Average Medicaid Office Visit Payments in Canton, NY: $71.75
Avg. Paid
$71.75
Range
$0.00 – $214.64
Total Claims
104,558
Providers
57
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 Canton, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Lawrence County
80 State Highway 310 Ste 1 |
$121.26 | 9,600 | 8,452 |
|
Sunny Patel
4 Commerce Ln |
$46.65 | 8,494 | 7,688 |
|
Gregory Healey
25 Park St |
$50.06 | 7,858 | 7,287 |
|
Christine R Thrasher
4 Commerce Lane |
$70.15 | 7,031 | 4,328 |
|
Andrew Fox Williams
4 Commerce Lane |
$67.27 | 6,238 | 3,961 |
|
Chin Hung Ho
6119 State Highway Rt 11 |
$62.47 | 6,027 | 5,927 |
|
Emily E Smith
80 E Main St |
$80.49 | 4,977 | 4,744 |
|
Georgia Ann Hargrave
4 Commerce Lane |
$64.12 | 3,448 | 1,975 |
|
Mohammad Akhtaruzzaman
6119 St. Highway Rt 11 |
$61.09 | 3,314 | 3,255 |
|
Paul Manuel Tejera
6119 Us Highway 11 |
$62.37 | 3,270 | 3,235 |
|
United Cerebral Palsy Association Of The North Country, Inc.
4 Commerce Ln |
$96.33 | 2,918 | 2,734 |
|
Kathleen M Terrence
80 E Main St |
$62.87 | 2,808 | 2,671 |
|
Jeffrey F Haasbeek
6119 Us Highway 11 |
$58.04 | 2,679 | 2,582 |
|
Antoine Gabriel
80 State Highway 310 Ste 1 |
$214.64 | 2,665 | 1,328 |
|
Kenneth Henry Hilborne
4 Commerce Lane |
$58.65 | 2,494 | 1,156 |
|
Christine Couperus-Mashewske
4 Commerce Ln |
$77.82 | 2,347 | 1,973 |
|
Ann Elizabeth Benner
80 E Main St |
$69.91 | 2,129 | 2,016 |
|
Thushyanthan Pathmalingam
80 E Main St |
$64.52 | 2,127 | 2,016 |
|
Muhammad U Saleem
4 Commerce Lane |
$76.63 | 1,708 | 1,324 |
|
Thomas W Kneifel
6119 Us Highway 11 |
$53.08 | 1,687 | 1,556 |
|
Jason Sabatini
80 E Main St |
$62.05 | 1,612 | 1,436 |
|
Kristin Miller
6119 St Highway |
$54.81 | 1,577 | 1,465 |
|
Donna Gokey
4 Commerce Ln |
$55.92 | 1,399 | 708 |
|
Patty Rissacher
80 E Main St |
$50.19 | 1,396 | 1,316 |
|
Hamza Tarek Malek
6119 Us Highway 11 |
$74.28 | 1,265 | 1,234 |
|
Eyal Kedar
6119 Us Highway 11 |
$74.93 | 1,193 | 1,143 |
|
Mark Douglas Frey
6119 Us Highway 11 |
$36.14 | 1,176 | 1,078 |
|
Tiffany Rose Hecht
4 Commerce Ln |
$33.84 | 1,108 | 1,083 |
|
Luc Perrier
80 E Main St |
$54.61 | 1,011 | 896 |
|
Thivisa Rajagopal
80 E Main St |
$74.12 | 883 | 811 |
|
Dragos Macelaru
6119 Us Highway 11 |
$58.32 | 868 | 797 |
|
Lars David Thompson
80 E Main St Ste 2A |
$56.91 | 704 | 674 |
|
Lindy L Chapman
25 Park St |
$77.96 | 688 | 635 |
|
John Sparrow Duffy
39 West Main Street |
$58.33 | 655 | 629 |
|
Christin Powers
6119 Us Highway 11 |
$43.88 | 609 | 565 |
|
John Arthur Lovier
80 E Main St |
$77.08 | 607 | 575 |
|
Brian Richard Kerrigan
80 E Main St |
$78.07 | 603 | 587 |
|
James Richard Horrocks
6119 Us Highway 11 |
$61.01 | 492 | 491 |
|
Peter Dargie
80 E Main St |
$59.01 | 491 | 468 |
|
Noelle Polniak
4 Commerce Ln |
$58.65 | 463 | 457 |
|
Mackenzie Sweeney
6119 Us Highway 11 |
$78.04 | 410 | 407 |
|
Lacy Jo Hargitt-Pelkey
4 Commerce Ln |
$47.93 | 360 | 277 |
|
David Newman
6119 Us Highway 11 |
$20.64 | 307 | 300 |
|
Healey Medical Practice, Pllc
25 Park St |
$15.84 | 167 | 151 |
|
Lawrence Ivan Kring
80 E Main St |
$68.22 | 135 | 129 |
|
Tara Swinwood
80 E Main St |
$54.63 | 134 | 132 |
|
John William Batich
80 E Main St |
$55.27 | 108 | 105 |
|
Maria Teresa De La Vega
9 Miner St |
$80.71 | 94 | 44 |
|
Jordan Robert Fenton
25 Park St |
$80.70 | 47 | 36 |
|
Sonja J Kocan
80 E Main St Ste 2A |
$42.51 | 43 | 40 |
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 Canton, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Canton, NY is $71.75 per claim, based on 104,558 claims from 57 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 Canton, NY?
There are 57 Medicaid providers offering Office Visit related services in Canton, NY according to public payment data.
What is the price range for Office Visit in Canton, NY?
Medicaid reimbursement for Office Visit in Canton, NY ranges from $0.00 to $214.64 per claim, with an average of $71.75. 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 Canton, NY
Home Health Visit
Avg $114.10
60,966 claims
Substance Abuse Treatment
Avg $41.81
45,772 claims
Psychiatric Evaluation
Avg $120.44
26,512 claims
Physical Therapy
Avg $72.72
15,498 claims
Vaccines & Immunizations
Avg $10.00
14,973 claims
Ambulance Transport
Avg $164.34
9,783 claims
Dental Cleaning & Exam
Avg $24.86
9,563 claims
Blood Work & Lab Tests
Avg $4.78
5,225 claims