Average Medicaid Office Visit Payments in Quakertown, PA: $50.11
Avg. Paid
$50.11
Range
$1.87 – $132.84
Total Claims
54,882
Providers
60
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 |
|---|---|---|---|
|
Rammurti Anthony Mckenzie
1534 Park Ave Ste 310 |
$53.14 | 4,368 | 4,273 |
|
Lauren Margaret Bruneio
1534 Park Ave |
$87.12 | 4,183 | 3,310 |
|
Cira L Amenta
127 S 5Th St Ste 170 |
$39.73 | 3,241 | 2,794 |
|
Thomas G Wilson
200 Apple St |
$43.77 | 2,542 | 2,418 |
|
Joshua Michael Wert
1534 Park Ave |
$54.45 | 2,467 | 2,417 |
|
Raquel M Tomaine
99 N West End Blvd |
$42.71 | 2,045 | 1,935 |
|
Barbara J Monaco
99 N West End Blvd Ste 110 |
$72.04 | 1,840 | 1,762 |
|
Jason Michael Erickson
1534 Park Ave |
$50.71 | 1,821 | 1,771 |
|
Scott Michael Doroshow
1534 Park Ave Ste 210 |
$42.92 | 1,809 | 1,762 |
|
Wei-Shen Wilson Lin
1534 Park Ave |
$37.45 | 1,717 | 1,659 |
|
Scott Jeffrey Loev
1534 Park Ave |
$39.68 | 1,647 | 1,621 |
|
Jill Elaine Colabroy
320 W Pumping Station Rd Ste 4 |
$49.72 | 1,642 | 1,463 |
|
Sanket Rajendra Pathak
1534 Park Ave Ste 310 |
$62.33 | 1,605 | 1,589 |
|
Diane Norlaine Schmidt
1021 Park Ave Ste 20 |
$27.25 | 1,447 | 1,422 |
|
Frank Balloqui
320 W Pumping Station Rd Ste 3 |
$38.82 | 1,417 | 1,350 |
|
Bruce David Richman
30 S West End Blvd |
$41.47 | 1,380 | 1,205 |
|
Paul M Marion
200 Apple St |
$40.69 | 1,227 | 1,168 |
|
Amanda Marie Semonche
1021 Park Ave |
$39.09 | 1,212 | 1,150 |
|
Laura Elizabeth Darrow
320 W Pumping Station Rd Ste 4 |
$34.57 | 1,079 | 989 |
|
Danielle Louise Spadafora
157 S West End Blvd |
$45.13 | 1,074 | 1,047 |
|
Farooq A Qureshi
1534 Park Ave |
$46.74 | 1,036 | 1,018 |
|
Daniel J Stauffer
1021 Park Ave |
$38.74 | 1,028 | 975 |
|
Nicholas Joseph Crognale
157 S West End Blvd |
$60.79 | 933 | 862 |
|
James Robert Lachman
1534 Park Ave |
$38.41 | 930 | 889 |
|
Debasmita Saha
3000 St Lukes Dr |
$29.46 | 859 | 765 |
|
Rebecca Tang
99 N West End Blvd Ste 102 |
$45.95 | 727 | 706 |
|
Nicole Marie Agostino
3000 St Lukes Dr # 6280900 |
$45.65 | 723 | 664 |
|
Samantha Jo Bogdan
1021 Park Ave |
$22.25 | 662 | 615 |
|
Kelly Nicole Strickler
320 W Pumping Station Rd Ste 3 |
$37.75 | 641 | 578 |
|
Kimberly Lynn Zambito
1534 Park Ave |
$132.84 | 616 | 594 |
|
Sandra Bogota Angel
99 North West End Boulevard |
$62.81 | 592 | 494 |
|
Shreya Amin
1021 Park Ave Ste 20 |
$37.30 | 589 | 581 |
|
Ami Raval
1021 Park Ave Ste 100 |
$112.26 | 541 | 528 |
|
Paul Lynott
99 North West End Boulevard |
$29.84 | 518 | 498 |
|
Csaba G Berces
1021 Park Ave |
$32.99 | 496 | 481 |
|
Marcy Ann Haas
320 W Pumping Station Rd Ste 3 |
$77.77 | 491 | 473 |
|
Sherwin Papa Nepomuceno
1021 Park Ave |
$27.74 | 488 | 469 |
|
Robert Henry Schmidt
5724 Clymer Rd |
$39.45 | 443 | 433 |
|
Eduardo A. Cevallos
99 N West End Blvd Ste 110 |
$54.74 | 407 | 368 |
|
Jennifer Rachel Sparks
99 North West End Boulevard |
$67.75 | 324 | 284 |
|
Catherine Helena Davis
320 W Pumping Station Rd |
$50.47 | 310 | 309 |
|
Alfred Vasta
99 N West End Blvd |
$34.34 | 287 | 276 |
|
Kimberly R Schea
99 N West End Blvd Ste 104 |
$68.73 | 254 | 214 |
|
Brett William Gibson
1534 Park Ave |
$34.89 | 192 | 185 |
|
Erin Marie Fly
1021 Park Ave |
$30.58 | 165 | 160 |
|
Jennifer Mae Landes
99 N West End Blvd |
$60.71 | 144 | 131 |
|
Katelin Phelan
127 S 5Th St Ste 100 |
$18.26 | 139 | 134 |
|
Elizabeth Hamilton
99 N West End Blvd |
$56.45 | 99 | 90 |
|
Gerrianne Burke
1021 Park Ave |
$24.82 | 91 | 85 |
|
Craig William Weismantel
312 Juniper St |
$7.08 | 79 | 70 |
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.
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 Quakertown, PA
Ambulance Transport
Avg $134.81
30,100 claims
Physical Therapy
Avg $32.58
22,270 claims
Speech Therapy
Avg $51.35
21,096 claims
Home Health Visit
Avg $81.84
17,780 claims
Eye Exam
Avg $40.71
12,560 claims
Emergency Room Visit
Avg $131.40
8,182 claims
Chiropractic Care
Avg $13.17
7,717 claims
Blood Work & Lab Tests
Avg $5.47
1,771 claims