Average Medicaid Office Visit Payments in Catskill, NY: $75.41
Avg. Paid
$75.41
Range
$10.81 – $120.18
Total Claims
69,990
Providers
23
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 Catskill, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ronald J Pope
146 Jefferson Hts |
$51.77 | 13 | 13 |
|
Allen Ira Kaplan
12 Central Ave |
$58.25 | 14 | 14 |
|
Diane B Braden
146 Jefferson Hts |
$62.70 | 25 | 24 |
|
Laura Hutchins Churchill
411 Main St |
$36.78 | 79 | 29 |
|
Samuel K Merkhan
159 Jefferson Hts |
$22.32 | 266 | 242 |
|
Ananthakrishnan Ramani
159 Jefferson Hts |
$51.86 | 278 | 252 |
|
Wendy Marie Johnson
411 Main St |
$64.75 | 341 | 329 |
|
David N Nussbaum
35 Five Mile Woods Rd |
$10.81 | 411 | 383 |
|
Emily Warburton
10 Grandview Ave |
$95.01 | 428 | 401 |
|
Elisabeth W. Mckeon
146 Jefferson Hts |
$19.62 | 499 | 475 |
|
Brenda Williams Maccio
411 Main St |
$50.91 | 533 | 207 |
|
Dina M Gage
159 Jefferson Hts |
$64.44 | 709 | 697 |
|
Marianne Powers
411 Main Street |
$38.69 | 1,061 | 407 |
|
Julia Valence O'Connor
10 Grandview Ave |
$95.69 | 1,848 | 1,743 |
|
Catalina Alegre
76 S Jefferson Ave |
$65.02 | 1,893 | 1,797 |
|
Teal Annadele Gasbarro
10 Grandview Ave |
$86.89 | 2,357 | 2,205 |
|
James Weidel
1150 State Route 23 |
$79.19 | 2,504 | 2,240 |
|
County Of Greene
411 Main Street |
$120.18 | 2,774 | 2,559 |
|
Daniel Fitzgerald
159 Jefferson Hts Ste D201 |
$72.32 | 2,815 | 2,694 |
|
Maria Amira Covington
159 Jefferson Hts Ste C103 |
$85.82 | 2,955 | 2,848 |
|
Meghan B Rothrock
159 Jefferson Hts Ste C103 |
$79.62 | 3,431 | 3,227 |
|
Tara Byrne
10 Grandview Ave |
$62.52 | 5,933 | 5,879 |
|
Ibrahim Y Rabadi
35 S Jefferson Ave |
$75.29 | 38,823 | 31,567 |
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 Catskill, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Catskill, NY is $75.41 per claim, based on 69,990 claims from 23 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 Catskill, NY?
There are 23 Medicaid providers offering Office Visit related services in Catskill, NY according to public payment data.
What is the price range for Office Visit in Catskill, NY?
Medicaid reimbursement for Office Visit in Catskill, NY ranges from $10.81 to $120.18 per claim, with an average of $75.41. 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 Catskill, NY
Vaccines & Immunizations
Avg $16.67
21,767 claims
Durable Medical Equipment (DME)
Avg $47.99
21,287 claims
Ambulance Transport
Avg $87.96
11,710 claims
Dental Cleaning & Exam
Avg $47.52
11,643 claims
Hearing Test (Audiometry)
Avg $14.87
7,682 claims
Blood Work & Lab Tests
Avg $0.24
7,417 claims
Nursing Facility Care
Avg $6.35
4,655 claims
Urinalysis & Urine Tests
Avg $2.20
3,838 claims