Based on public Medicaid payment data.

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
Reading Hospital 206 S 6Th Ave	$10.03	12	12
Peter Kurt Bamberger 301 S 7Th Ave	$39.31	12	12
Amy Marie Yerger 301 S 7Th Ave	$38.76	12	12
Kaylene Carter 420 S 5Th Ave	$67.78	12	12
Sierra Rose Palochak 301 S 7Th Ave Ste 2020	$22.55	12	12
Stephanie Gingrich 420 S 5Th Ave	$63.65	12	12
Kenneth John Mcalpine 301 S 7Th Ave Ste 365	$79.31	13	13
Barbara J Koons 301 S 7Th Ave	$49.10	13	12
Daniel Eggleston 420 S 5Th Ave	$65.27	13	13
Chelsea Bissell 420 S 5Th Ave	$60.75	14	14
Robert Q Luo 301 S 7Th Ave	$32.34	15	14
Ghazi Asfand Yar Khan Mirrani 301 S 7Th Ave Ste 2020	$55.09	15	14
Jody Kilpatrick 301 S 7Th Ave	$63.81	15	15
Keerat Rai Ahuja 420 S 5Th Ave	$60.04	16	13
James Coyle 6Th Ave And Spruce Street	$79.68	16	12
Michele Elizabeth Maenner 301 S 7Th Ave Ste 2020	$56.10	17	16
Terrence P Cescon 420 S 5Th Ave	$44.94	21	20
Megan E Shirey 301 S 7Th Ave	$63.85	24	24
Dronacharya Lamichhane 301 S 7Th Ave Ste 210	$26.58	25	24
Kristin R Rautzhan 420 S 5Th Ave	$30.96	26	26
Gordon Phillips 420 S 5Th Ave	$43.87	27	27
Sara Gillander 6 Spruce St	$30.00	28	28
Herman Christopher Lawson 601 Spruce St	$27.88	29	29
Janine Louise Gurtowski 301 S 7Th Ave	$0.00	30	30
Lyudmila Scearce 6Th Avenue & Spruce Street	$57.47	30	26
Stephanie Miller 301 S 7Th Ave	$63.69	32	29
Hye Hwa Christine Cho 301 S 7Th Ave	$51.70	40	39
Eunjung Kim 420 S 5Th Ave	$53.65	42	41
Jorge Scheirer 301 S 7Th Ave	$35.97	42	42
Amanda Kate Borden 301 S 7Th Ave	$28.89	47	47
Richard Loynd 6Th Avenue And Spruce Street	$58.04	48	38
Haseeb Chaudhary 420 S 5Th Ave	$66.62	48	48
Neil Chesen 301 Penn Ave	$26.47	51	50
Swayam Nirujogi 420 S 5Th Ave	$47.73	61	59
Erin E Dugan 301 S 7Th Ave Ste 1120	$33.17	68	65
Rebecca M Ward 301 S 7Th Ave	$25.44	70	67
Radhakrishnan Ramchandren 420 S 5Th Ave Bldg N	$32.64	76	55
Sarah Dreibelbis 301 S 7Th Ave Ste 245	$11.32	77	75
Arun Kundra 301 S 7Th Ave Ste 2020	$19.62	84	78
Karen E Wang 206 S 6Th Ave	$0.00	84	73
Anne Pletcher Mclendon 301 S 7Th Ave	$68.81	91	89
Andrew C Rettew 6Th Avenue & Spruce Street	$4.34	94	89
Julian N Diaz Fraga 301 S 7Th Ave	$35.16	94	93
Tonie C Crandall 301 S 7Th Ave	$43.86	99	92
Mary K Bahney 301 S 7Th Ave	$52.76	109	85
Meide Lu S 6Th Avenue & Spruce Street	$0.00	118	118
Lawrence A Brzozowski 301 S 7Th Ave	$54.33	120	118
Amaris Yandel 6Th Avenue & Spruce Street	$63.43	124	117
Syed Rasikh Jaffery 420 S 5Th Ave	$34.92	130	130
Eric Michael Slotkin 301 S 7Th Ave	$84.49	131	130

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.

Average Medicaid Office Visit Payments in West Reading, PA: $49.45

Providers Offering Office Visit in West Reading, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in West Reading, PA

Emergency Room Visit

Blood Work & Lab Tests

EKG / ECG (Electrocardiogram)

X-Ray

Durable Medical Equipment (DME)

Urinalysis & Urine Tests

Ultrasound

Physical Therapy