Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Castleton, NY: $66.06

Avg. Paid

$66.06

Range

$26.87 – $98.97

Total Claims

37,303

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 Castleton, NY

Provider	Avg. Paid	Claims	Patients
Anthony Neal Gregory 1547 Columbia Tpke	$83.01	6,107	5,828
Michael Aaron Kurek 1547 Columbia Tpke	$62.81	2,703	2,685
Rebecca Ann Gildersleeve 35 Empire State Blvd	$62.76	2,159	1,988
Kristine Loparo Heck 77 Miller Road	$65.80	2,090	1,919
Patrick Matolka 35 Empire State Blvd	$54.27	1,992	1,889
Paige Autumn Evans 35 Empire State Blvd	$26.87	1,698	1,644
Mckenzie Ellen Conroy 1547 Columbia Tpke	$87.67	1,683	1,654
Alissa Belle Carter 35 Empire State Blvd	$67.70	1,503	1,431
Michael Allen Lettrick 1528 Columbia Tpke	$48.15	1,484	1,367
Tera Nikole Hetrick-Platte 35 Empire State Blvd	$48.15	1,458	1,358
Krista Lynn Warfield 77 Miller Rd Ste 1	$65.64	1,384	1,278
Upstate Dermatology, Pc 1547 Columbia Tpke	$69.55	1,255	1,171
Marilyn W Caramore 77 Miller Rd	$63.37	1,246	1,161
Eleanor Marie Fiacco 35 Empire State Blvd	$64.46	1,099	1,051
Albert Njoroge Huho 1547 Columbia Tpke	$98.97	988	969
Anthony Dushane 1547 Columbia Tpke	$89.46	901	879
Shannon Lynn Worden 35 Empire State Blvd	$51.91	895	860
Mary P Shierly 35 Empire State Blvd	$47.73	870	833
Karen Marie Kennette 77 Miller Road	$66.43	777	734
Nichole Renee Adams 35 Empire State Blvd	$65.06	620	577
Aaron John Quidort 35 Empire State Blvd	$67.03	573	545
Theodore Donald Close 77 Miller Rd	$65.08	566	532
Michael R Dulay 1547 Columbia Tpke	$80.81	456	444
Padma Sripada 2500 Pond Vw Ste 202	$72.88	447	427
Hani Midani 1528 Columbia Turnpike	$81.00	440	439
Elizabeth Teresa Jensen 35 Empire State Blvd	$36.34	416	396
Donna Schaefer Community Care Schodack	$30.17	395	375
Tamara Melissa Grissell 10 Empire State Blvd	$64.33	336	327
Caitlin Cook 1547 Columbia Tpke	$89.02	178	175
Joan Lilly Csaposs 1597 Columbia Tpke	$72.83	107	106
Leonard Leonidas 35 Empire State Blvd	$51.78	94	91
William Patrick Bowden 1547 Columbia Tpke	$72.90	88	87
Pondview Pediatrics Llp 77 Miller Rd	$68.63	82	66
Madeline Rose Amedore 35 Empire State Blvd	$66.54	56	55
Rommel Tolentino 35 Empire State Blvd	$59.91	47	44
Kelley Elizabeth Powers 1547 Columbia Tpke	$66.75	38	38
Hayley Elizabeth Wynants 35 Empire State Blvd	$62.18	27	27
Betsy Chavez Morales 1547 Columbia Tpke	$62.67	27	26
Julia Mai 1547 Columbia Tpke	$84.40	18	18

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 Castleton, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Castleton, NY is $66.06 per claim, based on 37,303 claims from 39 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 Castleton, NY?

There are 39 Medicaid providers offering Office Visit related services in Castleton, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Castleton, NY ranges from $26.87 to $98.97 per claim, with an average of $66.06. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Castleton, NY: $66.06

Providers Offering Office Visit in Castleton, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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