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
Simon Daniel Spivack 1300 Morris Park Ave	$129.53	12	12
Arash Arvin 1160 Teller Ave	$2.14	12	12
Margaret E Mccort 111 E 210Th St	$60.44	12	12
Gary L Goldberg Institute For Women'S Health	$62.66	12	12
Kristie Abimbola Akintunde 1276 Fulton Ave	$1.79	12	12
Rubina A Malik Medical Arts Pavilion	$10.55	12	12
Fresler Jean-Baptiste 2015 Grand Ave	$116.25	12	12
Gastroenterology And Liver Associates Of Riverdale Pc 3333 Henry Hudson Pkwy	$243.20	12	12
Shu-Wei Hsu 111 E 210Th St	$115.19	12	12
Lance Richard Bruck 1601 Tenbroeck Ave	$51.03	12	12
Robyn Malone 1775 Grand Concourse Fl 6	$0.00	12	12
Charmaine Gracelyn Alleyne 1400 Pelham Pkwy S	$16.93	12	12
Swetha Pedavally 1400 Pelham Pkwy S	$55.31	12	12
Natasha Suleman 234 E 149Th St	$19.08	12	12
Steven Herskovitz Mmc - Dept. Of Neurology	$115.47	12	12
Allison Coronado 600 E 233Rd St	$112.37	12	12
Jeffrey Michael Levsky 111 E 210Th St	$0.00	12	12
Deborah E Campbell 1825 Eastchester Rd	$170.50	12	12
Victoria Golovatenko 234 E 149Th St	$35.71	12	12
Rosanne M Newell Medical Arts Pavilion	$24.84	12	12
Uma Tejwani 1400 Pelham Pkwy S	$30.17	12	12
Rachael Celia Bertuzzi 3411 Wayne Ave	$129.22	12	12
Neil Haranhalli 3316 Rochambeau Ave	$149.50	12	12
Bronx Ear Nose & Throat Associate Pc 3250 Westchester Ave	$59.85	12	12
Anthony M Pisacano 2590 Frisby Ave	$109.74	12	12
Sabina Omerhodzic 130 W Kingsbridge Rd	$37.75	12	12
Susan M Coupey 3415 Bainbridge Ave	$88.72	12	12
Latoya Townsend 111 E 210Th St	$81.13	12	12
Yung W Lee Mmg - Bronx East	$0.00	12	12
Luis A Diaz 1217 Castle Hill Ave	$43.87	12	12
Molly Nozyce 1400 Pelham Pkwy S	$22.79	12	12
Andrew K Krumerman Mmc - Dept. Of Medicine	$63.15	12	12
Alexandra Tate Whoriskey 5676 Riverdale Ave	$26.22	12	12
Stephanie Lynn Barrett 3424 Kossuth Ave	$134.59	12	12
Antonio Cajigas 111 E 210Th St	$51.91	12	12
Gayotri Goswami 1400 Pelham Pkwy S	$100.30	12	12
Isadore P Gutwein Md & Robert A Sable Md Pc 3765 Riverdale Ave	$17.60	12	12
Marquita Rodriguez 349 E 149Th St Fl 2	$28.27	12	12
Nehad Shabarek 234 E 149Th St	$23.31	12	12
William Raymond Bodner 1625 Poplar St	$56.35	12	12
Oleg Otlivanchik 111 E 210Th St	$26.87	12	12
Elizabeth Daphne Verter 1250 Waters Pl	$169.60	12	12
Jessica Kurian 111 E 210Th St	$0.00	12	12
Mya Niccole Twyman 3424 Kossuth Ave	$58.99	12	12
Neelja Daisy Kumar 3411 Wayne Ave	$26.43	12	12
Osaro E Obanor 1400 Pelham Pkwy S	$66.86	12	12
Jay Smith 1825 Eastchester Rd	$294.47	12	12
Pardella Jolanda Scott 176 E Mosholu Pkwy S	$30.01	12	12
Samari Khalife 270 Longstreet Ave Apt 4C	$24.01	12	12
Lydia Rabinowich 1250 Waters Pl	$57.62	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 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