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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Delmar, NY: $61.37

Avg. Paid

$61.37

Range

$25.85 – $81.83

Total Claims

20,533

Providers

23

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 Delmar, NY

Provider Avg. Paid Claims Patients
Kenneth J Kroopnick

4 Normanskill Blvd

 $58.85 7,799 5,130
Olin P Callaghan

250 Delaware Ave Ste 100

 $57.68 4,236 3,994
Shannon Lauren O'Meara

250 Delaware Ave Ste 100

 $78.48 1,891 1,861
Melissa J Veino

4 Normanskill Blvd

 $66.34 1,506 1,443
Carmen Cardinale

250 Delaware Ave Ste 100

 $49.44 986 909
Maria Louise Glode

636 Delaware Ave

 $80.27 718 691
Todd P Giombetti

208 Delaware Ave

 $60.54 550 515
Timothy Edward Braim

228 Delaware Ave

 $52.91 519 519
Arthur Francis Mcginn

60 Wisconsin Ave

 $75.64 511 387
Daniil Niyazov

250 Delaware Ave Ste 100

 $68.70 343 318
Megan Mccabe

4 Normanskill Blvd

 $33.26 311 296
Kathleen Ann Brady

208 Delaware Ave

 $66.98 290 273
Ellen Regal

250 Delaware Ave Ste 100

 $58.42 246 230
Catherine Bonham Keating

208 Delaware Ave

 $56.85 170 160
Amanda R Jones

125 Rockefeller Rd

 $30.94 136 103
Janeen Lopez

250 Delaware Ave

 $81.83 133 62
Barbara K Lahut

250 Delaware Ave

 $56.67 61 61
Teresa Marie Caringi

250 Delaware Ave Ste 100

 $54.60 48 47
Alexis Weymann Perlmutter

250 Delaware Ave Ste 207

 $70.61 27 27
Deborah A Hirt

250 Delaware Ave

 $40.81 14 14
Jennifer Hutton

Delmar Medical Office - Podiatry

 $58.19 13 13
Gina Marie Ciarmiello

4 Normanskill Blvd

 $46.58 13 12
Gloria Grace Guptill

250 Delaware Ave

 $25.85 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 Delmar, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Delmar, NY is $61.37 per claim, based on 20,533 claims from 23 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 Delmar, NY?

There are 23 Medicaid providers offering Office Visit related services in Delmar, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Delmar, NY ranges from $25.85 to $81.83 per claim, with an average of $61.37. 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 Delmar, NY

Vaccines & Immunizations

Avg $21.48

14,278 claims

Speech Therapy

Avg $26.22

8,689 claims

Dental Cleaning & Exam

Avg $31.55

7,005 claims

Ambulance Transport

Avg $106.25

5,874 claims

Physical Therapy

Avg $42.27

4,720 claims

Blood Work & Lab Tests

Avg $4.40

3,221 claims

Hearing Test (Audiometry)

Avg $6.46

2,348 claims

Psychiatric Evaluation

Avg $76.64

1,707 claims