Average Medicaid Office Visit Payments in Albany, NY: $75.72
Avg. Paid
$75.72
Range
$0.00 – $244.87
Total Claims
1,010,207
Providers
888
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 Albany, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St. Peter'S Hospital Of The City Of Albany
315 S Manning Blvd |
$102.23 | 27,888 | 21,250 |
|
Esther Aguirre
500 Central Ave |
$110.72 | 22,296 | 9,945 |
|
Vera A Imperiale
409 New Karner Rd |
$58.51 | 20,898 | 18,857 |
|
Kevin King
63 Shaker Rd Ste G02 |
$71.42 | 14,080 | 11,885 |
|
Parsons Child And Family Center
60 Academy Rd |
$102.12 | 13,968 | 12,217 |
|
Albany Medical Center Hospital
43 New Scotland Ave |
$132.82 | 13,427 | 10,047 |
|
Robert John Paeglow
553 Clinton Ave |
$37.44 | 12,592 | 10,683 |
|
Michael S Mccloskey
1444 Western Ave Ste D |
$59.59 | 11,521 | 7,161 |
|
Jagger Koerner
47 New Scotland Ave |
$54.68 | 10,894 | 8,585 |
|
Anja Salamack
125 Wolf Rd |
$53.64 | 10,827 | 8,349 |
|
Darryl Aliggayu
63 Shaker Rd Ste G02 |
$65.14 | 10,749 | 9,619 |
|
Timothy S. Derenzo
63 Shaker Rd |
$64.75 | 10,743 | 9,888 |
|
Upper Hudson Planned Parenthood Inc.
855 Central Ave. |
$171.83 | 9,534 | 9,261 |
|
David W Martin
6 Executive Park Dr |
$39.21 | 9,289 | 9,096 |
|
Suzanna P Boka
1 Pinnacle Place |
$29.85 | 8,660 | 6,494 |
|
Nicholas Richard Delaney
47 New Scotland Ave |
$78.87 | 8,568 | 7,897 |
|
Albany County
260 S Pearl St |
$136.05 | 8,153 | 7,207 |
|
Mamoon Daas
326 S Pearl St |
$58.02 | 8,043 | 7,514 |
|
Nys Office Of Mental Health
75 New Scotland Ave |
$240.45 | 8,019 | 7,429 |
|
Orthopedicsny, Llp
121 Everett Road |
$81.95 | 7,515 | 6,978 |
|
Glenn B Sloat
The Wound Care Center |
$12.50 | 7,505 | 3,421 |
|
Ashraf E Seedhom
7 Southwoods Blvd |
$56.42 | 7,397 | 7,244 |
|
Jason Mouzakes
35 Hackett Blvd |
$73.82 | 7,105 | 7,046 |
|
Christa Fratino
1438 Western Ave |
$69.70 | 6,956 | 6,543 |
|
Chandra Renee Jones
16 New Scotland Ave |
$50.53 | 6,818 | 5,856 |
|
Padmaja Madala
920 Lark Dr |
$43.64 | 6,700 | 3,351 |
|
Tracy Leigh Posdzich
721 Madison Ave |
$45.97 | 6,698 | 5,739 |
|
Carlos Alberto Navarro
315 S Manning Blvd |
$86.49 | 6,628 | 6,595 |
|
Frances Athena Rosario
391 Myrtle Avenue |
$59.52 | 6,344 | 6,083 |
|
St. Peter'S Health Partners Medical Associates, P.C.
315 S Manning Blvd |
$80.56 | 6,074 | 5,814 |
|
Adam Garrett Suslak
121 Everett Rd |
$77.69 | 5,949 | 5,677 |
|
Jennifer Lynn Mcbain
920 Lark Dr |
$49.35 | 5,731 | 2,697 |
|
Koinonia Primary Care Inc
553 Clinton Ave |
$73.93 | 5,566 | 5,110 |
|
John P. Gavin
50 New Scotland Ave Fl 2 |
$63.40 | 5,497 | 5,422 |
|
Janice Pink
315 S Manning Blvd |
$58.51 | 5,451 | 5,417 |
|
Rhonda Stein
920 Lark Drive |
$59.14 | 5,326 | 3,431 |
|
Adrianna Piccone
1971 Western Ave |
$71.50 | 5,248 | 5,226 |
|
Vivek Dutt
1367 Washington Ave Ste 200 |
$73.42 | 5,240 | 4,952 |
|
David Mathew Johnston
315 S Manning Blvd |
$62.44 | 5,190 | 5,145 |
|
Abigail Louise Mantica
1367 Washington Ave |
$88.54 | 5,045 | 4,803 |
|
Joshua David Zamer
315 S Manning Blvd |
$53.60 | 4,973 | 4,494 |
|
Maria Nicole Kansas Devine
314 S Manning Blvd |
$56.40 | 4,904 | 2,785 |
|
Jose M. David
1 Alton Rd |
$66.47 | 4,894 | 4,452 |
|
Lisa Benay Kamerling
1092 Madison Ave |
$63.25 | 4,868 | 4,623 |
|
Richard James Haldeman
47 New Scotland Ave |
$59.19 | 4,822 | 2,960 |
|
Samuel Greenwood Dellenbaugh
121 Everett Rd |
$68.17 | 4,586 | 4,369 |
|
Robert K Holterman
315 S Manning Blvd |
$81.19 | 4,365 | 4,352 |
|
Helen Theresa Mcdonald
326 S Pearl St |
$64.93 | 4,268 | 4,058 |
|
Kevin Wayne George
30 Karner Rd |
$52.71 | 4,245 | 3,708 |
|
Megan Killeen
121 Everett Rd |
$70.21 | 4,222 | 4,194 |
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 Albany, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Albany, NY is $75.72 per claim, based on 1,010,207 claims from 888 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 Albany, NY?
There are 888 Medicaid providers offering Office Visit related services in Albany, NY according to public payment data.
What is the price range for Office Visit in Albany, NY?
Medicaid reimbursement for Office Visit in Albany, NY ranges from $0.00 to $244.87 per claim, with an average of $75.72. 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 Albany, NY
Home Health Visit
Avg $164.04
1,910,190 claims
Blood Work & Lab Tests
Avg $10.26
759,592 claims
Emergency Room Visit
Avg $100.90
490,144 claims
Substance Abuse Treatment
Avg $113.47
475,654 claims
Psychiatric Evaluation
Avg $113.81
474,025 claims
EKG / ECG (Electrocardiogram)
Avg $6.06
268,376 claims
Physical Therapy
Avg $51.40
215,450 claims
X-Ray
Avg $7.34
207,234 claims