Average Medicaid Office Visit Payments in Clifton Park, NY: $65.60
Avg. Paid
$65.60
Range
$32.83 – $133.50
Total Claims
86,287
Providers
74
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 Clifton Park, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Holly Denise Payne
1 Tallow Wood Dr |
$55.18 | 7,612 | 6,926 |
|
Jeffrey Stuart Cameron
634 Plank Rd |
$56.64 | 6,722 | 4,014 |
|
Axel Juergen Herrmannsdoerfer
1 Tallow Wood Dr |
$74.39 | 6,493 | 6,230 |
|
Dorothy Eileen Lacombe
963 Route 146 Ste 3 |
$68.79 | 5,585 | 5,491 |
|
Antonio Gregorian
1 Tallow Wood Dr |
$56.18 | 5,468 | 5,200 |
|
Renee Arruira Argubano
1 Tallow Wood Dr |
$67.36 | 3,427 | 3,169 |
|
Beulah Puthuparampil-Mehta
942A Route 146 |
$60.28 | 3,193 | 2,942 |
|
Barbara Hunter Collins
942A Route 146 |
$62.85 | 2,939 | 2,774 |
|
Cheryl M Glick
942A Route 146 |
$63.45 | 2,935 | 2,772 |
|
Janeen Theresa March
1694 Us-9 |
$61.45 | 2,418 | 2,402 |
|
Swatantra Mitta
942A Route 146 |
$58.55 | 2,281 | 2,113 |
|
Charles Fox Gordon
9 Old Plank Road |
$71.44 | 1,940 | 1,899 |
|
Neema R. Afejuku-Adelaja
1 Tallow Wood Dr |
$73.34 | 1,916 | 1,834 |
|
Lindsay Nemith
942A Route 146 |
$64.11 | 1,870 | 1,771 |
|
Balasukanya Balaraman
1 Tallow Wood Dr |
$73.07 | 1,774 | 1,708 |
|
Melissa Ines Ungeheuer
532 Moe Rd |
$64.41 | 1,651 | 1,552 |
|
Joyce L Bellin
942A Route 146 |
$55.55 | 1,577 | 1,476 |
|
Ryan Buckley
1735 Route 9 |
$114.97 | 1,487 | 1,431 |
|
Julia M Gross
954 Route 146 |
$51.05 | 1,467 | 1,350 |
|
Karen A Doherty-Wells
1 Tallow Wood Drive |
$72.57 | 1,411 | 1,343 |
|
Kimberly Marie Stack
954 Route 146 Ste 3 |
$73.36 | 1,404 | 1,127 |
|
Steven J Balsamo
1 Tallow Wood Dr |
$63.74 | 1,381 | 1,324 |
|
Arsenio George Pascual
942A Route 146 |
$62.09 | 1,314 | 1,277 |
|
Quentin Phung
9 Old Plank Rd |
$63.72 | 1,268 | 1,245 |
|
Shenelle R. Gaston
942A Route 146 |
$62.05 | 1,237 | 1,151 |
|
Zacharias Chasin
1 Tallow Wood Dr |
$82.07 | 959 | 876 |
|
William I Anyaegbunam
2 Emma Ln |
$67.27 | 949 | 841 |
|
Maegan Majewski
10 Old Plank Rd |
$78.86 | 898 | 856 |
|
Lauren Marie Rokjer
21 Pinewood Dr |
$91.79 | 871 | 855 |
|
Jason F Lange
532 Moe Road |
$67.07 | 803 | 780 |
|
Zack Steven Emery
939 Route 146 Ste 700 |
$122.94 | 798 | 749 |
|
Kristen L Compa
942A Route 146 |
$65.04 | 754 | 721 |
|
Pamala Shroh-Sammons
963 Route 146 |
$55.03 | 703 | 686 |
|
Alexandra P. Riccio
10 Maxwell Dr Ste 207 |
$71.31 | 634 | 603 |
|
Sunitha Sukumaran
3 Crossing Blvd Ste 1 |
$94.62 | 622 | 552 |
|
Jodi Lynn Carson
939 Route 146 Ste 620 |
$66.26 | 579 | 495 |
|
Harry S Miller
532 Moe Rd |
$65.58 | 558 | 540 |
|
Richard C Berkowitz
1673 Route 9 |
$53.82 | 521 | 487 |
|
Kathryn Day Parker
532 Moe Rd |
$70.28 | 515 | 494 |
|
Ashley Elizabeth Apruzzese
942A Route 146 |
$66.17 | 510 | 483 |
|
Gail Casals
1 Tallow Wood Dr |
$36.28 | 450 | 432 |
|
James C Craig
1 Tallow Wood Dr |
$73.91 | 437 | 416 |
|
Ngan Nguyen
1 Tallow Wood Dr |
$62.79 | 419 | 403 |
|
Eugene D Kaplan
634 Plank Rd |
$59.48 | 388 | 308 |
|
Ruth Ellen Kelleher
1 Tallow Wood Dr |
$52.34 | 359 | 341 |
|
William Raymond Fielding
1 Tallow Wood Dr |
$62.75 | 321 | 309 |
|
Ellen A. Brignola
1 Tallow Wood Dr |
$65.30 | 281 | 278 |
|
Katie Bean
1694 Route 9 |
$57.08 | 280 | 272 |
|
Chantal Hardin
634 Plank Rd Ste 106 |
$85.99 | 243 | 234 |
|
Amy Iris Sullivan
939 Route 146 Ste 620 |
$64.87 | 221 | 177 |
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 Clifton Park, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clifton Park, NY is $65.60 per claim, based on 86,287 claims from 74 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 Clifton Park, NY?
There are 74 Medicaid providers offering Office Visit related services in Clifton Park, NY according to public payment data.
What is the price range for Office Visit in Clifton Park, NY?
Medicaid reimbursement for Office Visit in Clifton Park, NY ranges from $32.83 to $133.50 per claim, with an average of $65.60. 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 Clifton Park, NY
Dental Cleaning & Exam
Avg $38.65
434,881 claims
Physical Therapy
Avg $47.10
78,856 claims
Dental Filling
Avg $150.36
78,506 claims
Ambulance Transport
Avg $102.43
48,422 claims
Vaccines & Immunizations
Avg $23.15
35,161 claims
Tooth Extraction
Avg $95.46
25,248 claims
Psychiatric Evaluation
Avg $92.15
20,485 claims
Speech Therapy
Avg $47.06
14,141 claims