Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Carthage, NY: $129.78

Avg. Paid

$129.78

Range

$25.47 – $310.87

Total Claims

112,478

Providers

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 Carthage, NY

Provider	Avg. Paid	Claims	Patients
Mirza Maqbool Ashraf 1001 West St	$91.74	30,986	29,345
Carthage Area Hospital, Inc. 1001 West St	$299.78	19,471	17,953
Carthage Area Hospital Inc 1001 West St	$164.66	13,360	12,231
Violet Mgeni Baruti 3 Bridge St	$37.86	7,205	6,971
Scott H Mitchell 3 Bridge Street	$65.39	5,545	5,280
Kenneth J Fish 3 Bridge Street	$71.71	5,540	5,105
Jocelyn C Beane 214 Church St	$73.99	4,368	3,975
Hardik Patel 117 N Mechanic St	$37.75	3,774	3,449
Star Bumbanac 1001 West St	$53.82	3,060	2,969
Carthage Area Hospital, Inc. 22075 Constitution Drive	$246.15	2,704	2,628
Brittany Schwartz 117 N Mechanic St	$32.10	2,022	1,842
Carthage Area Hospital Inc. 3 Bridge St	$310.87	1,936	1,911
Jennifer Brouty 22075 Constitution Drive	$44.40	1,406	1,381
Sarah Marie Points 1045 West St	$74.62	1,370	1,262
Abbey Jane Darling 117 N Mechanic St	$55.44	1,130	759
Yunis Alloush 1001 West St, Carthage, Ny 13619	$92.53	1,001	997
Christopher Paul Grudowski 3 Bridge St	$55.39	967	955
Amy L Werchinski 1001 West Street	$43.79	887	872
Caleb J Richter 214 Church St	$48.03	853	637
Joanne Atkinson 117 N Mechanic St	$36.74	782	712
Rebecca Katherine Ring 117 N Mechanic St	$48.58	739	694
Marlene Hajal El-Hajal Mouaikel 117 North Mechanic Street	$69.07	439	247
Courtney Nicole Antoinette Case 1001 West St	$49.09	433	305
Andrea Michele Turo 1001 West St	$137.40	406	322
Mackenzie Lamon 117 N Mechanic St	$32.59	404	391
Sarah Elizabeth Weir 117 N Mechanic St	$27.88	391	374
Prabhjot Singh Thind 1001 West St	$44.65	293	250
Anja Sanchez 1001 West St	$93.61	276	127
Nicolette D Vallandigham 1001 West St	$49.06	162	156
Maryellen Blevins 3 Bridge St.	$58.51	149	133
Tina Marie Oneill 117 N Mechanic St	$41.71	136	132
Gaston F Dacosta 117 N. Mechanic Street	$27.93	109	99
Jonathan M Jerome 1001 West St	$66.42	88	84
William John Spearance 36500 State Route 26	$53.01	32	31
Debra Jean Williams 720 State Street	$25.47	20	13
Phillis B Farrell 117 North Mechanic Street	$34.72	19	19
Tasha Olivia Thomas 1001 West St	$44.07	15	13

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 Carthage, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carthage, NY is $129.78 per claim, based on 112,478 claims from 37 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 Carthage, NY?

There are 37 Medicaid providers offering Office Visit related services in Carthage, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Carthage, NY ranges from $25.47 to $310.87 per claim, with an average of $129.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Carthage, NY: $129.78

Providers Offering Office Visit in Carthage, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Physical Therapy

Vaccines & Immunizations

Ambulance Transport