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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Champlain, NY: $57.86

Avg. Paid

$57.86

Range

$43.93 – $97.51

Total Claims

76,154

Providers

19

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 Champlain, NY

Provider Avg. Paid Claims Patients
Nicole Brianna Cerklewich

828 State Route 11

 $54.31 11,801 9,230
Nicole A Baker

828 State Route 11

 $57.99 11,690 8,734
Aaron Esterson

828 State Route 11

 $55.38 10,186 7,278
Molly Anne Lamere

828 State Route 11

 $64.01 9,841 7,620
Jessica S King

481 Route 11

 $61.27 6,630 5,765
Julie K Steele-Goodwin

828 State Route 11

 $60.98 6,459 5,102
Stephen Mark Winfield

828 State Route 11

 $57.55 5,423 4,055
Maurice A Racine

828 State Route 11

 $53.88 3,347 2,512
Samantha Yvonne Harris

828 State Route 11

 $52.12 3,315 2,404
Pawel Patryk Klimkiewicz

828 State Route 11

 $59.53 2,677 2,377
Stephanie Papaconstantinou

828 State Route 11

 $47.32 971 648
Candice Michelle Ciolac

481 State Route 11

 $54.44 944 888
Marilyn P Mcclure

481 Route 11

 $65.85 878 793
Finnick Louise Hakamaki

828 State Route 11

 $43.93 843 552
Emmalee Colby

828 State Route 11

 $59.51 833 783
Shahbanoo Ghaffari Zandi

481 Route 11

 $79.05 153 135
Adam Lacayo

828 State Route 11

 $86.22 68 65
Sarah L Howell

481 State Route 11

 $97.51 57 57
Lisa Marie Skarling

828 State Route 11

 $96.39 38 37

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 Champlain, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Champlain, NY is $57.86 per claim, based on 76,154 claims from 19 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 Champlain, NY?

There are 19 Medicaid providers offering Office Visit related services in Champlain, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Champlain, NY ranges from $43.93 to $97.51 per claim, with an average of $57.86. 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 Champlain, NY

Dental Cleaning & Exam

Avg $40.62

6,259 claims

Ambulance Transport

Avg $113.07

5,294 claims

Psychiatric Evaluation

Avg $55.03

3,396 claims

Vaccines & Immunizations

Avg $9.98

1,569 claims

Dental Filling

Avg $163.41

1,560 claims

Blood Work & Lab Tests

Avg $5.04

1,162 claims

Dental Crown

Avg $677.57

419 claims

Chiropractic Care

Avg $26.21

416 claims