Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Bronx, NY: $82.40

Avg. Paid

$82.40

Range

$0.00 – $294.47

Total Claims

13,626,712

Providers

3,705

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 Bronx, NY

Provider	Avg. Paid	Claims	Patients
Montefiore Medical Center 111 E 210Th St	$159.72	1,174,501	1,054,408
Bronxcare Health System 1650 Grand Concourse	$141.08	642,982	544,608
New York City Health And Hospitals Corporation 1400 Pelham Pkwy S	$84.32	457,947	410,480
New York City Health And Hospitals Corporation 234 E 149Th St	$79.04	399,575	362,178
St. Barnabas Hospital 4422 Third Avenue	$141.47	265,480	229,076
Bronxcare Dr. Martin Luther King Jr. Health Center 1265 Franklin Ave	$106.13	227,920	208,320
Montefiore Medical Center 111 E 210Th St	$116.14	192,557	175,063
Urban Health Plan, Inc. 1065 Southern Blvd	$71.37	168,064	146,464
Union Community Health Center, Inc. 260 E 188Th St	$42.21	140,896	126,821
Medalliance Medical Health Services Inc 625 E Fordham Rd	$104.06	123,087	100,007
Essen Medical Urgicare, Pllc 1550 University Ave	$62.66	109,490	100,452
New York City Health And Hospitals Corporation 1225 Gerard Ave	$79.93	107,768	100,623
Gregory Emili 4626 White Plains Rd	$52.92	94,206	87,979
Essen Medical Associates, Pc 2015 Grand Concourse	$82.13	67,731	58,219
New York City Health And Hospitals Corporation 545 E 142Nd St	$80.52	67,283	62,640
David Molina 401 E 147Th St	$93.35	65,178	24,576
Ramasita C Pisipati 2901 White Plains Rd	$63.90	63,306	55,383
Jorge Luis Cornielle 1262 Boston Rd	$6.41	59,070	54,419
New York City Health And Hospitals Corporation 3424 Kossuth Ave	$53.09	58,351	52,429
Perry Ave Family Medical Center Inc 3071 Perry Ave	$105.06	58,104	45,904
Puerto Rican Organization To Motivate Enlighten And Serve Addicts Inc 1776 Clay Avenue	$108.25	52,690	44,569
Urgent Care Physician Of New York-Hartsdale Pllc 843 Hutchinson River Pkwy	$94.94	50,984	47,915
Claude Parola 1065 Southern Blvd	$40.91	50,571	48,495
Su Gulsun G Berrak 3415 Bainbridge Ave Fl 5	$33.54	44,697	24,590
Mohammed Helal Uddin 1381 Castle Hill Ave	$69.21	44,357	39,866
Cecilia Griselda Calderon 1262 Boston Rd	$17.90	43,011	38,496
Venkata Ramana Ravi 423 E 138Th St	$18.33	42,851	38,336
Jennifer Ann Genuardi 890 Hunts Point Ave	$18.60	41,996	38,798
Bronxcare Health System 1650 Grand Concourse	$67.74	39,715	35,610
Prashanth Mannam 1170 Castle Hill Ave	$59.15	35,880	29,834
James C.-Y. Chou James J. Peters Veterans Administration Medical Center	$92.13	34,550	27,177
Younjea Lee 2604 3Rd Ave	$127.79	33,337	23,250
Firas Lutfi Barakat 1578 Williamsbridge Rd	$64.00	32,166	26,979
Joice Samuel 2722 White Plains Rd	$65.55	31,499	25,004
Giancarlo Renato Guido 2386 Jerome Ave	$21.03	31,144	28,596
La Casa De Salud Inc. 966 Prospect Ave	$114.91	30,142	26,982
Sun River Health Inc 1543-1545 Inwood Avenue	$86.69	30,109	28,462
Tushar L Shah 2435 Jerome Ave	$14.09	29,828	23,585
Cory Ruddy-Ramirez 966 Prospect Ave	$33.92	29,380	6,141
Srinivas M Ravi 4334 White Plains Rd	$58.94	29,320	24,651
Rumana Sabur 600 E 233Rd St	$69.60	28,661	26,025
Safe Health Medical Care Pllc 1381 Castle Hill Ave	$55.15	27,349	23,985
Guillermo G. Gallardo 2015 Grand Ave	$56.82	27,322	27,067
Angel Ruiz 1065 Southern Blvd	$13.40	26,488	25,386
Sadia R Shah 1578 Williamsbridge Rd Apt 3A	$71.87	26,318	25,948
Chaula P. Patel 1560 Grand Concourse	$53.98	25,929	24,576
Jose Tomas Aponte Rodriguez 1870 Grand Concourse Fl 3	$4.91	25,616	22,996
Morris Heights Health Center, Inc. 85 W Burnside Ave	$59.03	25,151	23,049
Olga Josephine Jacques 260 E 188Th St	$33.00	24,842	4,523
Mike David 1455 West Ave	$73.41	24,280	21,231

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 Bronx, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bronx, NY is $82.40 per claim, based on 13,626,712 claims from 3705 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 Bronx, NY?

There are 3705 Medicaid providers offering Office Visit related services in Bronx, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Bronx, NY ranges from $0.00 to $294.47 per claim, with an average of $82.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Bronx, NY: $82.40

Providers Offering Office Visit in Bronx, 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

Phoenix, AZ

Houston, TX

Las Vegas, NV

Columbus, OH

Other Procedures in Bronx, NY

Home Health Visit

Blood Work & Lab Tests

Substance Abuse Treatment

Non-Emergency Medical Transportation

Physical Therapy

Dental Cleaning & Exam

Emergency Room Visit

Vaccines & Immunizations