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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Clifton Springs, NY: $102.24

Avg. Paid

$102.24

Range

$11.22 – $121.42

Total Claims

61,366

Providers

30

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 Springs, NY

Provider Avg. Paid Claims Patients
Nicholas J. Day

2 Coulter Rd Ste 1740

 $80.30 12 12
Paul A Shapiro

4 Coulter Road

 $91.79 13 13
Stacy A Marotta

4 Coulter Rd

 $59.13 13 13
Erfan Alotaki

2 Coulter Rd Ste 1660

 $113.34 26 26
Margaret Socha

2 Coulter Rd Ste 1620

 $52.78 27 27
William Michael Gassmann

2 Coulter Rd

 $86.56 28 25
Andie Christanis

2 Coulter Rd Ste 1660

 $50.91 30 28
Judith Lee Burdick

2 Coulter Rd

 $30.43 39 38
Tracy A Meyer

2 Coulter Rd Ste 2615

 $74.02 58 50
Robert J Switzer

28 Hillside Dr

 $55.28 64 64
Debra J Gates

Rrhs Clifton Springs Hospital And Clinic - Endocrine

 $54.19 70 67
Elizabeth Catherine Mullen

4 Coulter Rd Ste 1630

 $53.09 131 131
Chester Nakamura

4 Coulter Rd

 $78.52 137 133
Steffanie Carol Newland

2 Coulter Rd

 $28.16 165 143
Kinan Yarta

2 Coulter Rd Ste 2615

 $11.22 170 107
Julie A Habberfield

4 Coulter Rd

 $56.68 254 253
Matthew Michael Tessena

2 Coulter Rd

 $65.38 293 283
Mara Elizabeth Schroeder

2 Coulter Rd

 $52.40 296 287
Stephen Michael Ignaczak

6 Ambulance Drive

 $66.17 314 281
Robert L Rosenblatt

4 Coulter Rd

 $34.17 397 396
David Roemer

28 E Main Street

 $93.93 528 472
Shahana Arshad

2 Coulter Road

 $77.51 530 530
Brenda Suhr

2 Coulter Rd

 $58.49 771 761
Suzamie Jo Farnsworth

2 Coulter Road

 $17.87 1,244 493
Jonathon V Lammers

16 E Main St

 $56.40 1,431 1,323
Jennifer Coleman

2 Coulter Rd

 $67.20 1,582 1,504
Clifton Springs Sanitarium Co

2 Coulter Rd

 $121.42 3,278 3,026
Azfar Ahmed

2 Coulter Rd

 $76.97 4,359 3,992
Clifton Springs Sanitarium Co

2 Coulter Rd

 $105.86 6,859 6,448
Finger Lakes Area Counseling And Recovery Agency, Inc.

28 E Main St

 $113.41 38,247 32,510

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 Springs, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clifton Springs, NY is $102.24 per claim, based on 61,366 claims from 30 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 Springs, NY?

There are 30 Medicaid providers offering Office Visit related services in Clifton Springs, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Clifton Springs, NY ranges from $11.22 to $121.42 per claim, with an average of $102.24. 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 Springs, NY

Psychiatric Evaluation

Avg $94.09

212,286 claims

Substance Abuse Treatment

Avg $125.63

166,246 claims

Blood Work & Lab Tests

Avg $21.23

66,164 claims

Ambulance Transport

Avg $114.14

40,096 claims

Emergency Room Visit

Avg $96.88

16,354 claims

Urinalysis & Urine Tests

Avg $5.15

5,590 claims

Speech Therapy

Avg $31.49

3,180 claims

X-Ray

Avg $4.89

2,630 claims