Average Medicaid Office Visit Payments in West Reading, PA: $49.45
Avg. Paid
$49.45
Range
$0.00 – $99.52
Total Claims
137,685
Providers
149
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 West Reading, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Abdullah Sakarcan
655 Walnut St |
$86.88 | 7,284 | 6,711 |
|
Heena Rathod
655 Walnut St |
$3.95 | 5,976 | 4,844 |
|
Nancy Olinger
420 S 5Th Ave |
$48.79 | 5,972 | 5,912 |
|
Shilu Joshi
655 Walnut St |
$88.06 | 5,148 | 4,949 |
|
Anna N/A Karasik
655 Walnut St |
$90.48 | 5,111 | 4,941 |
|
Abimbola T Ajayi
655 Walnut St |
$86.15 | 5,056 | 4,870 |
|
Sahithi Gosala
420 S 5Th Ave |
$36.81 | 4,584 | 4,230 |
|
Lee Radosh
301 S 7Th Ave |
$52.02 | 4,238 | 3,917 |
|
Xuezhi Jiang
420 S 5Th Ave |
$32.23 | 4,147 | 3,881 |
|
Aniruddha Singh
301 S 7Th Ave Ste 2020 |
$33.10 | 3,272 | 2,958 |
|
Tamam Habib
S 6Th Avenue & Spruce St |
$49.78 | 3,266 | 3,111 |
|
William Santoro
420 S 5Th Ave |
$36.58 | 2,775 | 2,443 |
|
Frank Liu
420 S 5Th Ave |
$44.23 | 2,744 | 2,693 |
|
Vaishnavi Harding
655 Walnut St |
$83.67 | 2,729 | 2,612 |
|
Bennita J Burkhart
301 South 7Th Avenue |
$55.78 | 2,653 | 2,360 |
|
Ryan Frederick Michels
301 S 7Th Ave Ste 3220 |
$79.69 | 2,604 | 2,503 |
|
Charles Barbera
420 S 5Th Ave |
$37.27 | 2,511 | 2,471 |
|
Renee E Riddle
206 S 6Th Ave |
$22.70 | 2,352 | 2,324 |
|
Craig Alan O'Neill
301 S 7Th Ave |
$83.63 | 2,242 | 2,153 |
|
Eric S Fehnel
301 S 7Th Ave |
$58.33 | 2,217 | 1,866 |
|
James William Byers
420 S 5Th Ave |
$64.18 | 2,185 | 1,656 |
|
Natasha Palmer
420 S 5Th Ave |
$44.78 | 1,936 | 1,821 |
|
Susan Butler
206 S 6Th Ave |
$1.26 | 1,891 | 1,819 |
|
Jonathan David Buerger
420 S 5Th Ave |
$34.58 | 1,866 | 1,796 |
|
Debra K Hermany
6Th Ave And Spruce Street |
$51.86 | 1,800 | 1,790 |
|
Penn State Health Medical Group, Llc
655 Walnut St |
$81.62 | 1,769 | 1,508 |
|
Ankit Shah
420 S 5Th Ave |
$53.00 | 1,716 | 1,702 |
|
Christopher J Mancuso
301 S 7Th Ave |
$84.41 | 1,644 | 1,595 |
|
Cynthia Dimovitz
206 S 6Th Ave |
$1.76 | 1,531 | 1,481 |
|
Brian Christopher Stapinski
301 S 7Th Ave |
$82.13 | 1,513 | 1,469 |
|
John Joseph Dougherty
420 S 5Th Ave |
$44.32 | 1,395 | 1,312 |
|
Susan Grogan Yoder
655 Walnut St |
$89.12 | 1,195 | 1,155 |
|
Amir A Abdel-Wahab
301 S 7Th Ave |
$38.89 | 1,179 | 1,123 |
|
Allison K. Mesaris
206 S 6Th Ave |
$1.49 | 1,177 | 1,159 |
|
Jerome Lazor
420 S 5Th Ave |
$38.71 | 1,145 | 1,138 |
|
Nina Niamkey Duke
301 S 7Th Ave |
$39.46 | 1,135 | 1,072 |
|
Ossama Aly Elsaccar
300 S 6Th Ave |
$30.54 | 1,128 | 1,038 |
|
Joan O'Donnell Pirog
420 S 5Th Ave |
$50.76 | 1,098 | 973 |
|
Kirthik Nathan Parthasarathy
6Th Avenue & Spruce Street |
$48.04 | 1,008 | 962 |
|
Anna Bossert
420 S 5Th Ave |
$55.55 | 1,003 | 925 |
|
Anita Varghese
301 S 7Th Ave Ste 120 |
$54.88 | 996 | 927 |
|
Luis Murillo
301 S 7Th Ave Ste 200 |
$1.02 | 995 | 973 |
|
Tatiane Brito Reyda
655 Walnut St |
$93.29 | 975 | 929 |
|
Nathan Adam Keller
420 S 5Th Ave |
$55.27 | 968 | 859 |
|
Abigail Collett
420 S 5Th Ave |
$50.42 | 952 | 882 |
|
William Chris Woodward
301 S 7Th Ave Ste 3170 |
$0.35 | 917 | 893 |
|
Katherine Elizabeth Goth
301 S 7Th Ave Ste 200 |
$0.56 | 889 | 860 |
|
Stephanie Moyer
301 S 7Th Ave Ste 245 |
$61.83 | 860 | 702 |
|
Cassiopeia Roychowdhury
301 S 7Th Ave Ste 200 |
$0.46 | 842 | 824 |
|
Jacqueline Storer
420 S 5Th Ave |
$1.05 | 797 | 779 |
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 West Reading, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Reading, PA is $49.45 per claim, based on 137,685 claims from 149 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 West Reading, PA?
There are 149 Medicaid providers offering Office Visit related services in West Reading, PA according to public payment data.
What is the price range for Office Visit in West Reading, PA?
Medicaid reimbursement for Office Visit in West Reading, PA ranges from $0.00 to $99.52 per claim, with an average of $49.45. 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 West Reading, PA
Emergency Room Visit
Avg $98.99
165,328 claims
Blood Work & Lab Tests
Avg $8.63
88,395 claims
EKG / ECG (Electrocardiogram)
Avg $8.02
87,352 claims
X-Ray
Avg $12.27
40,977 claims
Durable Medical Equipment (DME)
Avg $36.31
37,571 claims
Urinalysis & Urine Tests
Avg $4.37
29,557 claims
Ultrasound
Avg $51.71
19,107 claims
Physical Therapy
Avg $38.97
14,588 claims