Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Binghamton, NY: $100.30

Avg. Paid

$100.30

Range

$0.34 – $267.15

Total Claims

833,952

Providers

238

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 Binghamton, NY

Provider	Avg. Paid	Claims	Patients
United Health Services Hospitals, Inc. 10-42 Mitchell Ave	$113.65	419,544	378,537
Our Lady Of Lourdes Memorial Hospital Inc. 169 Riverside Dr	$108.50	139,899	126,516
Allan M. Fernandez 35 Felters Road	$73.69	14,002	9,780
The Addiction Center Of Broome County, Inc. 30 W State St	$115.28	10,299	8,824
Nys Office Of Mental Health 425 Robinson St	$242.44	9,725	9,091
Aswini Rajaram 34 Mitchell Avenue	$46.96	8,579	8,036
Jennette Hathorn 169 Riverside Dr	$0.34	6,917	3,698
Sean Patrick Holdridge 161 Riverside Dr	$68.45	6,268	5,633
Mercy Kurian 169 Riverside Dr	$64.15	6,193	5,619
Santosh Kumar Mukka 169 Riverside Dr Ste M12	$71.65	6,036	5,550
Jennifer Cackowski 35 Felters Rd	$69.41	5,619	3,238
Michael S Dobrinski 91 Chenango Bridge Road	$57.94	5,190	5,154
Roji Gurung 169 Riverside Dr	$64.82	5,014	4,979
Kelly M Mclaughlin 169 Riverside Drive	$59.05	4,404	4,367
Gregory P Scagnelli 40 Mitchell Ave	$84.35	4,387	4,220
Mary C Deguardi 10 - 42 Mitchell Ave	$46.01	4,100	3,929
Michelle Ann Drilon 161 Riverside Dr	$42.89	4,093	3,885
Matthew Hektor 276-280 Robinson St	$57.81	4,072	4,036
Stacy Jones 10-42 Mitchell Ave	$98.76	3,798	3,011
Janine Ii 169 Riverside Dr	$60.09	3,773	3,726
Daniel Chin 33 Mitchell Ave	$53.90	3,638	3,543
Thomas R. Martin 1130 Upper Front St	$68.25	3,502	3,395
Nys Office Of Mental Health 425 Robinson St	$214.15	3,495	3,083
Donald Nash 91 Chenango Bridge Rd	$59.77	3,302	3,270
Stacey A Pendell 10 - 42 Mitchell Avenue	$112.43	3,153	2,676
Melissa Guizano 10-42 Mitchell Ave	$50.65	3,098	3,003
Domingo D Jimenez 33 Mitchell Ave	$46.70	3,041	2,943
Darren J Weinheimer 134 Riverside Dr	$29.25	3,013	2,897
John Caruso 303 Main St	$63.26	2,955	2,909
Victoria Rita Nakimbugwe 91 Chenango Bridge Rd	$74.83	2,943	2,793
Keri Michelle Karman 50 Front St Apt 517	$71.18	2,930	2,728
Robert L Auerbach 10-42 Mitchell Ave	$45.03	2,868	2,634
Michael P Ketzak 425 Robinson St	$221.34	2,575	1,223
Scott R Rosman 33 Mitchell Ave	$46.12	2,543	2,463
Brian Glenn Timm 161 Riverside Dr	$49.71	2,475	2,347
Darlene Denzien 303 Main St	$58.43	2,418	2,352
Alan Jay Gutman 91 Chenango Bridge Rd	$69.45	2,359	2,344
Erica Leigh Newton 33 Mitchell Ave	$48.95	2,339	2,198
Brandon Douglas Ewald 161 Riverside Dr Ste M08	$56.37	2,281	2,132
Brandy Benjamin 303 Main St	$60.31	2,270	2,158
James J Lee 169 Riverside Dr	$48.70	2,158	1,925
Sanjiv A Patel 1130 Upper Front St	$75.27	2,130	2,074
Ihsan U Khan 161 Riverside Drive	$66.60	2,072	2,017
The Family & Children'S Society, Inc 257 Main St	$92.65	1,999	1,895
Nathan Judd 33 Mitchell Ave	$43.32	1,998	1,633
Maegan Marie Lockett 91 Chenango Bridge Rd	$70.03	1,971	1,963
Joseph F. Brunt 20-24 S Washington St	$60.24	1,952	1,881
Madhuri Yalamanchili 169 Riverside Dr	$44.27	1,870	1,697
Karen Whelan 303 Main St	$53.40	1,855	1,702
Mukesh Rao 161 Riverside Dr	$88.74	1,826	1,716

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 Binghamton, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Binghamton, NY is $100.30 per claim, based on 833,952 claims from 238 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 Binghamton, NY?

There are 238 Medicaid providers offering Office Visit related services in Binghamton, NY according to public payment data.

What is the price range for Office Visit in Binghamton, NY?

Medicaid reimbursement for Office Visit in Binghamton, NY ranges from $0.34 to $267.15 per claim, with an average of $100.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Binghamton, NY: $100.30

Providers Offering Office Visit in Binghamton, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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