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Based on public Medicaid payment data.

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

Other Procedures in Auburn, NY