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 |
|---|---|---|---|
|
William J Childres
77 Nelson St |
$61.39 | 12 | 12 |
|
Matthew David Kasulke
Surgical Services Of Auburn |
$215.24 | 12 | 12 |
|
Alan Charles Sherburne
143 North St Ste 1 |
$117.46 | 12 | 12 |
|
Christine Jane Healey
77 Nelson St Ste 220 |
$96.83 | 13 | 13 |
|
Eric Edward Hojnowski
17 Lansing St |
$67.23 | 13 | 13 |
|
Charles Patrick Karpinski
77 Nelson St Ste 310 |
$16.61 | 14 | 13 |
|
Kristen Marie Frost
17 Lansing St |
$116.44 | 16 | 16 |
|
Whitney Kukol Mazzoni
17 E Genesee St Ste 101 |
$200.84 | 18 | 18 |
|
Yanela M Duenas Milian
17 Lansing St |
$18.71 | 20 | 19 |
|
Amanda Lynn Leonello
77 Nelson St Ste 240 |
$135.26 | 25 | 25 |
|
Mary Elizabeth Price
77 Nelson St |
$38.34 | 26 | 24 |
|
Vijayapraveena Paruchuri
17 Lansing St Ste 1160 |
$190.16 | 31 | 31 |
|
Christopher David Scibelli
17 Lansing St Ste 302 |
$46.99 | 33 | 30 |
|
John Avanzato
17 E Genesee St |
$30.03 | 37 | 37 |
|
Carl Austin Weiss
17 Lansing St |
$81.53 | 39 | 39 |
|
Scott A Biter
17 Lansing St |
$82.80 | 40 | 37 |
|
Aiyu Zhao
77 Nelson St |
$74.79 | 43 | 43 |
|
Elizabeth Bigsby
13 N Fulton St |
$2.77 | 43 | 43 |
|
Jeffrey Legrett
77 Nelson St |
$44.17 | 50 | 48 |
|
Marc Louis Baker
161 Genesee St Ste 106 |
$38.91 | 51 | 51 |
|
Jeanne Kuhfta
17 Lansing St |
$39.83 | 51 | 49 |
|
Elizabeth Anne Jorolemon
144 Genesee St |
$17.86 | 53 | 53 |
|
Suzanne Marie Langtry
615 N Seward Ave |
$54.97 | 62 | 34 |
|
Brian R Bennett
77 Nelson St |
$59.68 | 70 | 66 |
|
Paul Xiaobei Fu
17 E Genesee St Ste 101 |
$157.18 | 71 | 70 |
|
Edinrin Rae Obasare
17 Lansing St |
$31.24 | 80 | 80 |
|
David Dean Speck
35 Arterial W |
$34.40 | 89 | 76 |
|
Stephanie Anne Hill
161 Genesee St Ste 106 |
$0.86 | 93 | 93 |
|
Marlee Joan Drumheller
77 Nelson St Ste 120 |
$31.50 | 94 | 39 |
|
Joanne E Chekansky
5357 State Route 34 |
$59.08 | 97 | 96 |
|
Emily Anne Weston
17 Lansing St Ste 201 |
$52.33 | 108 | 106 |
|
Mark Henry Leinwand
13 North Fulton Street |
$33.72 | 112 | 105 |
|
John Erasmus Klibanoff
77 Nelson St |
$91.66 | 123 | 118 |
|
Shakeel Ahmad Usmani
17 Lansing St |
$33.23 | 130 | 116 |
|
Daniel John Martinson
17 Lansing St |
$72.17 | 140 | 138 |
|
Angela M Walts
77 Nelson St Ste 120 |
$123.28 | 142 | 142 |
|
Shehryar Anjum
77 Nelson St |
$23.87 | 148 | 146 |
|
Katie Marie Simpson
161 Genesee St Ste 106 |
$114.16 | 164 | 161 |
|
Danielle Lefebvre
132 North St |
$62.77 | 179 | 170 |
|
Jasmine Flanick
37 W Garden St Ste 201 |
$0.00 | 188 | 153 |
|
Martin Kress Weitzel
91 Columbus St |
$42.60 | 193 | 192 |
|
Aroob Moin
77 Nelson St Ste 210 |
$85.81 | 196 | 195 |
|
Sean Patrick Boyle
17 E Genesee St Ste 303 |
$119.43 | 197 | 180 |
|
Cayuga Home For Children
101 Hamilton Ave |
$126.64 | 206 | 180 |
|
Althea Ruth Suslik
17 Lansing St |
$2.91 | 218 | 217 |
|
Christina Gray
37 W Garden St |
$72.53 | 222 | 205 |
|
Nicci Lee Nelson
144 Genesee St |
$101.16 | 236 | 229 |
|
Amelia Lee Legrett
77 Nelson St Ste 310 |
$7.82 | 239 | 237 |
|
George F Gebrael
37 W Garden St |
$128.69 | 240 | 237 |
|
Thomas E Burkert
77 Nelson Street, Suite 320 |
$84.41 | 247 | 235 |
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