Average Medicaid Office Visit Payments in Elmira, NY: $87.85
Avg. Paid
$87.85
Range
$0.00 – $265.23
Total Claims
335,094
Providers
173
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 Elmira, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arnot Ogden Medical Center
600 Roe Ave |
$109.31 | 143,201 | 128,905 |
|
Family Services Of Chemung County, Inc.
1019 E Water St |
$102.38 | 16,268 | 15,273 |
|
Warren W Chin
1138 Broadway St |
$54.72 | 10,614 | 9,176 |
|
Marc Immerman
1003 Walnut St |
$61.02 | 9,926 | 5,152 |
|
Wafaa I Rizk
602 Ivy St |
$55.52 | 9,079 | 8,016 |
|
Paul Peter Povanda
600 Roe Ave |
$48.10 | 7,051 | 6,655 |
|
Donald Ray Foster
200 Madison Ave Ste 2B |
$61.03 | 6,857 | 6,356 |
|
Brent S. Ingerick
1336 Cedar St |
$87.68 | 6,341 | 6,105 |
|
Pedro Juan Gonzalez Zayas
200 Madison Ave |
$76.79 | 5,139 | 3,159 |
|
Lawrence Abraham Dolkart
600 Fitch St |
$47.05 | 4,371 | 3,893 |
|
Ejiro Vivian Agboro-Idahosa
555 Saint Josephs Blvd |
$67.89 | 4,363 | 3,999 |
|
Joseph William Mathey
200 Madison Ave |
$56.76 | 4,354 | 4,174 |
|
Jeffrey Louis Gardner
200 Madison Ave Ste 2D |
$69.64 | 4,255 | 3,901 |
|
Lewis Joseph Cabibi
200 Madison Ave Ste 2B |
$67.45 | 4,247 | 3,994 |
|
Christopher Daniel Fucito
1336 Cedar St |
$105.06 | 4,234 | 4,063 |
|
Erica Shatara
1336 Cedar St |
$102.52 | 3,758 | 3,571 |
|
Hannah Rose Bushnell
571 Saint Josephs Blvd Ste 304 |
$86.00 | 3,431 | 3,060 |
|
Sophia Bezirganian
1003 Walnut St |
$106.75 | 3,353 | 3,082 |
|
Raymond Hok Pan Wong
200 Madison Ave Fl 3 |
$66.78 | 3,341 | 3,149 |
|
Kayleigh Mae Martin
600 Roe Ave |
$54.75 | 2,817 | 2,799 |
|
Rebecca Ann Golding
555 E Market St |
$84.15 | 2,802 | 1,302 |
|
Christopher W Barnes
600 Roe Ave Ste 1G |
$60.90 | 2,762 | 2,736 |
|
Jerod Alan Buell
200 Madison Ave Fl 3 |
$63.93 | 2,632 | 2,398 |
|
Bruce Allen Surosky
1005 Walnut St |
$70.84 | 2,589 | 2,406 |
|
Janusz Sosniak
602 Ivy St Fl 2 |
$64.89 | 2,546 | 2,347 |
|
Harry Dale Mchenry
1138 Broadway St |
$77.11 | 2,454 | 2,297 |
|
Pierre Ngili
1019 E Water St |
$40.23 | 2,442 | 1,286 |
|
Annie E Sumrall
571 Saint Josephs Blvd Ste 304 |
$1.44 | 2,294 | 1,967 |
|
Kristen Raniewicz
830 County Road 64 |
$58.24 | 2,264 | 2,239 |
|
Ann Lovecchio
755 E Church St |
$49.54 | 2,185 | 527 |
|
Salma Makhoul-Ahwach
600 Roe Ave |
$32.75 | 2,101 | 1,729 |
|
Nixi Cat
1005 Walnut St |
$89.33 | 2,026 | 1,903 |
|
Joseph Haluska
160 N Main St Ste 130 |
$97.64 | 1,714 | 1,526 |
|
Subhi Mohammad Islam
555 Saint Josephs Blvd |
$97.05 | 1,589 | 1,436 |
|
Amanda Acomb Halpenny
600 Fitch St Ste 102 |
$108.90 | 1,520 | 860 |
|
Molly Witham
1336 Cedar St |
$98.62 | 1,319 | 1,263 |
|
Joshua Powers
571 Saint Josephs Blvd Ste 304 |
$113.59 | 1,317 | 1,198 |
|
Daniel S Park
668 Park Pl |
$67.01 | 1,235 | 1,101 |
|
Syed H Jaffery
1019 E Water St |
$60.33 | 1,109 | 887 |
|
Kellen Lane Kreger
600 Roe Ave |
$60.78 | 1,039 | 1,030 |
|
Lorrie Penfield
200 Madison Avenue |
$62.46 | 1,031 | 956 |
|
Heidi Rose Hodder
1336 Cedar St Ste C |
$109.91 | 996 | 978 |
|
Courtney L Grier
600 Roe Ave |
$60.17 | 957 | 944 |
|
Teri A Martin
600 Roe Ave |
$58.92 | 948 | 947 |
|
Albert F. Devlin
200 Madison Ave |
$56.05 | 855 | 792 |
|
Lou Ann Dipetta
600 Roe Avenue |
$48.61 | 847 | 834 |
|
Serge Dauphin
600 Roe Ave |
$49.14 | 846 | 776 |
|
Cory David Kilpatrick
668 Park Pl |
$88.23 | 758 | 718 |
|
Ashley Spallone
503 Park Pl |
$54.99 | 757 | 754 |
|
Tracy L Martine
1138 Broadway St |
$97.31 | 752 | 719 |
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 Elmira, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elmira, NY is $87.85 per claim, based on 335,094 claims from 173 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 Elmira, NY?
There are 173 Medicaid providers offering Office Visit related services in Elmira, NY according to public payment data.
What is the price range for Office Visit in Elmira, NY?
Medicaid reimbursement for Office Visit in Elmira, NY ranges from $0.00 to $265.23 per claim, with an average of $87.85. 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 Elmira, NY
Blood Work & Lab Tests
Avg $8.09
297,258 claims
Psychiatric Evaluation
Avg $96.51
164,274 claims
Emergency Room Visit
Avg $96.28
129,701 claims
Physical Therapy
Avg $60.65
82,709 claims
EKG / ECG (Electrocardiogram)
Avg $5.46
65,643 claims
Vaccines & Immunizations
Avg $11.86
45,646 claims
Urinalysis & Urine Tests
Avg $1.98
39,383 claims
X-Ray
Avg $4.60
36,629 claims