Average Medicaid Office Visit Payments in Fort Drum, NY: $67.45
Avg. Paid
$67.45
Range
$36.24 – $440.10
Total Claims
26,834
Providers
21
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 Fort Drum, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diane Keating Jones
11050 Mount Belvedere Blvd |
$59.50 | 6,312 | 4,923 |
|
David Lewis Keyes
11050 Mount Belvedere Blvd |
$54.00 | 4,091 | 4,065 |
|
Stephen M. Hanna
10506 S. Riva Ridge Rd. |
$52.63 | 3,052 | 2,976 |
|
Jessica Lynn Robbins
Usa Meddac |
$94.17 | 2,740 | 1,728 |
|
Jewel Hingola Songo
11050 Mount Belvedere Blvd |
$59.07 | 2,535 | 2,426 |
|
Michael Hunt
S. Riva Ridge Loop |
$61.84 | 2,121 | 2,086 |
|
Sarah D Hasko
10020 Korengal Valley Rd |
$43.82 | 1,910 | 1,626 |
|
Bryan Dylan Wheeler
Us Army |
$73.13 | 1,594 | 1,119 |
|
Svetlana Claravall Shah
11050 Mt Belvedere Blvd |
$69.20 | 767 | 759 |
|
Martin Lee Stewart
11050 Mount Belvedere Blvd |
$60.38 | 577 | 574 |
|
Jeanne Yeagle
11050 Mount Belvedere Blvd |
$440.10 | 402 | 352 |
|
Jennifer Lee Zajac
11050 Mt Belvedere Blvd |
$38.85 | 254 | 245 |
|
Melissa L Reynolds
Usa Meddac |
$78.88 | 113 | 68 |
|
Gregory John Pataky
11050 Mt Belvedere Blvd |
$88.06 | 89 | 84 |
|
Panita Pipatnawin
Usa Meddac |
$56.37 | 68 | 68 |
|
Vladimir Fridkin
11050 Mount Belvedere Blvd |
$48.59 | 57 | 55 |
|
Quan M Luong
10506 South Riva Ridge Loop |
$144.49 | 48 | 45 |
|
Richard Zachary Haney
11050 Mount Belvedere Blvd |
$109.24 | 42 | 37 |
|
Moromoke O Odina
11050 Mount Belvedere Blvd |
$77.27 | 27 | 26 |
|
Aziza C Alam
11050 Mt Belvedere Blvd |
$65.47 | 22 | 22 |
|
Anton Roy Wineman
11050 Mount Belvedere Blvd |
$36.24 | 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 Fort Drum, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Drum, NY is $67.45 per claim, based on 26,834 claims from 21 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 Fort Drum, NY?
There are 21 Medicaid providers offering Office Visit related services in Fort Drum, NY according to public payment data.
What is the price range for Office Visit in Fort Drum, NY?
Medicaid reimbursement for Office Visit in Fort Drum, NY ranges from $36.24 to $440.10 per claim, with an average of $67.45. 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 Fort Drum, NY
Emergency Room Visit
Avg $70.00
11,763 claims
Blood Work & Lab Tests
Avg $8.67
4,498 claims
Hearing Test (Audiometry)
Avg $13.50
3,762 claims
Psychiatric Evaluation
Avg $51.78
3,743 claims
Substance Abuse Treatment
Avg $68.66
2,917 claims
Vaccines & Immunizations
Avg $36.49
2,524 claims
EKG / ECG (Electrocardiogram)
Avg $3.25
2,509 claims
X-Ray
Avg $8.22
2,134 claims