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
Alan S Lerman 161 Riverside Dr	$89.21	12	12
Jin Bai Kim 33 Mitchell Ave	$59.38	12	12
Daniel Fitzpatrick 169 Riverside Dr	$3.78	12	12
Shayan Makvandi 93 Pennsylvania Ave	$111.41	12	12
Jonathan Thomas Gdovin 65 Pennsylvania Ave	$54.27	12	12
Butros Toro 161 Riverside Dr Ste 210	$120.85	12	12
Matthew Jacob Halloran 4400 Vestal Pkwy E	$77.12	12	12
Armando Bernabe Mata 161 Riverside Drive	$14.13	12	12
Charles R Campbell 161 Riverside Dr	$15.87	12	12
Catherine Clark 169 Riverside Dr	$73.20	13	13
Joseph T Hogan 161 Riverside Dr	$59.82	13	12
Ryan Brown 169 Riverside Dr	$46.62	13	13
Cassandra Roma 65 Pennsylvania Ave	$36.78	13	13
Dorene A. Aleccia 276-280 Robinson St	$45.53	14	14
Eric Arnold Seybold 65 Pennsylvania Avenue	$54.19	14	14
Richard Sosulski 40 Mitchell Ave	$25.84	15	15
Mark Schreck 65 Pennsylvania Ave	$68.42	15	15
Juan M Marte 10-42 Mitchell Avenue	$51.22	16	13
Mary Chesna 160 Robinson St	$117.91	17	17
Elijah Bernard Stevens 305 Main St Fl 2	$165.38	17	12
Marlene A Whitbeck 169 Riverside Dr	$2.54	18	18
Elizabeth Rosa 169 Riverside Dr	$47.89	19	19
Edward A. Major 22 Avon Rd	$23.80	20	12
Tina Marie Slocum 161 Riverside Dr	$25.69	20	13
Ramona Mae Land 168 Water St	$83.93	23	22
Allison Hawk 33 Mitchell Ave	$14.24	24	24
Hong Yu 161 Riverside Dr	$92.38	25	24
Joan Adler 65 Pennsylvania Ave	$54.99	25	25
Thomas Slater 169 Riverside Dr	$66.41	25	25
Alexander John Kaminsky 27 Park Ave	$73.19	25	25
Leslie Bank 40 Mitchell Ave	$85.91	26	26
Abolaji Sangosanya 27 Park Ave	$12.37	28	13
Bohdan Fedczuk 27 Park Ave	$52.20	28	28
John D Dimenna 161 Riverside Dr	$43.68	34	25
Teresa Gaetani 33 Mitchell Ave	$40.09	35	26
Kristen Tarbox 142 Clinton St	$87.32	36	36
Haley Catherine Calleo 1159 Vestal Ave	$85.07	38	38
Lloyd Eugene Suter 1159 Vestal Ave	$51.71	38	38
Jasna Muhovic 169 Riverside Dr	$56.17	39	39
Kamlesh Shivlal Desai 65 Pennsylvania Ave	$39.91	41	41
Justin Muser 169 Riverside Dr	$62.61	41	41
Holli Stayton 9 Ogden St	$72.61	42	38
Robert Webster 425 Robinson St	$40.85	48	24
Salim Habib 33 Mitchell Ave	$42.54	50	49
Kuang Kuo 33 Mitchell Ave	$57.29	53	51
Steven R Hassig 161 Riverside Drive	$94.88	54	54
Nina C Gaube 161 Riverside Dr	$85.97	56	56
Lorrie L Vail 117 Hawley St	$64.47	56	56
Alexandria Clarinda Lynch 169 Riverside Dr	$34.37	59	54
Sergii P Maistruk 169 Riverside Dr	$75.65	60	54

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

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

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