Average Medicaid Office Visit Payments in Ballston Lake, NY: $62.75
Avg. Paid
$62.75
Range
$18.86 – $112.81
Total Claims
11,048
Providers
15
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 Ballston Lake, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Corey E Ennis
1184 State Route 50 |
$78.51 | 2,140 | 1,991 |
|
Kimberly Ann Riggi
1184 State Route 50 |
$62.41 | 2,027 | 1,919 |
|
Paula M Hayes
1184 State Route 50 |
$62.45 | 1,686 | 1,625 |
|
Gayle Buckley
318 Ruhle Rd S |
$44.98 | 1,394 | 1,283 |
|
Lynn L Hickey
1184 State Rt 50 |
$58.13 | 1,080 | 1,050 |
|
James Gaylord
1184 State Route 50 |
$60.16 | 858 | 801 |
|
Julia Kristine Rutherford
1184 State Route 50 |
$58.69 | 644 | 610 |
|
Rebecca Lamanna
1184 State Route 50 |
$58.87 | 523 | 508 |
|
James Anderson
318 Ruhle Rd S |
$65.54 | 396 | 392 |
|
Saratoga Hospital
112 Charlton Rd |
$112.81 | 114 | 108 |
|
Terri Anne Lefever
1184 State Route 50 |
$65.94 | 101 | 99 |
|
Christopher Buff
112 Charlton Rd |
$18.86 | 30 | 27 |
|
Jennifer Mcgetrick
112 Charlton Rd |
$20.34 | 27 | 25 |
|
Karin Borrelli
112 Charlton Rd |
$25.86 | 16 | 15 |
|
Jenna Elizabeth Desbiens
286 Stage Rd |
$66.25 | 12 | 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 Ballston Lake, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ballston Lake, NY is $62.75 per claim, based on 11,048 claims from 15 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 Ballston Lake, NY?
There are 15 Medicaid providers offering Office Visit related services in Ballston Lake, NY according to public payment data.
What is the price range for Office Visit in Ballston Lake, NY?
Medicaid reimbursement for Office Visit in Ballston Lake, NY ranges from $18.86 to $112.81 per claim, with an average of $62.75. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Ballston Lake, NY
Dental Cleaning & Exam
Avg $38.25
40,627 claims
Dental Filling
Avg $137.44
4,582 claims
Vaccines & Immunizations
Avg $18.31
2,346 claims
X-Ray
Avg $5.38
2,210 claims
Tooth Extraction
Avg $71.85
988 claims
Psychiatric Evaluation
Avg $109.07
903 claims
Physical Therapy
Avg $46.58
570 claims
Speech Therapy
Avg $28.70
378 claims