Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Fulton, NY: $85.41

Avg. Paid

$85.41

Range

$8.18 – $117.52

Total Claims

105,127

Providers

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 Fulton, NY

Provider	Avg. Paid	Claims	Patients
James Joseph Campbell 63 S 1St St	$70.16	10,266	9,219
Vandana Bhanudas Patil 522 S 4Th St Ste 1700	$79.30	7,684	7,310
Christopher Donald Delaney 909 W 1St St S	$71.78	7,469	7,010
Sarah Anne Finocchiaro 909 W 1St St S	$80.95	7,260	6,892
Joselito A Ouano 522 S 4Th St	$75.39	7,164	6,834
Marie-Jeanne Desravines 522 S 4Th St	$111.59	6,518	6,250
Carla Brooke Overton 909 W 1St St S	$78.26	6,337	6,084
Michael Miller 510 S 4Th St Ste 600	$114.59	5,898	5,497
Connor Letcher 909 W 1St St S	$85.72	5,496	5,062
Farzana Chaudhary 510 S 4Th St	$116.25	4,830	4,509
Andrew Rogall 522 S 4Th St	$86.18	4,297	4,076
Meaghan Primm 522 S 4Th St	$90.53	3,997	3,755
Anne Filipski 510 S 4Th St	$112.45	3,466	3,317
Deirdre Wahl 98 N 2Nd St	$71.49	3,267	3,114
Esther Lubinga 20 Canalview Mall	$64.39	2,684	2,502
Faith Slade 510 S 4Th St Ste 600	$117.52	2,373	2,262
Richard Henry Koehler 510 South 4Th Street	$95.57	2,269	2,252
Sanjeev Kumar Verma 510 S 4Th St	$93.50	1,887	1,870
Brandon Michael Weaver 510 S 4Th St Ste 140	$83.91	1,672	1,611
Port City Emergency Physicians Llp 510 South Fourth Street	$8.18	1,493	1,479
Samantha Sheggrud 522 S 4Th St Ste 500	$93.69	1,266	1,252
David A Gilmore 510 S 4Th St	$97.43	1,128	1,123
Gary Douglas Bozeman 806 W Broadway	$78.79	1,010	988
Rajeev Saini 21 N 2Nd St	$64.29	865	831
John B Ayres 510 South Forth Street	$48.10	777	694
Shannon L. Zinn 510 S 4Th St Ste 140	$82.56	642	570
Michael R Diaz 510 South Forth Street	$79.92	568	549
Tyanna Bergeron 522 S 4Th St	$56.54	522	437
Erika L Demarche 98 N 2Nd St	$103.31	367	338
Rebecca Dottolo 510 S 4Th St	$96.39	327	326
Heather M Shannon 522 S 4Th St Ste 500	$73.32	281	268
Karl Frederick Hafner 98 N 2Nd St	$102.93	262	262
Rebekah June Braunlich 510 S 4Th St	$34.67	255	255
Cynthia J Young-Mayka 806 West Broadway Associated Medical Professionals	$102.70	211	202
Helen Williams 510 S 4Th St Ste 140	$80.43	123	114
Felix Takor Oben 17 S 1St St	$42.06	75	75
Lisa J. Sousou 522 S 4Th St Ste 500	$92.55	62	38
Shannon Ashley Peelman 510 S 4Th St	$102.79	47	44
Yves Jacques Lafond 451 South 4Th Street	$35.32	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 Fulton, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fulton, NY is $85.41 per claim, based on 105,127 claims from 39 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 Fulton, NY?

There are 39 Medicaid providers offering Office Visit related services in Fulton, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Fulton, NY ranges from $8.18 to $117.52 per claim, with an average of $85.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Fulton, NY: $85.41

Providers Offering Office Visit in Fulton, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Fulton, NY

Ambulance Transport

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Dental Cleaning & Exam

Emergency Room Visit

Psychiatric Evaluation

Home Health Visit

Eye Exam

Physical Therapy