Average Medicaid Office Visit Payments in Whitehall, PA: $34.23
Avg. Paid
$34.23
Range
$0.00 – $106.55
Total Claims
51,749
Providers
23
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 Whitehall, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Laura Stockhausen
3691 Crescent Ct E |
$17.01 | 13,072 | 12,526 |
|
Wael Yacoub
450 Pershing Blvd |
$37.74 | 9,035 | 8,543 |
|
Sami H Moussa
2416 3Rd St |
$43.36 | 8,011 | 7,540 |
|
Geraldo A Saavedra
3671 Crescent Ct E |
$43.88 | 5,851 | 5,660 |
|
Lehigh Valley Physician Group
2741 Macarthur Rd |
$43.52 | 5,417 | 4,689 |
|
Gregory S Tomcho
3691 Crescent Ct E |
$13.94 | 4,547 | 4,405 |
|
Narien K Grover
1401 Fairmont St |
$47.08 | 2,721 | 2,388 |
|
Natalia Doni
3321 Chestnut St |
$49.86 | 723 | 702 |
|
Maria C Caperelli Gergel
3691 Crescent Ct E Ste 201 |
$86.00 | 645 | 623 |
|
Joseph F Ciecko
3691 Crescent Ct E |
$34.30 | 371 | 356 |
|
Lubna Malik
2000 Eberhart Rd |
$82.54 | 323 | 287 |
|
Louis Spikol
5505 Macarthur Rd |
$106.55 | 257 | 251 |
|
Mary K Mitchell
3691 Crescent Ct E |
$42.27 | 154 | 153 |
|
Bernice Loretta Moore
2412 Gentle Hollow Dr |
$4.55 | 135 | 115 |
|
Nneka Ezinwanne Ikedinma
881 3Rd St Ste B5 |
$0.00 | 90 | 86 |
|
Alejandro Garcia
3691 Crescent Ct E Ste 201 |
$41.58 | 89 | 84 |
|
Mary Ellen Williams
3691 Crescent Ct E Ste 201 |
$40.20 | 82 | 80 |
|
Josalyn Winnie-Larie Boyles
2741 Macarthur Rd |
$0.00 | 74 | 73 |
|
Anthony F Friendy
3691 Crescent Ct E |
$0.00 | 58 | 54 |
|
Shirley Wong
1401 Fairmont St |
$88.48 | 38 | 38 |
|
Sean Heintz
2741 Macarthur Rd |
$40.34 | 27 | 26 |
|
Taylor Schwoyer
2741 Macarthur Rd |
$0.00 | 15 | 14 |
|
Jessica Kt Knauss
1401 Fairmont St |
$0.00 | 14 | 13 |
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 Whitehall, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Whitehall, PA is $34.23 per claim, based on 51,749 claims from 23 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 Whitehall, PA?
There are 23 Medicaid providers offering Office Visit related services in Whitehall, PA according to public payment data.
What is the price range for Office Visit in Whitehall, PA?
Medicaid reimbursement for Office Visit in Whitehall, PA ranges from $0.00 to $106.55 per claim, with an average of $34.23. 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 Whitehall, PA
Dental Cleaning & Exam
Avg $23.56
43,647 claims
Physical Therapy
Avg $96.58
17,736 claims
Dental Filling
Avg $42.33
11,986 claims
Eye Exam
Avg $37.77
9,435 claims
Dialysis
Avg $4.72
7,143 claims
Speech Therapy
Avg $138.74
7,022 claims
Blood Work & Lab Tests
Avg $12.20
6,827 claims
Ultrasound
Avg $70.31
2,727 claims