Average Medicaid Office Visit Payments in Wind Gap, PA: $42.50
Avg. Paid
$42.50
Range
$33.28 – $50.94
Total Claims
10,513
Providers
11
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 Wind Gap, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rehan Mujahid
497 Bushkill Plaza Ln Ste A |
$44.22 | 250 | 240 |
|
Amulia Chari
487 E Moorestown Rd |
$39.18 | 283 | 261 |
|
James Byung-Jin Kim
5 S Broadway |
$50.94 | 288 | 283 |
|
Mark Wright Powell
487 E. Moorestown Rd |
$42.42 | 499 | 486 |
|
Christie L Razavi
1411 Jacobsburg Rd |
$48.55 | 668 | 645 |
|
Ellen Marie Didimamoff
497 Bushkill Plaza Ln |
$49.10 | 688 | 651 |
|
Michael John Baba
487 E Moorestown Rd |
$45.25 | 1,155 | 1,126 |
|
Leighann Michelle Despotovich
487 E Moorestown Rd Ste 105 |
$35.91 | 1,368 | 1,282 |
|
Joseph E Cesanek
951 Male Rd |
$39.27 | 1,513 | 1,443 |
|
Lindsay Goffredo Hughes
1411 Jacobsburg Rd |
$33.28 | 1,654 | 1,561 |
|
Rebecca Mcintosh
487 E Moorestown Rd |
$49.74 | 2,147 | 1,913 |
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 Wind Gap, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wind Gap, PA is $42.50 per claim, based on 10,513 claims from 11 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 Wind Gap, PA?
There are 11 Medicaid providers offering Office Visit related services in Wind Gap, PA according to public payment data.
What is the price range for Office Visit in Wind Gap, PA?
Medicaid reimbursement for Office Visit in Wind Gap, PA ranges from $33.28 to $50.94 per claim, with an average of $42.50. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers