Average Medicaid Office Visit Payments in Cambridge, NY: $80.84
Avg. Paid
$80.84
Range
$40.11 – $793.08
Total Claims
26,408
Providers
18
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 Cambridge, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Abigail Graves
35 Gilbert Street |
$54.54 | 165 | 154 |
|
Brandii A Baker
35 Gilbert St |
$63.99 | 219 | 217 |
|
Ellen Marie Biggers
22 North Park Street |
$40.11 | 242 | 238 |
|
Azia Jodeci Sayers
35 Gilbert Street |
$71.72 | 253 | 244 |
|
Ella Ruth Derbyshire
35 Gilbert St |
$793.08 | 367 | 329 |
|
Matthew Conor Pender
35 Gilbert St |
$82.30 | 370 | 364 |
|
Katy Underwood
35 Gilbert Street |
$71.06 | 680 | 651 |
|
Katelynn Hatalsky
35 Gilbert Street |
$50.77 | 774 | 763 |
|
Keana Nicole Albert
35 Gilbert Street |
$61.83 | 890 | 838 |
|
Wendy D'Avella
24 S Park St |
$66.84 | 995 | 960 |
|
Jeffrey Eric Stark
35 Gilbert Street |
$50.16 | 1,139 | 952 |
|
Jennifer Baker-Porazinski
35 Gilbert St |
$56.55 | 1,287 | 1,230 |
|
Jessica Blythe Crane
35 Gilbert Street |
$60.97 | 1,310 | 1,293 |
|
Melanie C Clark
35 Gilbert St |
$55.14 | 1,671 | 1,583 |
|
Stefan John Stefanovich
35 Gilbert St |
$49.21 | 1,811 | 1,793 |
|
George E Ruta
33 Gilbert St |
$90.87 | 3,315 | 3,048 |
|
Seema B Chaudhari
33 Gilbert St |
$119.81 | 3,392 | 3,277 |
|
Peter Joseph Peff
35 Gilbert St |
$60.41 | 7,528 | 7,241 |
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 Cambridge, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cambridge, NY is $80.84 per claim, based on 26,408 claims from 18 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 Cambridge, NY?
There are 18 Medicaid providers offering Office Visit related services in Cambridge, NY according to public payment data.
What is the price range for Office Visit in Cambridge, NY?
Medicaid reimbursement for Office Visit in Cambridge, NY ranges from $40.11 to $793.08 per claim, with an average of $80.84. 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 Cambridge, NY
Ambulance Transport
Avg $119.92
5,241 claims
Dental Cleaning & Exam
Avg $55.10
4,582 claims
Vaccines & Immunizations
Avg $6.15
3,679 claims
Nursing Facility Care
Avg $12.16
393 claims
Physical Therapy
Avg $18.35
377 claims
Blood Work & Lab Tests
Avg $0.33
188 claims
Psychiatric Evaluation
Avg $66.28
146 claims
Non-Emergency Medical Transportation
Avg $3.78
92 claims