Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Wyomissing, PA: $53.27

Avg. Paid

$53.27

Range

$0.00 – $139.61

Total Claims

136,210

Providers

173

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 Wyomissing, PA

Provider	Avg. Paid	Claims	Patients
Rachel B Anolik 1320 Broadcasting Rd	$96.03	9,333	8,659
Ziad Osman 950B N Wyomissing Blvd	$35.50	9,201	8,934
Alexander Taylor Massengale 1040 Reed Ave	$29.42	6,614	5,959
Johanna Kelly 40 Berkshire Ct	$51.77	5,776	5,486
Reading Pediatrics, Inc. 40 Berkshire Ct	$52.60	4,248	3,406
Steven Mark Evans 2607 Keiser Boulevard	$111.15	3,813	3,684
Amanda Lynn Gosling 40 Berkshire Ct	$50.92	3,796	3,613
Nirav R. Shah 1011 Reed Ave	$54.20	3,496	3,425
Paul Jerome Chwiecko 950B N Wyomissing Blvd	$37.95	3,306	3,258
Holly E Metzgar 1040 Reed Ave	$31.53	3,284	3,043
Anna Elizabeth Malloy 2240 Ridgewood Rd Ste 100	$25.73	3,117	2,761
Scott J. Cronin 985 Berkshire Blvd Ste 101	$85.01	3,084	3,042
David Sherman Goldberg 1 Granite Point Dr Ste 100	$37.56	3,047	2,980
Frank E Politzer 2605 Keiser Blvd	$53.75	2,672	2,629
Melissa L Dubois 1040 Reed Ave	$65.27	2,468	1,974
Jamie Lynn Chmielowski 40 Berkshire Ct	$49.80	2,457	2,338
Adam Paul Vasconcellos 985 Berkshire Blvd Ste 101	$93.92	2,192	2,148
Sanand R. Menon 40 Berkshire Ct	$50.08	2,140	2,048
Whitney Trompeter 40 Berkshire Ct	$56.84	2,119	1,954
Robert J Cordes 2240 Ridgewood Rd	$40.11	1,992	1,842
Joe K. George 40 Berkshire Ct	$49.21	1,976	1,913
Tory R Peterson 1040 Reed Ave	$49.64	1,894	1,775
Rebecca R Ezard 2240 Ridgewood Rd	$41.32	1,694	1,557
Ronald Bruce Lincow 2201 Ridgewood Rd Ste 200	$29.93	1,658	1,578
Ravi K. Ghanta 1011 Reed Ave	$56.31	1,527	1,501
Jeffrey C. Brendlinger 40 Berkshire Ct	$44.37	1,503	1,461
Jennifer Lynn Burnett 1220 Broadcasting Rd Ste 100	$24.78	1,422	1,416
Ruth M Spillerman 2240 Ridgewood Rd	$43.08	1,393	1,250
Hang Thu Nguyen 1220 Broadcasting Rd Ste 100	$30.38	1,327	1,174
Jason Thomas Bundy 1235 Penn Ave	$47.47	1,270	1,220
Scott Eric Rosenthal 2201 Ridgewood Rd Ste 200	$32.30	1,177	1,130
Charles K. Lutz 985 Berkshire Blvd	$108.66	1,116	1,110
John F Altomare 1011 Reed Ave	$45.96	1,110	1,080
James P. Restrepo 985 Berkshire Blvd	$70.54	1,069	1,032
Hanz Blatt 40 Berkshire Ct Ste 1	$48.28	1,004	953
Pratap Verreddigari Reddy 2608 Keiser Road	$38.81	961	953
Joseph R Watson 1 Granite Point Dr	$48.41	940	905
John A Shapiro 2608 Keiser Blvd	$40.76	924	912
Jeffrey S. Driben 985 Berkshire Blvd	$84.01	919	908
Michael Bernard Russo 2605 Keiser Blvd	$55.69	878	862
Beth Ann Wagner 2608 Keiser Blvd	$60.89	871	863
Mark A Dipillo 2630 Westview Dr	$30.72	805	759
Adam M Rubin 1030 Reed Avenue	$40.95	801	785
David C Zisa 2605 Keiser Blvd	$66.22	781	769
Jonathan D Rodger 1040 Reed Ave	$51.28	731	674
Robin Jasinski 950A N Wyomissing Blvd	$35.04	681	665
Tower Health Medical Group 2101 State Hill Rd Ste 6	$70.14	669	562
Tower Health Medical Group 2101 State Hill Rd Ste 5	$68.96	660	549
Katharine A N Navone 2600 Papermill Rd	$0.68	641	638
Jessica R Cantor 1040 Reed Ave	$51.99	624	566

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 Wyomissing, PA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wyomissing, PA is $53.27 per claim, based on 136,210 claims from 173 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 Wyomissing, PA?

There are 173 Medicaid providers offering Office Visit related services in Wyomissing, PA according to public payment data.

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

Medicaid reimbursement for Office Visit in Wyomissing, PA ranges from $0.00 to $139.61 per claim, with an average of $53.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Wyomissing, PA: $53.27

Providers Offering Office Visit in Wyomissing, PA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Hearing Test (Audiometry)