Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Reading, PA: $40.48

Avg. Paid

$40.48

Range

$0.00 – $290.73

Total Claims

209,225

Providers

143

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 Reading, PA

Provider	Avg. Paid	Claims	Patients
Amanda M Misiak 145 N 6Th Street	$48.85	12	12
Michael Bova 2500 Bernville Rd	$90.93	12	12
Heather Louryn Slater 3970 Perkiomen Ave	$89.14	12	12
Rachel Tobler 2901 Saint Lawrence Ave	$11.93	13	12
Bidhya Timilsina 2605 Keiser Blvd	$55.04	13	13
Timothy M Wirth 3200 Reading Crest Ave	$44.47	14	14
Sarah Rupp 1020 Grings Hill Rd	$64.70	14	14
Jikku Zachariah 2494 Bernville Rd Ste 200	$107.23	14	13
Holly Ann Dimascio 4885 Demoss Rd	$24.00	14	13
Bilal Saulat 301 S 7Th Ave	$60.38	14	13
Maria Teresa Carbo-Gruver 838 Penn St	$27.21	14	13
John V Lamanna 2607 Keiser Blvd	$60.99	15	15
Dimas Cortez 1110 Rockland St	$0.00	15	15
Cassandra Elizabeth Campbell 145 N 6Th St	$47.37	16	16
Timothy M Malak 5 Hearthstone Ct	$15.22	17	12
Leif Eric Christiansen 2234 Perkiomen Ave	$48.98	20	16
Kenneth Lloyd Hill 2494 Bernville Rd	$12.34	21	15
Alan Paul Levine 4885 Demoss Rd	$57.46	24	24
Aaron Cole Hechtman 1220 Broadcasting Rd Ste 100	$71.11	25	25
Tammy L Witmer 949 New Holland Rd	$60.84	25	24
Brooke Birckbichler 2500 Bernville Rd	$34.19	25	25
Hubert Jaw Ning Wu 3970 Perkiomen Avenue	$93.23	25	24
Brian D. Shannon 2494 Bernville Rd Ste 205	$9.56	26	26
Brianne Zwizanski 600 High Blvd	$41.20	27	27
Abbigail Kathleen Woodring 2701 Shillington Rd Ste 100	$8.65	27	27
Rebecca Ann Neri 3970 Perkiomen Ave	$84.86	28	25
Katelyn E Willis 120 Prospect Street	$41.19	29	25
Tower Health Medical Group 3703 Perkiomen Ave	$67.62	30	24
Claire Murphy 400 Saint Bernardine St	$52.65	30	27
Lysette Ramos 645 Penn Street	$54.05	31	30
Ezzat A Hanna 600 High Blvd	$56.77	32	32
Levente J. Szalai 2494 Bernville Rd	$126.57	42	42
Erin A Roth 4885 Demoss Rd	$50.28	54	54
Megan Mcgovern 1200 Rockland St Ste 100	$38.39	65	63
Louis M Kleiman 1020 Grings Hill Rd	$54.20	73	70
Diana Elizabeth Arango 1110 Rockland St	$0.45	77	77
Harold Joseph Einsig 3646 Pottsville Pike	$31.73	81	68
Suzanne E Adam 1623 Morgantown Rd	$39.20	83	79
Jessica C Shine 2500 Bernville Rd	$71.13	87	81
Beverly J Niehls 3970 Perkiomen Ave	$95.24	91	90
St. Joseph Medical Group 2500 Bernville Road	$66.51	96	77
Alan B Chelius 3703 Perkiomen Ave	$46.71	97	92
Silke A Bernert 2802 Papermill Rd	$43.18	98	93
Shirish Nanalal Parikh 1800 Hampden Blvd	$33.17	99	99
Kimberly Ritchey 1020 Grings Hill Rd	$41.17	111	108
Antonio E. Sotomayor 1220 Centre Ave	$29.51	116	110
Michael John Abboud 2494 Bernville Rd	$95.29	133	129
Kesia Nginah Kibue 838 Penn St	$0.00	141	130
Elizabeth W Howe 215 N 12Th St	$62.80	162	157
Barbara M Takacs 3970 Perkiomen Ave	$66.79	176	165

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 Reading, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Reading, PA is $40.48 per claim, based on 209,225 claims from 143 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 Reading, PA?

There are 143 Medicaid providers offering Office Visit related services in Reading, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Reading, PA ranges from $0.00 to $290.73 per claim, with an average of $40.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Reading, PA: $40.48

Providers Offering Office Visit in Reading, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

Las Vegas, NV

Other Procedures in Reading, PA

Case Management Services

Physical Therapy

Speech Therapy

Ambulance Transport

Dental Cleaning & Exam

Blood Work & Lab Tests

Durable Medical Equipment (DME)

Vaccines & Immunizations