Average Medicaid Office Visit Payments in Ballston Spa, NY: $67.33
Avg. Paid
$67.33
Range
$56.63 – $85.49
Total Claims
12,725
Providers
13
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 Spa, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vincent Edwin Meyer
418 Geyser Rd |
$66.83 | 3,755 | 3,251 |
|
Julia Malin
418 Geyser Rd |
$66.18 | 2,718 | 2,398 |
|
Sharon L Finch
5 Hemphill Place |
$58.83 | 1,567 | 1,329 |
|
Michelle L Ryan
2554 State Route 9 |
$68.10 | 1,476 | 1,389 |
|
Kevin P Terbush
528 Randall Rd |
$77.71 | 915 | 911 |
|
Edward Palmer Thompson
61 Rowland St Ste 203 |
$68.51 | 676 | 579 |
|
Katie Vittengl Yeaton
2554 State Route 9 |
$77.69 | 467 | 429 |
|
Leonard Mark Gelman
20 Prospect St |
$80.30 | 319 | 314 |
|
Kelsey E Tourville
61 Rowland St |
$58.48 | 262 | 245 |
|
Amy Marie Yrsha
6 Medical Park Dr Ste 208 |
$56.63 | 201 | 180 |
|
Morgan Joseph Vittengl
2554 Rte 9 |
$85.49 | 192 | 175 |
|
Krista Nicole Gardner
2065 Barrett Rd |
$60.44 | 164 | 157 |
|
Meyer, Malin And Associates, Pllc
418 Geyser Rd |
$65.04 | 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 Ballston Spa, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ballston Spa, NY is $67.33 per claim, based on 12,725 claims from 13 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 Spa, NY?
There are 13 Medicaid providers offering Office Visit related services in Ballston Spa, NY according to public payment data.
What is the price range for Office Visit in Ballston Spa, NY?
Medicaid reimbursement for Office Visit in Ballston Spa, NY ranges from $56.63 to $85.49 per claim, with an average of $67.33. 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 Spa, NY
Physical Therapy
Avg $47.14
19,860 claims
Psychiatric Evaluation
Avg $58.85
18,988 claims
Dental Cleaning & Exam
Avg $37.22
9,180 claims
Non-Emergency Medical Transportation
Avg $24.50
8,250 claims
Ambulance Transport
Avg $95.09
7,958 claims
Speech Therapy
Avg $27.46
6,607 claims
Hearing Test (Audiometry)
Avg $33.80
4,154 claims
Nursing Facility Care
Avg $14.15
3,811 claims