Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Quakertown, PA: $50.11

Avg. Paid

$50.11

Range

$1.87 – $132.84

Total Claims

54,882

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 Quakertown, PA

Provider	Avg. Paid	Claims	Patients
Michael Scott Emery 2705 N Old Bethlehem Pike	$46.46	12	12
Lisa Noone 99 N West End Blvd	$36.64	12	12
St. Luke'S Physician Group, Inc. 237 N West End Blvd	$20.67	15	12
Farrah Schimmel 200 Apple St Ste 2	$45.94	22	15
Stanley Obinna Ikezi 1534 Park Ave	$1.87	27	26
Karen Winter 1021 Park Ave	$20.47	38	35
Deborah Ramanathan 241 Juniper St	$26.56	41	33
Tammy Patrick 200 Apple St Ste 2	$39.92	43	41
Candace A Keene 99 N West End Blvd	$66.85	47	44
Joseph P Campbell 1021 Park Ave	$30.51	58	57
Craig William Weismantel 312 Juniper St	$7.08	79	70
Gerrianne Burke 1021 Park Ave	$24.82	91	85
Elizabeth Hamilton 99 N West End Blvd	$56.45	99	90
Katelin Phelan 127 S 5Th St Ste 100	$18.26	139	134
Jennifer Mae Landes 99 N West End Blvd	$60.71	144	131
Erin Marie Fly 1021 Park Ave	$30.58	165	160
Brett William Gibson 1534 Park Ave	$34.89	192	185
Kimberly R Schea 99 N West End Blvd Ste 104	$68.73	254	214
Alfred Vasta 99 N West End Blvd	$34.34	287	276
Catherine Helena Davis 320 W Pumping Station Rd	$50.47	310	309
Jennifer Rachel Sparks 99 North West End Boulevard	$67.75	324	284
Eduardo A. Cevallos 99 N West End Blvd Ste 110	$54.74	407	368
Robert Henry Schmidt 5724 Clymer Rd	$39.45	443	433
Sherwin Papa Nepomuceno 1021 Park Ave	$27.74	488	469
Marcy Ann Haas 320 W Pumping Station Rd Ste 3	$77.77	491	473
Csaba G Berces 1021 Park Ave	$32.99	496	481
Paul Lynott 99 North West End Boulevard	$29.84	518	498
Ami Raval 1021 Park Ave Ste 100	$112.26	541	528
Shreya Amin 1021 Park Ave Ste 20	$37.30	589	581
Sandra Bogota Angel 99 North West End Boulevard	$62.81	592	494
Kimberly Lynn Zambito 1534 Park Ave	$132.84	616	594
Kelly Nicole Strickler 320 W Pumping Station Rd Ste 3	$37.75	641	578
Samantha Jo Bogdan 1021 Park Ave	$22.25	662	615
Nicole Marie Agostino 3000 St Lukes Dr # 6280900	$45.65	723	664
Rebecca Tang 99 N West End Blvd Ste 102	$45.95	727	706
Debasmita Saha 3000 St Lukes Dr	$29.46	859	765
James Robert Lachman 1534 Park Ave	$38.41	930	889
Nicholas Joseph Crognale 157 S West End Blvd	$60.79	933	862
Daniel J Stauffer 1021 Park Ave	$38.74	1,028	975
Farooq A Qureshi 1534 Park Ave	$46.74	1,036	1,018
Danielle Louise Spadafora 157 S West End Blvd	$45.13	1,074	1,047
Laura Elizabeth Darrow 320 W Pumping Station Rd Ste 4	$34.57	1,079	989
Amanda Marie Semonche 1021 Park Ave	$39.09	1,212	1,150
Paul M Marion 200 Apple St	$40.69	1,227	1,168
Bruce David Richman 30 S West End Blvd	$41.47	1,380	1,205
Frank Balloqui 320 W Pumping Station Rd Ste 3	$38.82	1,417	1,350
Diane Norlaine Schmidt 1021 Park Ave Ste 20	$27.25	1,447	1,422
Sanket Rajendra Pathak 1534 Park Ave Ste 310	$62.33	1,605	1,589
Jill Elaine Colabroy 320 W Pumping Station Rd Ste 4	$49.72	1,642	1,463
Scott Jeffrey Loev 1534 Park Ave	$39.68	1,647	1,621

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 Quakertown, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Quakertown, PA is $50.11 per claim, based on 54,882 claims from 60 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 Quakertown, PA?

There are 60 Medicaid providers offering Office Visit related services in Quakertown, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Quakertown, PA ranges from $1.87 to $132.84 per claim, with an average of $50.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Quakertown, PA: $50.11

Providers Offering Office Visit in Quakertown, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Quakertown, PA

Ambulance Transport

Physical Therapy

Speech Therapy

Home Health Visit

Eye Exam

Emergency Room Visit

Chiropractic Care

Blood Work & Lab Tests