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
Lewis E Winans 950A North Wyomissing Blvd	$44.54	12	12
Amy M Moss 1011 Reed Ave	$2.92	12	12
Michael A Borofsky 2760 Century Blvd	$0.00	12	12
Troy William Trayer 2605 Keiser Blvd	$100.51	12	12
Carl D Mele 1011 Reed Ave	$27.21	12	12
Jennifer Flom 2600 Papermill Rd	$14.08	13	13
Julian K Derr 2605 Keiser Blvd	$45.45	13	12
Rebecca Berky 1320 Broadcasting Rd Ste 200	$99.21	13	12
Christina Marie Lippe 1 Granite Point Dr Ste 100	$21.15	13	13
Moiz M. Carim 2630 Westview Dr	$18.68	13	12
Minal Patel 1011 Reed Ave	$37.35	14	13
Stacey Oberhauser Center For Urologic Care Of Berks County	$58.57	14	13
Stephanie Deem 850 Knitting Mills Way	$50.18	15	15
Maria Mastromarino Bell 40 Berkshire Ct Ste 1	$48.94	17	16
Eric B Bontempo 2201 Ridgewood Rd	$21.53	17	15
John Joseph Travers 1350 Broadcasting Rd	$54.46	24	24
Joseph Peter Cavorsi 2201 Ridgewood Rd	$70.47	24	14
Joseph A Mariglio 2608 Keiser Blvd	$43.19	25	25
Winifred W Kao-Seda 1 Granite Point Dr	$29.36	25	24
Alexandra Elizabeth Kowker 40 Berkshire Ct Ste 1	$60.49	27	24
Lauren Douglas 1030 Reed Ave Ste 114	$104.83	27	26
James R. Kline 1011 Reed Ave	$46.32	27	25
Constantine F Harris 1320 Broadcasting Rd	$57.72	32	32
Haiping Mei 2802 Papermill Rd	$39.69	38	37
Brian P Mcallister 1011 Reed Ave Ste 300	$29.12	39	38
Stephen R Soffer 2201 Ridgewood Rd	$85.80	41	37
Anastasia Traband 1 Granite Point Dr Ste 100	$23.84	43	38
Janina Harvell 2607 Keiser Blvd Ste 100	$29.32	47	40
James R. Monath 1320 Broadcasting Rd	$77.79	51	51
Sarah E Horbach 1011 Reed Ave	$34.02	52	52
Chad Daniel Smucker 2600 Papermill Rd	$65.02	54	53
Pamela Ravetz 1350 Broadcasting Rd	$38.75	57	57
Paul Stelmach 2608 Keiser Blvd	$39.04	59	55
Paulette Cutruzzula Dreher 1320 Broadcasting Rd Ste 200	$69.87	60	55
Ilan Gabriely 1991 State Hill Rd	$38.64	65	62
Andrew R Waxler 2605 Keiser Blvd	$56.12	65	65
Adam Spiegel 1011 Reed Ave	$50.65	66	66
Taylor Wixon Ford Lee 1220 Broadcasting Rd Ste 100	$87.15	72	72
Kasey Lee Pierson 1802 Papermill Rd	$52.96	73	69
Amir Babak Behnam 2610 Keiser Blvd	$51.73	74	72
Linda M Texter 560 Van Reed Rd	$33.32	75	72
Karen Smith Delong 2608 Keiser Blvd	$30.50	76	73
Evan R Butlin 2608 Keiser Blvd	$38.02	84	83
Nicole M. Strohl 2607 Keiser Blvd	$85.01	87	79
Daniel Blecker 1011 Reed Ave	$41.52	87	84
Somkiat Hemtasilpa 2802 Papermill Rd	$39.58	89	87
Daniel Edwards 1320 Broadcasting Rd Ste 200	$73.68	92	91
Anirudh Masand-Rai 1011 Reed Ave	$46.37	99	97
Chheki Sherpa 1001 Reed Ave Ste 402	$53.36	100	99
Sara E. Midwood 1040 Reed Ave	$56.44	103	96

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

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 Wyomissing, PA

Eye Exam

EKG / ECG (Electrocardiogram)

Dialysis

Blood Work & Lab Tests

Dental Cleaning & Exam

Physical Therapy

Urinalysis & Urine Tests

Hearing Test (Audiometry)