Based on public Medicaid payment data.

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
Michaela Nicole Lablanc 1367 Washington Ave	$70.87	12	12
John Charles Dalfino 43 New Scotland Ave	$91.45	12	12
Albany Medical College 47 New Scotland Ave	$63.95	12	12
Stanley F Penc 400 Patroon Creek Blvd	$120.43	12	12
Brian Masao Inouye 23 Hackett Blvd	$90.63	12	12
Manijeh Contractor 3 Atrium Dr	$77.67	12	12
Lynn Y Choi 47 New Scotland Ave	$58.85	12	12
Ashok Sehgal 63 Shaker Rd	$71.67	12	12
Lavanya Alapati 2 Palisades Dr	$18.03	12	12
Shravan Raj Saxena 326 S Pearl St	$35.25	12	12
Maria Voznesensky 319 S Manning Blvd Ste 106	$62.52	12	12
Mary Christina Whyte 50 New Scotland Ave	$94.41	12	12
Mary-Elizabeth Moshier 116 Everett Rd	$83.07	12	12
Ahmed Meleis 391 Myrtle Ave # Mc-55	$86.27	12	12
Brandy Baillargeon 60 Academy Rd	$50.85	12	12
Pinnacle Behavioral Health Ipa Pllc 1 Pinnacle Place Ste 102	$79.75	12	12
Shannon Church 5 Palisades Drive Suite 200	$29.86	12	12
Yaron Sternbach 319 S Manning Blvd Ste 110B	$14.77	12	12
Kelsey Rebecca O'Bryon 2 Palisades Dr	$72.81	12	12
Shimon Tobolsky 1365 Washington Ave	$45.49	12	12
Joshua Schulman-Marcus 47 New Scotland Ave	$79.43	12	12
Dominick F Paonessa 319 S Manning Blvd	$8.74	12	12
Yvonne R Fuller-Fontenot 1375 Washington Ave	$69.05	13	13
Ctp Newton Medical Pc 1770 Central Ave	$66.32	13	12
Tabitha Ann Cole 391 Myrtle Ave Ste 200	$3.79	13	12
Soyoung Chung 43 New Scotland Ave # Mc73	$96.52	13	13
Erica Effie Igbinoghene 43 New Scotland Ave	$95.28	13	13
Daniel Bergeron Albany Associates In Cardiology	$93.47	13	13
Jordan M Tymeson 62 Hackett Blvd	$26.67	13	13
Lisa T Galati 35 Hackett Blvd	$35.16	13	12
Bernadette Anne Abeel 2 Clara Barton Dr	$126.33	13	12
John Pezzulo 315 S Manning Blvd	$0.00	13	12
Richard A Clark 1444 Western Ave	$79.43	13	13
Nicole D Coluccio 319 S Manning Blvd Ste 201	$77.26	13	13
Schyler Katherine Smith 1444 Western Ave Ste B1	$79.43	13	13
Thomas Clinton Smith 47 New Scotland Ave	$72.12	13	12
Robert D Millar 47 New Scotland Ave	$89.80	13	13
Dzintra Freimane Celmins 47 New Scotland Ave	$3.72	13	13
James Lawrence Phillip 2 Palisades Dr	$52.48	13	13
The Center For Rheumatology, Llp 4 Tower Pl	$89.27	13	13
William George Alderisio 47 New Scotland Ave	$79.43	13	13
Taylor Parrish 220 Washington Avenue Ext	$50.32	13	13
Shannon Case 736 Madison Ave	$80.18	13	13
Maureen Strichman 1 Pine West Plz Ste 101	$107.11	13	13
Racquel Marie Mochrie 319 S Manning Blvd Ste 110B	$21.87	13	13
Kim Sheldon 1375 Washington Ave	$56.21	13	13
Suhasini Devi Pinapati 1 Alton Rd	$46.36	13	12
Casey Michael O'Connor 1367 Washington Ave Ste 200	$44.72	14	12
Emile Allen Powe 692 N Pearl St	$43.82	14	12
John M. Bashant 5 Palisades Drive Suite 200	$72.50	14	12

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.

Average Medicaid Office Visit Payments in Albany, NY: $75.72

Providers Offering Office Visit in Albany, NY

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 Albany, NY

Home Health Visit

Blood Work & Lab Tests

Emergency Room Visit

Substance Abuse Treatment

Psychiatric Evaluation

EKG / ECG (Electrocardiogram)

Physical Therapy

X-Ray