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 |
|---|---|---|---|
|
Aleksander Jozef Rupik
602 Ivy St Fl 2 |
$18.04 | 12 | 12 |
|
Jennifer S Hollenbeck
1019 E Water St |
$88.60 | 12 | 12 |
|
Mark J Ivanick
600 Roe Avenue |
$9.21 | 12 | 12 |
|
Sean Richard Van Aken
602 Ivy St |
$50.11 | 13 | 12 |
|
Georgios Hatzoudis
1138 Broadway St |
$66.16 | 13 | 13 |
|
Denis Charles Kingsley
447 East Water Street |
$43.88 | 13 | 12 |
|
Jessica Houck
301 Hoffman St |
$7.72 | 13 | 13 |
|
Thomas Boman
300 Hoffman St |
$72.41 | 13 | 13 |
|
Ibrahim Katerji
600 Ivy St Ste 201 |
$13.22 | 13 | 12 |
|
Samrath Nenwani
600 Roe Ave |
$119.24 | 14 | 14 |
|
Stephanie Lynn Busch
859 Broadway St |
$80.13 | 14 | 13 |
|
Jeremy Lux
600 Roe Ave |
$67.23 | 14 | 13 |
|
Kylie Coreen Newman Murrelle
600 Fitch St Ste 102 |
$82.17 | 14 | 12 |
|
Devin Craig Thompson
600 Roe Ave |
$54.44 | 15 | 15 |
|
Merlyn Jacob Koshy
600 Roe Avenue |
$96.96 | 15 | 15 |
|
Stephanie Nicole Russell
200 Madison Ave Ste 2D |
$60.93 | 17 | 17 |
|
Nikki Anne Fitch
1336 Cedar St |
$17.62 | 17 | 14 |
|
Susan Jane Ponivas
602 Ivy St Fl 2 |
$53.67 | 18 | 17 |
|
Charles M Thurber
668 Park Pl |
$46.42 | 24 | 24 |
|
Sara Blue Albertsman
600 Roe Ave |
$73.27 | 25 | 25 |
|
Alison R Eason
200 Madison Ave Ste 2D |
$71.04 | 26 | 24 |
|
Michelle Lynne Malnoske
600 Roe Avenue, Suite 4A |
$65.08 | 28 | 27 |
|
Jennifer L Share
1005 Walnut St |
$81.42 | 29 | 27 |
|
Richard Terry
200 Madison Ave |
$87.09 | 29 | 29 |
|
Luciano Adolfo Nunez Bragayrac
301 Hoffman St |
$0.00 | 31 | 31 |
|
Jonathan Winkworth Shearin
300 Hoffman St |
$39.37 | 38 | 37 |
|
Frank J Nocilla
600 Roe Ave |
$21.76 | 39 | 38 |
|
Katharine Cassidy-Devito
600 Fitch St |
$48.26 | 40 | 40 |
|
Eileen Feltner
300 Hoffman St |
$74.57 | 40 | 37 |
|
Keith W. Parker
200 Madison Ave Fl 3 |
$64.75 | 46 | 41 |
|
Mackenzie Nicole Mcclure
503 Park Pl |
$50.61 | 50 | 50 |
|
Jimmie L Young
600 Roe Ave |
$81.16 | 54 | 52 |
|
Andrey Takhtovich
555 Saint Josephs Blvd |
$105.04 | 55 | 55 |
|
Dawn Marie Heil
445 E Water St |
$101.05 | 55 | 55 |
|
Chunying Xu
555 Saint Josephs Blvd |
$37.00 | 55 | 54 |
|
Maria Rita A Macapinlac
100 N Main St Ste L20 |
$45.30 | 56 | 25 |
|
Jennifer L Burfield
300 Hoffman St |
$69.03 | 57 | 54 |
|
Lawrence Laifer
602 Ivy St |
$26.81 | 60 | 60 |
|
Brittany Lynn Nino
602 Ivy St |
$28.60 | 61 | 60 |
|
Imbesat A. Daudi
301 Hoffman St |
$53.93 | 63 | 59 |
|
Helena Prieto
571 Saint Josephs Blvd Ste 304 |
$114.89 | 67 | 65 |
|
Steven David Greenberg
602 Ivy St Fl 2 |
$54.73 | 68 | 65 |
|
Kevin M Coughlin
300 Hoffman St |
$68.28 | 69 | 64 |
|
Thomas B. Coss
200 Madison Ave Fl 3 |
$48.00 | 69 | 65 |
|
Robert Novak
600 Roe Ave |
$103.00 | 74 | 63 |
|
Phila M Sasenbury
600 Roe Ave Ste 4A |
$56.66 | 77 | 77 |
|
Sarah J Brimmer
602 Ivy St Fl 2 |
$54.99 | 79 | 74 |
|
Gary James Valvano
555 Saint Josephs Blvd Ste M2 |
$62.46 | 80 | 79 |
|
Mohamed Omar Atwaibi
200 Madison Ave |
$36.78 | 80 | 79 |
|
Andrea Beth Cavaluzzi
1019 E Water St |
$43.24 | 90 | 40 |
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