Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Pottsville, PA: $40.51

Avg. Paid

$40.51

Range

$0.00 – $136.29

Total Claims

146,350

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 Pottsville, PA

Provider	Avg. Paid	Claims	Patients
Zarar Bajwa 1851 West End Ave	$41.70	14,175	13,155
Christian Shuman 529 Terry Reiley Way	$41.57	8,726	8,437
Umai Shaik 1851 West End Ave	$40.23	8,139	7,687
Caitlin Wiscount 529 Terry Reiley Way	$43.06	7,951	7,527
James C Xenophon 171 Red Horse Rd	$48.54	7,378	6,297
Nicholas Vincent Iaccarino 529 Terry Reiley Way	$38.56	6,512	6,256
Kara Fisher Miller 529 Terry Reiley Way	$41.57	6,456	6,198
Robert Miles Zimmerman 171 Red Horse Rd	$43.30	6,413	5,639
Joseph V Puzzi 100 Schuylkill Medical Plz	$34.25	6,025	5,736
Frances Judith Lago Manus 529 Terry Reiley Way	$48.47	5,838	5,556
Stephen Evans 200 Schuylkill Medical Plz	$40.39	5,412	5,180
William J. Gianfagna 529 Terry Reiley Way	$41.83	4,907	4,684
Joseph Matz 201 E Laurel Blvd	$34.76	4,886	4,681
Mohammad M Akbar 26 S Centre St	$26.15	4,626	4,500
Maria E Barbe 201 E Laurel Blvd	$49.91	4,019	3,953
Amrit Pal Narula 48 Tunnel Rd	$43.87	3,996	3,931
David Paul Krewson 171 Red Horse Rd	$44.24	3,460	3,160
Karl William Helmold 700 Schuylkill Manor Rd Ste 3	$45.78	3,211	2,960
Rehab Tabchi 529 Terry Reiley Way	$0.94	2,903	2,780
Integrated Medical Group P C 82 Tunnel Rd	$51.87	2,880	2,466
Cassandra Kessock 529 Terry Reiley Way	$45.38	2,720	2,598
Susan Rachel Medalie 200 Schuylkill Medical Plz	$44.72	2,640	2,493
Patti Ann Dasilva 420 S Jackson St	$43.11	2,556	2,411
Ashley Costa 171 Red Horse Rd	$44.93	2,388	2,208
Cristin A Weicker 205 E Laurel Blvd	$41.71	1,686	1,627
Darrin Eric Doran 200 Schuylkill Medical Plz	$43.45	1,590	1,499
Jeffrey Chimahosky 1720 W Market St	$37.85	1,230	1,129
Kamla K Mishra 700 Schuylkill Manor Rd	$24.60	1,225	1,120
Manish Kumar Mishra 700 Schuylkill Manor Rd	$30.35	1,211	1,099
Solomon C Luo 201 E Laurel Blvd	$28.73	1,086	1,074
Gina Downey 2510 W Market St	$42.88	1,047	893
Scott Michael Stevens 16-18 S Centre St	$28.42	884	646
Corrine Ann Joy 529 Terry Reiley Way	$49.31	795	794
Mohammad Aslam 101 Mill Creek Ave	$14.47	740	696
Daniel A Pedersen 200 Schuylkill Medical Plz	$43.03	724	695
Ilene Katz Weizer 700 Schuylkill Manor Rd Ste 206	$36.08	715	676
John B Chawluk 48 Tunnel Rd	$14.43	594	588
Michaela Bavaria 2650 Woodglen Rd	$43.48	435	407
Tanmay G Lal 48 Tunnel Rd Ste 205	$32.34	428	383
Carol Ann Miller-Schaeffer 106 S Claude A Lord Blvd	$50.86	400	384
M. Mohamed Meeran 100 Schuylkill Medical Plz Ste 206	$13.86	390	290
Geisinger Clinic 529 Terry Reiley Way	$136.29	386	347
Thomas V Boran 100 Schuylkill Medical Plz	$29.29	360	353
Satish C Singla 700 Schuylkill Manor Rd	$37.55	328	265
Mahendra M Pujara 1630 Mount Hope Ave	$17.30	260	250
Kristina Marie Thornburg 2650 Woodglen Rd	$64.16	226	219
Sarah Mary Marconis 48 Tunnel Rd Ste 104	$25.20	179	170
Ashok Kumar 121 Progress Ave Ste 120	$2.86	168	161
Akirta Kour Sran 541 W Bacon St	$33.84	162	152
Kimberly Ann Hashin 106 S Claude A Lord Blvd	$41.38	94	87

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 Pottsville, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pottsville, PA is $40.51 per claim, based on 146,350 claims from 71 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 Pottsville, PA?

There are 71 Medicaid providers offering Office Visit related services in Pottsville, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Pottsville, PA ranges from $0.00 to $136.29 per claim, with an average of $40.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Pottsville, PA: $40.51

Providers Offering Office Visit in Pottsville, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Pottsville, PA

Eye Exam

Emergency Room Visit

Blood Work & Lab Tests

Physical Therapy

Vaccines & Immunizations

Speech Therapy

Ambulance Transport

Nursing Facility Care