Average Medicaid Office Visit Payments in Baldwinsville, NY: $44.76
Avg. Paid
$44.76
Range
$12.05 – $103.84
Total Claims
28,221
Providers
18
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 Baldwinsville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Agata Wojtasiewicz
8278 Willett Parkway |
$62.70 | 4,953 | 4,839 |
|
Jaclyn Sisskind
3448 Route 31 |
$20.92 | 3,028 | 2,908 |
|
Ellen Marie Schurman
3448 State Route 31 |
$18.61 | 2,631 | 2,547 |
|
Michelle Sheldon
8710 Radburn Dr |
$53.34 | 2,491 | 2,486 |
|
Tobey Ann Kresel
3448 State Route 31 |
$22.06 | 2,370 | 2,283 |
|
Yekaterina A. Okhman
3448 Route 31 |
$12.05 | 2,091 | 2,011 |
|
Caitlin Coleman
138 E Genesee St |
$53.72 | 2,043 | 2,032 |
|
Travis Roswell Hobart
3448 Rte 31 |
$20.46 | 1,916 | 1,874 |
|
Jacqueline Cristine Depaulis Fiumano
3070 Belgium Rd |
$86.16 | 1,332 | 1,177 |
|
Daniel Keith Spangenberg
8278 Willett Parkway |
$78.18 | 1,304 | 1,289 |
|
Robin Anne Tangredi
3402 Hammocks Dr Apt 206 |
$87.59 | 1,010 | 852 |
|
Jeffrey D Christenson
55 E Genesee St |
$57.03 | 844 | 780 |
|
Chloe Nuzzo
138 E Genesee St |
$47.05 | 695 | 675 |
|
Derek Paul Gorski
3448 Rte 31 |
$79.00 | 596 | 566 |
|
Timothy Frank Tramontana
8278 Willett Parkway |
$59.97 | 459 | 456 |
|
Susan M Stoltzman
3448 Route 31 |
$42.27 | 409 | 400 |
|
John Henry Lalor
3452 Rte 31 |
$49.85 | 36 | 34 |
|
Rhonda F Museums
8280 Willett Parkway, |
$103.84 | 13 | 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 Baldwinsville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Baldwinsville, NY is $44.76 per claim, based on 28,221 claims from 18 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 Baldwinsville, NY?
There are 18 Medicaid providers offering Office Visit related services in Baldwinsville, NY according to public payment data.
What is the price range for Office Visit in Baldwinsville, NY?
Medicaid reimbursement for Office Visit in Baldwinsville, NY ranges from $12.05 to $103.84 per claim, with an average of $44.76. 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 Baldwinsville, NY
Home Health Visit
Avg $150.60
39,502 claims
Psychiatric Evaluation
Avg $84.11
23,557 claims
Physical Therapy
Avg $45.38
17,161 claims
Nursing Facility Care
Avg $16.46
12,174 claims
Ambulance Transport
Avg $116.49
11,931 claims
Vaccines & Immunizations
Avg $8.85
11,219 claims
Dental Cleaning & Exam
Avg $41.36
9,301 claims
Speech Therapy
Avg $25.11
5,817 claims