Skip to content
Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Bronxville, NY: $80.69

Avg. Paid

$80.69

Range

$22.66 – $219.75

Total Claims

16,178

Providers

41

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 Bronxville, NY

Provider Avg. Paid Claims Patients
Braulio Flores

85 Pondfield Rd

 $76.62 2,872 2,706
The New York And Presbyterian Hospital

55 Palmer Ave

 $164.14 1,826 1,568
Carly Marie Wholley

1 Garrett Pl

 $39.01 1,750 1,680
Danielle Teresa Shannon

1 Pondfield Rd

 $87.36 1,134 1,131
Makram Gedeon

1 Pondfield Rd W Ste 2

 $43.47 866 774
Xiannian Wu

77 Pondfield Rd

 $69.09 833 818
Rajesh Sharma

55 Palmer Ave

 $42.75 746 700
Patricia Devine

55 Palmer Ave

 $95.83 551 512
Sarah Peprah

55 Palmer Ave

 $69.59 517 475
William Unis

77 Pondfield Rd

 $89.55 493 465
Kathryn Ann Pisseri

55 Palmer Ave

 $81.91 484 479
Priya Shah

77 Pondfield Rd

 $42.63 410 410
Marcin K Karcz

55 Palmer Ave

 $22.66 370 337
Niyati Yogesh Goradia

55 Palmer Ave

 $37.76 307 215
Sanford Proner

1428 Midland Ave

 $23.48 295 285
Michael Lee Knudsen

1 Pondfield Rd Ste 1

 $151.43 292 289
Eileen Tani

1 Pondfield Rd

 $158.73 264 256
Lillian R. Indio

77 Pondfield Rd # Ll

 $80.96 239 216
Shawna Hughes

55 Palmer Ave

 $86.25 233 187
Adnan Yunus

829 Bronx River Rd

 $62.10 224 207
Matthew Ryan Kearney

55 Palmer Ave

 $81.35 182 171
Robert Santopietro

1 Stone Pl

 $142.72 177 110
Dev D Panigrahi

77 Pondfield Rd

 $60.51 176 174
Shija Joseph

77 Pondfield Rd

 $69.71 121 121
Tony Mathews

44 Pondfield Rd Ste 4

 $108.76 121 121
Deborah Cappell

55 Palmer Avenue

 $73.81 111 105
Lawrence Jeffrey Sigler

18 Studio Arc

 $66.26 108 105
Charles William Mango

915 Palmer Rd

 $66.53 76 76
James Ehrlich

1 Pondfield Rd

 $128.00 53 52
Gina Ann Giacalone

200 California Rd Apt 24

 $44.89 52 51
Francis Kuttamperoor

55 Palmer Ave

 $92.72 49 49
Carlos Flores

55 Palmer Ave

 $142.06 46 43
Michelle S Boyar

55 Palmer Ave

 $110.51 35 24
Pascale Lyne Jean-Louis

55 Palmer Ave

 $81.94 34 30
Donnet Andrea Riley

781 Palmer Rd Apt 3A

 $71.82 28 27
Rohit Gupta

55 Palmer Ave

 $158.94 28 28
Michael Edward Elia

1 Stone Pl

 $126.19 24 24
Marc D. Dyrszka

1 Pondfield Rd

 $125.91 15 15
Cordelia Sandra Schwarz

4 Studio Arc

 $219.75 12 12
Arlene Katzenberg

39 Archer Dr

 $29.39 12 12
Sonia Sebastian

77 Pondfield Rd

 $65.35 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 Bronxville, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bronxville, NY is $80.69 per claim, based on 16,178 claims from 41 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 Bronxville, NY?

There are 41 Medicaid providers offering Office Visit related services in Bronxville, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Bronxville, NY ranges from $22.66 to $219.75 per claim, with an average of $80.69. 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

8,766,644 claims · 4540 providers

Las Vegas, NV

Avg $54.47

8,578,324 claims · 3512 providers

Other Procedures in Bronxville, NY

Blood Work & Lab Tests

Avg $9.22

114,669 claims

Emergency Room Visit

Avg $151.64

52,656 claims

Psychiatric Evaluation

Avg $87.87

33,465 claims

Urinalysis & Urine Tests

Avg $3.02

27,409 claims

Physical Therapy

Avg $70.94

21,822 claims

EKG / ECG (Electrocardiogram)

Avg $2.54

11,086 claims

Ultrasound

Avg $102.82

10,100 claims

Prescription Medications

Avg $144.94

9,102 claims