Average Medicaid Office Visit Payments in Chester, NY: $84.11
Avg. Paid
$84.11
Range
$30.02 – $100.19
Total Claims
17,949
Providers
7
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 Chester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Linden Schild
20 West Ave |
$81.04 | 8,357 | 7,832 |
|
Thomas Yuen
78 Brookside Ave Ste 143 |
$100.19 | 6,185 | 5,174 |
|
Ciro Attardo
1460 Route 17M |
$81.34 | 1,292 | 1,209 |
|
Athina Giovanis
20 West Ave Ste 105 |
$30.02 | 720 | 642 |
|
Joel C Gish
359 Gibson Hill Rd |
$60.00 | 694 | 581 |
|
Kristina Gewitsch
4022 Whispering Hls |
$61.07 | 661 | 547 |
|
Pratibha Pravin Shah
11 West Ave |
$98.49 | 40 | 36 |
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 Chester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chester, NY is $84.11 per claim, based on 17,949 claims from 7 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 Chester, NY?
There are 7 Medicaid providers offering Office Visit related services in Chester, NY according to public payment data.
What is the price range for Office Visit in Chester, NY?
Medicaid reimbursement for Office Visit in Chester, NY ranges from $30.02 to $100.19 per claim, with an average of $84.11. 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 Chester, NY
Psychiatric Evaluation
Avg $51.28
11,379 claims
Nursing Facility Care
Avg $11.44
10,836 claims
Physical Therapy
Avg $75.85
2,328 claims
Blood Work & Lab Tests
Avg $5.04
1,995 claims
Speech Therapy
Avg $68.28
927 claims
Vaccines & Immunizations
Avg $10.33
748 claims
Dental Cleaning & Exam
Avg $33.48
672 claims
Emergency Room Visit
Avg $69.91
158 claims