Average Medicaid Office Visit Payments in Ardsley, NY: $72.07
Avg. Paid
$72.07
Range
$0.00 – $219.37
Total Claims
39,586
Providers
21
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 Ardsley, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adam Bisaga
547 Saw Mill River Rd |
$55.49 | 10,836 | 9,131 |
|
Brian Chartier
1 Bridge St |
$35.47 | 9,044 | 5,182 |
|
David Merer
1055 Saw Mill River Rd |
$110.16 | 6,227 | 6,167 |
|
Gerald F. Gaughan
1 Bridge St |
$71.62 | 3,267 | 2,999 |
|
Steven A Hemmerdinger
1055 Saw Mill River Rd |
$110.76 | 2,596 | 2,572 |
|
Doron I Ilan
1053 Saw Mill River Road |
$116.74 | 2,020 | 1,974 |
|
David H Chong
9 Concord Rd |
$34.04 | 1,048 | 898 |
|
Ameet R Kamat
1055 Saw Mill River Rd |
$85.57 | 804 | 772 |
|
Nauka Bipin Desai
547 Saw Mill River Rd # 1D4 |
$74.38 | 693 | 661 |
|
Tevfik Ugur Mentes
1 Bridge St |
$47.15 | 640 | 628 |
|
Jillian Rose Donnelly
1 Mill River Ln Apt 105 |
$81.91 | 617 | 614 |
|
Eva Josephine Beurling Harbury
923 Saw Mill River Rd # 199 |
$219.37 | 607 | 219 |
|
Rosa L Spatoliatore
731 Saw Mill River Rd |
$100.27 | 377 | 367 |
|
Craig Elliot Berzofsky
1055 Saw Mill River Rd |
$112.07 | 345 | 321 |
|
Laurence Charles Miller
1055 Saw Mill River Rd Ste 210 |
$95.85 | 257 | 230 |
|
Jason Herrick
545 Saw Mill River Rd |
$79.57 | 83 | 80 |
|
Jk John Kinnally Rasamny
1055 Saw Mill River Rd |
$146.86 | 39 | 30 |
|
David Garber
1055 Saw Mill River Rd Ste 101 |
$75.03 | 29 | 29 |
|
Jonathan Arad
1053 Saw Mill River Rd Ste Ll1 |
$70.04 | 28 | 28 |
|
Melissa Leigh Morrissey
686 Saw Mill River Rd |
$4.82 | 16 | 12 |
|
Mariya Kobi
6 Jordan Lane |
$0.00 | 13 | 13 |
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 Ardsley, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ardsley, NY is $72.07 per claim, based on 39,586 claims from 21 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 Ardsley, NY?
There are 21 Medicaid providers offering Office Visit related services in Ardsley, NY according to public payment data.
What is the price range for Office Visit in Ardsley, NY?
Medicaid reimbursement for Office Visit in Ardsley, NY ranges from $0.00 to $219.37 per claim, with an average of $72.07. 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 Ardsley, NY
Physical Therapy
Avg $50.95
53,422 claims
Speech Therapy
Avg $71.35
42,930 claims
Case Management Services
Avg $73.16
32,235 claims
Nursing Facility Care
Avg $12.51
29,970 claims
Hearing Test (Audiometry)
Avg $32.55
21,345 claims
Behavioral & Mental Health Therapy
Avg $74.61
3,029 claims
X-Ray
Avg $18.20
2,974 claims
Psychiatric Evaluation
Avg $61.03
1,834 claims