Average Medicaid Office Visit Payments in Auburn, NY: $89.68
Avg. Paid
$89.68
Range
$0.00 – $215.24
Total Claims
264,565
Providers
144
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 Auburn, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Auburn Community Hospital
17 Lansing St |
$139.51 | 24,465 | 23,126 |
|
Adam G Duckett
37 W Garden St |
$66.37 | 23,442 | 18,370 |
|
Cayuga County
146 North St |
$141.98 | 17,378 | 16,669 |
|
Jeffrey Robert Laduca
144 Standart Ave |
$98.18 | 13,721 | 13,606 |
|
Farrukh Anwer
75 Genesee St |
$49.35 | 13,433 | 12,277 |
|
Ijaz Rashid
77 Nelson St |
$84.13 | 11,579 | 11,450 |
|
Chakrapani Irri
37 W. Garden Street |
$77.63 | 9,407 | 6,384 |
|
Daniel Alexander
77 Nelson St |
$79.78 | 9,276 | 8,898 |
|
Daniel Gabriel
144 Genesee St |
$78.79 | 8,726 | 6,021 |
|
Jang Boo Chi
143 North St |
$57.00 | 6,063 | 5,203 |
|
Cortney Fedyshyn
271 Grant Ave |
$58.84 | 6,021 | 5,973 |
|
Anagha Abasaheb Deshmukh
17 Lansing St |
$0.45 | 5,557 | 3,447 |
|
Phillip Charles Gioia
37 W Garden St |
$117.54 | 5,481 | 5,089 |
|
Neil Bruce Ackerman
13 N Fulton St |
$62.30 | 4,448 | 2,337 |
|
Lindsay Marie Lemessurier
13 N Fulton St |
$99.02 | 4,081 | 3,483 |
|
Linda Sue Lupo
37 W Garden St |
$107.55 | 3,229 | 3,139 |
|
David Kau
77 Nelson Street, Suite 240 |
$76.24 | 3,188 | 2,306 |
|
Cayuga Counseling Services Inc
17 East Genesee St |
$96.73 | 2,951 | 2,829 |
|
Alison B. Mccrone
37 W Garden St |
$128.62 | 2,809 | 2,703 |
|
Sara Zafar
37 W Garden St |
$104.49 | 2,697 | 2,633 |
|
Veronica Szalkowski-Lehane
13 N Fulton St |
$90.56 | 2,572 | 2,305 |
|
Scott Brown
144 Genesee St |
$78.30 | 2,547 | 2,363 |
|
Jana Podzimek
77 Nelson St Ste 130 |
$127.25 | 2,526 | 2,474 |
|
Sultan Ripon
37 W Garden St Ste 201 |
$119.30 | 2,469 | 2,412 |
|
Mukesh Kumar Sharma
17 Lansing St Ste 1160 |
$71.23 | 2,443 | 2,378 |
|
Jianxin Ma
17 E Genesee St |
$91.41 | 2,420 | 2,382 |
|
Mark W Mcswain
161 Genesee St |
$113.16 | 2,413 | 2,248 |
|
Keith Hornbrook
13 N Fulton St |
$95.94 | 2,370 | 2,040 |
|
Catherine Bird Fessenden
161 Genesee St Ste 203 |
$31.32 | 2,339 | 2,076 |
|
David Scott Schnapp
192 Genesee St |
$45.61 | 2,335 | 2,176 |
|
Courtney Amedro
37 W Garden St |
$122.27 | 2,317 | 2,306 |
|
Muhammad Waqas Iqbal
77 Nelson St Ste 240 |
$93.24 | 2,052 | 2,051 |
|
Tanya Renee Paul
17 Lansing Street, 1St Floor |
$107.45 | 1,999 | 1,914 |
|
Emma Dayangco Dizon
161 Genesee St Ste 203 |
$104.71 | 1,903 | 1,746 |
|
Iqra Choudary
37 W Garden St |
$25.37 | 1,691 | 1,381 |
|
Cassandra A Archer
13 N Fulton St |
$68.01 | 1,680 | 1,091 |
|
Loren G Vanriper
143 North St |
$132.18 | 1,610 | 1,539 |
|
Sarah M Rooney
37 W Garden St Ste 201 |
$104.32 | 1,527 | 1,462 |
|
James T Butler
37 W Garden St Ste 105 |
$114.95 | 1,399 | 1,376 |
|
Amy Anne Secor
17 E Genesee St Ste 101 |
$81.51 | 1,332 | 1,315 |
|
Parth Jitendra Patel
37 W Garden St |
$134.67 | 1,283 | 1,255 |
|
Davidd B Levy
8 Hulbert St |
$84.22 | 1,219 | 1,170 |
|
Emily Ann Wilson
17 Lansing Street, Hospitalists Dept |
$109.31 | 1,189 | 1,173 |
|
Sherri L Viggiano-Hipkens
144 Genesee St |
$100.31 | 1,187 | 1,092 |
|
Christopher Wang
77 Nelson Street |
$112.10 | 1,135 | 1,086 |
|
Bahgat Hamdi Abdelaziz
132 North St |
$78.49 | 1,122 | 1,115 |
|
Confidential Help For Alcohol And Drugs, Inc.
75 Genesee St |
$130.34 | 1,095 | 1,024 |
|
Henry M Klotz
77 Nelson St |
$142.18 | 1,094 | 1,090 |
|
James Iain Syrett
17 Lansing St |
$60.35 | 1,091 | 1,069 |
|
Alex J Zwierzynski
144 Standart Ave |
$108.61 | 1,071 | 1,068 |
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 Auburn, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Auburn, NY is $89.68 per claim, based on 264,565 claims from 144 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 Auburn, NY?
There are 144 Medicaid providers offering Office Visit related services in Auburn, NY according to public payment data.
What is the price range for Office Visit in Auburn, NY?
Medicaid reimbursement for Office Visit in Auburn, NY ranges from $0.00 to $215.24 per claim, with an average of $89.68. 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 Auburn, NY
Blood Work & Lab Tests
Avg $13.28
248,807 claims
Psychiatric Evaluation
Avg $119.27
158,606 claims
Emergency Room Visit
Avg $122.65
93,387 claims
Behavioral & Mental Health Therapy
Avg $90.12
75,298 claims
Physical Therapy
Avg $60.89
50,730 claims
Substance Abuse Treatment
Avg $120.59
46,510 claims
Urinalysis & Urine Tests
Avg $4.59
46,381 claims
Vaccines & Immunizations
Avg $8.55
43,374 claims