Average Medicaid Office Visit Payments in Cohoes, NY: $65.38
Avg. Paid
$65.38
Range
$0.00 – $221.85
Total Claims
25,689
Providers
16
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 Cohoes, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Olai Vivian Sam
95 Remsen Street |
$61.21 | 8,487 | 8,055 |
|
Thomas Chattathil
55 Mohawk St Ste 105 |
$61.44 | 7,162 | 6,727 |
|
Matthew James Brennan
55 Mohawk St Ste 105 |
$64.85 | 2,561 | 2,408 |
|
St. Peter'S Hospital Of The City Of Albany
55 Mohawk Street Suite 100 |
$127.69 | 2,429 | 1,668 |
|
Jennifer Ellen Lindstrom
1019 New Loudon Rd. |
$43.56 | 1,429 | 1,419 |
|
David Lawrence Herman
421 West Columbia Street |
$0.00 | 1,031 | 995 |
|
Tricia Ann Pelnik-Fecko
1019 New Loudon Rd. |
$50.90 | 662 | 637 |
|
Chelsea Lyn Donnelly
1019 New Loudon Rd |
$86.52 | 514 | 511 |
|
Kathleen Zabinski-Kramer
1019 New Loudon Rd. |
$54.29 | 495 | 479 |
|
Ivelisse Ann Verrico
1019 New Loudon Rd |
$55.22 | 335 | 324 |
|
Daniel Thor Lavelle
1019 New Loudon Rd |
$64.07 | 188 | 181 |
|
Renu Gupta
55 Mohawk St |
$71.69 | 171 | 154 |
|
Lori Virginia Augostini
21 Page Avenue |
$221.85 | 117 | 69 |
|
Deborah Ilana Light
1019 New Loudon Rd. |
$64.01 | 82 | 77 |
|
Heidi L Finkle
55 Mohawk St |
$111.96 | 14 | 14 |
|
Danielle Patricia Wales
1019 New Loudon Rd Dept Of |
$79.43 | 12 | 12 |
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 Cohoes, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cohoes, NY is $65.38 per claim, based on 25,689 claims from 16 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 Cohoes, NY?
There are 16 Medicaid providers offering Office Visit related services in Cohoes, NY according to public payment data.
What is the price range for Office Visit in Cohoes, NY?
Medicaid reimbursement for Office Visit in Cohoes, NY ranges from $0.00 to $221.85 per claim, with an average of $65.38. 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 Cohoes, NY
Dental Cleaning & Exam
Avg $28.42
38,931 claims
Physical Therapy
Avg $51.39
33,877 claims
Non-Emergency Medical Transportation
Avg $14.88
11,460 claims
Substance Abuse Treatment
Avg $57.06
7,311 claims
Dental Filling
Avg $48.57
6,463 claims
Vaccines & Immunizations
Avg $24.57
3,741 claims
Tooth Extraction
Avg $41.16
3,604 claims
Speech Therapy
Avg $24.43
3,596 claims