Average Medicaid Office Visit Payments in Burnt Hills, NY: $68.77
Avg. Paid
$68.77
Range
$53.45 – $163.43
Total Claims
15,179
Providers
24
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 Burnt Hills, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George B. Hughes
333 Kingsley Rd |
$60.03 | 5,034 | 4,736 |
|
Victoria Pollard
107 Hollister Way |
$69.11 | 2,628 | 2,379 |
|
Mark John Metwally
848 Route 50 |
$93.73 | 1,059 | 1,054 |
|
Sidney Olefson
848 State Route 50 |
$53.45 | 1,015 | 999 |
|
Christina Marie Brueggemann
105 Lake Hill Rd |
$63.02 | 950 | 897 |
|
Prithvi Sreenivasan
848 State Route 50 |
$66.10 | 801 | 800 |
|
Vijaya Gandham
813 Saratoga Rd |
$61.83 | 670 | 623 |
|
Timothy Nicholson
1184 State Route 50 |
$66.15 | 554 | 509 |
|
Matthew Fisher
848 State Route 50 |
$64.80 | 427 | 421 |
|
Natalya Belova
848 Route 50 |
$84.96 | 352 | 346 |
|
William M Gusten
848 Route 50 |
$100.71 | 331 | 330 |
|
Shawn A Chaudhary
848 Route 50 |
$90.68 | 249 | 242 |
|
Nicole Marie Morroni
848 Route 50 |
$91.13 | 237 | 236 |
|
Chad M. Cornish
848 Route 50 |
$86.30 | 187 | 186 |
|
Donald R Morere
848 Route 50 |
$90.75 | 163 | 163 |
|
Zachary A Feinberg
848 Route 50 |
$88.18 | 131 | 131 |
|
Vinay Sood
848 Route 50 |
$86.13 | 108 | 105 |
|
Justin A. Provost
848 Route 50 |
$88.57 | 102 | 102 |
|
John F Defrancisco
848 Route 50 |
$132.39 | 46 | 46 |
|
Melanie J Lake
848 State Route 50 |
$105.03 | 40 | 40 |
|
Cindy I Weiler
848 State Route 50 |
$64.44 | 28 | 28 |
|
Stephanie M Burwell
848 Route 50 |
$76.81 | 27 | 27 |
|
Kathleen R Cornell
848 Route 50 |
$163.43 | 24 | 24 |
|
David H Goetz
848 Route 50 |
$97.78 | 16 | 16 |
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 Burnt Hills, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burnt Hills, NY is $68.77 per claim, based on 15,179 claims from 24 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 Burnt Hills, NY?
There are 24 Medicaid providers offering Office Visit related services in Burnt Hills, NY according to public payment data.
What is the price range for Office Visit in Burnt Hills, NY?
Medicaid reimbursement for Office Visit in Burnt Hills, NY ranges from $53.45 to $163.43 per claim, with an average of $68.77. 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 Burnt Hills, NY
Psychiatric Evaluation
Avg $65.77
3,881 claims
Colonoscopy
Avg $442.04
3,858 claims
Upper Endoscopy (EGD)
Avg $421.52
3,393 claims
Pathology & Lab Services
Avg $91.93
2,968 claims
Vaccines & Immunizations
Avg $30.47
1,840 claims
Dental Cleaning & Exam
Avg $50.10
1,542 claims
Chemotherapy
Avg $97.99
1,130 claims
Physical Therapy
Avg $40.39
735 claims