health And Dental Care, Inc 351 W Schuylkill Rd Ste G-15A	$9.62	43	40
Danielle Matwijec 1591 Medical Dr	$77.80	44	44
Christopher Pool 5 S Sunnybrook Rd Ste 300	$9.27	46	28
Scott Ritterman 1561 Medical Dr	$76.91	63	63
Barbara Anne C Elko 119 Shoemaker Rd	$0.00	69	57
Elizabeth Clark 1630 E High St	$0.00	69	54
Mark A Schwartz 1601 Medical Dr	$54.52	74	68
Gautam Dhanaraj 1600 E High St	$76.46	74	74
Nainesh M Patel 1591 Medical Dr	$19.02	81	81
Robert N Neilson 1590 Medical Dr	$0.00	107	91
Peter E Blackstone 555 Glasgow St	$44.62	129	126
Jennifer M Heffernan 351 W Schuylkill Rd Ste G-15A	$13.76	146	137
Saifullah Nizamuddin Kazi 2223 E High St	$31.01	164	159
Alan H Goldberg 1555 Medical Dr	$35.78	168	155
Wei Song 1591 Medical Dr	$30.66	186	167
Marqueta N Smith 351 W Schuylkill Rd Ste G-15A	$0.00	187	175
Jennifer Leah Hoffman 1610 Medical Dr Ste 105	$39.21	193	185
Kelsey Elizabeth Waller 351 W Schuylkill Rd # G-15A	$0.00	197	167
Children'S Hospital Of Philadelphia 1590 Medical Dr Ste E	$36.77	198	181
Courtney Waters Community Health And Dental	$22.21	214	131
Scott R Samuelson 2108 E High Street	$0.00	252	192
Nikos Konstantinos Pavlides 1561 Medical Dr	$66.85	252	238
Sahar Z Zaidi 351 W Schuylkill Rd Ste G-15A	$97.02	273	230
Danielle Burkholder 1600 E High St	$33.11	281	277
Linda Park D'Andrea 1561 Medical Dr.	$84.75	291	274
Gregory John Chapis 1603 E High St	$29.21	347	328
Michael Alan Malstrom 293 Armand Hammer Blvd	$27.33	355	331
Joshua B Williamson 351 W Schuylkill Rd Ste G-15A	$40.70	364	325
Nyeemah Kennedy 351 W Schuylkill Rd Ste G-15A	$0.00	395	348
Community Health And Dental Care, Inc 351 W Schuylkill Rd	$5.45	417	294
Ronald L Swaab 1591 Medical Dr	$34.60	455	422
Richard Saunders 13 Armand Hammer Blvd Ste 100	$37.34	504	483
Charles F. Gorey 730 S Hanover St	$52.44	572	564
Joseph Stephen Demidovich 1569 Medical Dr Ste 202	$36.12	585	578
Glenn E Lipton 1561 Medical Drive	$86.73	586	550
Michelle Lynn Hurst 1597 Medical Dr	$61.54	594	529
Christine Campbell 1597 Medical Dr	$62.06	612	555
Gabriella Pugliese 1610 Medical Dr Ste 105	$61.85	625	535
Sergio R Vaisman 1591 Medical Dr	$1.20	675	655
Irene Shepherd 351 W Schuylkill Rd	$0.00	693	645

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 Pottstown, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pottstown, PA is $39.94 per claim, based on 96,350 claims from 88 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 Pottstown, PA?

There are 88 Medicaid providers offering Office Visit related services in Pottstown, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Pottstown, PA ranges from $0.00 to $111.65 per claim, with an average of $39.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Pottstown, PA: $39.94

Providers Offering Office Visit in Pottstown, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Pottstown, PA

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Home Health Visit

Speech Therapy

Ambulance Transport

Emergency Room Visit

Vaccines & Immunizations

Dental Cleaning & Exam

Blood Work & Lab Tests