Average Medicaid Office Visit Payments in Endicott, NY: $60.16
Avg. Paid
$60.16
Range
$5.13 – $83.44
Total Claims
27,083
Providers
27
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 Endicott, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Phan Tran
2651 Clearview Dr |
$74.18 | 4,217 | 4,029 |
|
Smriti Thakur
1302 E Main St |
$46.78 | 3,786 | 3,569 |
|
Gina M Callahan
1302 E Main St |
$71.97 | 2,718 | 2,612 |
|
Fatima Syed
1302 E Main St |
$48.40 | 2,634 | 2,504 |
|
Kacy L Zelesnikar
415 E Main St |
$59.04 | 1,583 | 1,472 |
|
Kristen E Robillard
415 E Main St |
$69.87 | 1,465 | 1,366 |
|
Misty Ondrusek
415 E Main St |
$59.83 | 1,300 | 1,267 |
|
Azmat Saeed
609 E Main St |
$59.19 | 1,213 | 1,069 |
|
Lisa Yvette Harris
415 E Main St |
$54.64 | 1,096 | 1,049 |
|
Heather Waugh
1302 E Main St |
$30.71 | 960 | 951 |
|
Kristin Joy Isenberg
415 E Main St |
$74.40 | 958 | 928 |
|
Tanya Konefal Kaczynski
1302 E Main St |
$54.98 | 918 | 913 |
|
Maliha Suleman
Lourdes Endicott Primary Care |
$76.27 | 562 | 550 |
|
Kwei Ham Daniel Tan
415 E Main St |
$83.44 | 519 | 507 |
|
Deneen Bosch
1349 Bornt Hill Rd |
$5.13 | 488 | 477 |
|
Liza Jean Mckenna
415 E Main St |
$59.75 | 464 | 438 |
|
Julie Bambara
1302 E Main St |
$61.24 | 369 | 351 |
|
Marilyn Mk Nelson
1302 E Main St |
$71.05 | 334 | 321 |
|
Arthur J Price
415 E Main St |
$64.83 | 268 | 267 |
|
Katelyn Pomeroy
1302 E Main St |
$57.13 | 266 | 266 |
|
Elizabeth Anne Morrell
415 E Main St |
$57.98 | 231 | 226 |
|
Sara M Smith
1302 E Main St |
$69.69 | 224 | 221 |
|
Kathleen Elizabeth Lewis
1302 E Main St |
$82.58 | 168 | 151 |
|
Susan C Anderson
2352 State Route 26 |
$58.35 | 156 | 150 |
|
Theresa Kelly Murphy
415 E Main St |
$69.71 | 156 | 151 |
|
Maureen A Giangrieco
1302 E Main St |
$64.42 | 17 | 17 |
|
Judy A. Andrews
1302 E Main St |
$48.21 | 13 | 13 |
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 Endicott, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Endicott, NY is $60.16 per claim, based on 27,083 claims from 27 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 Endicott, NY?
There are 27 Medicaid providers offering Office Visit related services in Endicott, NY according to public payment data.
What is the price range for Office Visit in Endicott, NY?
Medicaid reimbursement for Office Visit in Endicott, NY ranges from $5.13 to $83.44 per claim, with an average of $60.16. 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 Endicott, NY
Dental Cleaning & Exam
Avg $35.95
171,078 claims
Dental Filling
Avg $95.07
43,141 claims
Physical Therapy
Avg $57.65
10,175 claims
Tooth Extraction
Avg $60.39
9,683 claims
Psychiatric Evaluation
Avg $77.56
9,163 claims
Root Canal
Avg $112.42
2,942 claims
Speech Therapy
Avg $34.21
2,900 claims
Vaccines & Immunizations
Avg $29.02
2,809 claims