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 |
|---|---|---|---|
|
Kiri Pryjma Brandy
80 E Main St |
$120.89 | 12 | 12 |
|
Carthage Area Hospital Inc
39 W Main St |
$0.00 | 12 | 12 |
|
Elizabeth Salisbury-Becht
6119 Us Highway 11 |
$93.79 | 14 | 14 |
|
Ashley Casselman
6119 Us Highway 11 |
$60.18 | 15 | 12 |
|
John B Savage
6119 St Highway Rt 11 |
$47.40 | 25 | 24 |
|
Melchiore Louis Buscemi
80 E Main St |
$54.53 | 27 | 26 |
|
Henri P Gaboriau
39 West Main Street |
$68.82 | 29 | 29 |
|
Sonja J Kocan
80 E Main St Ste 2A |
$42.51 | 43 | 40 |
|
Jordan Robert Fenton
25 Park St |
$80.70 | 47 | 36 |
|
Maria Teresa De La Vega
9 Miner St |
$80.71 | 94 | 44 |
|
John William Batich
80 E Main St |
$55.27 | 108 | 105 |
|
Tara Swinwood
80 E Main St |
$54.63 | 134 | 132 |
|
Lawrence Ivan Kring
80 E Main St |
$68.22 | 135 | 129 |
|
Healey Medical Practice, Pllc
25 Park St |
$15.84 | 167 | 151 |
|
David Newman
6119 Us Highway 11 |
$20.64 | 307 | 300 |
|
Lacy Jo Hargitt-Pelkey
4 Commerce Ln |
$47.93 | 360 | 277 |
|
Mackenzie Sweeney
6119 Us Highway 11 |
$78.04 | 410 | 407 |
|
Noelle Polniak
4 Commerce Ln |
$58.65 | 463 | 457 |
|
Peter Dargie
80 E Main St |
$59.01 | 491 | 468 |
|
James Richard Horrocks
6119 Us Highway 11 |
$61.01 | 492 | 491 |
|
Brian Richard Kerrigan
80 E Main St |
$78.07 | 603 | 587 |
|
John Arthur Lovier
80 E Main St |
$77.08 | 607 | 575 |
|
Christin Powers
6119 Us Highway 11 |
$43.88 | 609 | 565 |
|
John Sparrow Duffy
39 West Main Street |
$58.33 | 655 | 629 |
|
Lindy L Chapman
25 Park St |
$77.96 | 688 | 635 |
|
Lars David Thompson
80 E Main St Ste 2A |
$56.91 | 704 | 674 |
|
Dragos Macelaru
6119 Us Highway 11 |
$58.32 | 868 | 797 |
|
Thivisa Rajagopal
80 E Main St |
$74.12 | 883 | 811 |
|
Luc Perrier
80 E Main St |
$54.61 | 1,011 | 896 |
|
Tiffany Rose Hecht
4 Commerce Ln |
$33.84 | 1,108 | 1,083 |
|
Mark Douglas Frey
6119 Us Highway 11 |
$36.14 | 1,176 | 1,078 |
|
Eyal Kedar
6119 Us Highway 11 |
$74.93 | 1,193 | 1,143 |
|
Hamza Tarek Malek
6119 Us Highway 11 |
$74.28 | 1,265 | 1,234 |
|
Patty Rissacher
80 E Main St |
$50.19 | 1,396 | 1,316 |
|
Donna Gokey
4 Commerce Ln |
$55.92 | 1,399 | 708 |
|
Kristin Miller
6119 St Highway |
$54.81 | 1,577 | 1,465 |
|
Jason Sabatini
80 E Main St |
$62.05 | 1,612 | 1,436 |
|
Thomas W Kneifel
6119 Us Highway 11 |
$53.08 | 1,687 | 1,556 |
|
Muhammad U Saleem
4 Commerce Lane |
$76.63 | 1,708 | 1,324 |
|
Thushyanthan Pathmalingam
80 E Main St |
$64.52 | 2,127 | 2,016 |
|
Ann Elizabeth Benner
80 E Main St |
$69.91 | 2,129 | 2,016 |
|
Christine Couperus-Mashewske
4 Commerce Ln |
$77.82 | 2,347 | 1,973 |
|
Kenneth Henry Hilborne
4 Commerce Lane |
$58.65 | 2,494 | 1,156 |
|
Antoine Gabriel
80 State Highway 310 Ste 1 |
$214.64 | 2,665 | 1,328 |
|
Jeffrey F Haasbeek
6119 Us Highway 11 |
$58.04 | 2,679 | 2,582 |
|
Kathleen M Terrence
80 E Main St |
$62.87 | 2,808 | 2,671 |
|
United Cerebral Palsy Association Of The North Country, Inc.
4 Commerce Ln |
$96.33 | 2,918 | 2,734 |
|
Paul Manuel Tejera
6119 Us Highway 11 |
$62.37 | 3,270 | 3,235 |
|
Mohammad Akhtaruzzaman
6119 St. Highway Rt 11 |
$61.09 | 3,314 | 3,255 |
|
Georgia Ann Hargrave
4 Commerce Lane |
$64.12 | 3,448 | 1,975 |
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