Average Medicaid Office Visit Payments in Glens Falls, NY: $80.63
Avg. Paid
$80.63
Range
$0.00 – $161.49
Total Claims
342,629
Providers
174
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 Glens Falls, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Glens Falls Hospital Inc
100 Park St |
$128.13 | 59,786 | 56,261 |
|
Lauren M Meilhede
84 Broad St |
$78.08 | 14,451 | 13,544 |
|
Stuart B Wright
154 Warren St |
$82.39 | 13,635 | 12,554 |
|
Lisa A Adeson
154 Warren St |
$76.86 | 11,501 | 10,764 |
|
Lori M Killon
100 Broad St |
$61.98 | 10,230 | 8,018 |
|
Mary J Nevins
84 Broad St |
$74.12 | 9,882 | 9,526 |
|
Brian Guadagno
100 Broad St |
$53.13 | 7,438 | 5,380 |
|
Matthew Tarello
84 Broad St |
$77.51 | 7,179 | 6,878 |
|
Syed A Kamal
154 Warren St |
$77.19 | 7,038 | 6,642 |
|
Michael Gumuka
100 Broad St |
$68.29 | 6,548 | 6,123 |
|
Kate Shelburne
1 Lawrence St |
$81.22 | 6,540 | 6,157 |
|
Sean Michael Kennedy
14 Hudson Avenue |
$73.08 | 5,933 | 5,798 |
|
Melody Kinsley
84 Broad St |
$81.03 | 5,877 | 5,607 |
|
Magdeline Inzerilli
100 Broad St |
$68.36 | 5,832 | 5,193 |
|
Jennifer Leigh Theriot
84 Broad St Ste 1 |
$78.54 | 5,621 | 5,323 |
|
Martin J Breen
154 Warren St |
$80.39 | 5,345 | 5,089 |
|
Robert F Love
3 Irongate Center |
$68.19 | 5,064 | 4,658 |
|
James C Hicks
100 Broad St |
$66.01 | 4,852 | 4,210 |
|
Denise N Richard
38 Larose St |
$62.14 | 4,585 | 3,490 |
|
Michael William Lenihan
420 Glen St |
$72.24 | 4,397 | 4,368 |
|
Danielle Marie Cavanaugh
100 Broad St |
$67.55 | 4,284 | 3,502 |
|
Melissa Teresa Seale
1 Lawrence St |
$87.11 | 4,127 | 4,062 |
|
Ephraim E Back
38 Larose St |
$66.72 | 4,109 | 3,463 |
|
James North
100 Broad St |
$63.39 | 4,086 | 3,520 |
|
Luminita Sasaran
100 Park St |
$161.49 | 3,951 | 1,940 |
|
Roger F Levac
84 Broad St |
$66.25 | 3,571 | 3,374 |
|
Kimberly Dawn Alger
90 South St |
$69.07 | 3,564 | 3,167 |
|
Glens Falls Pediatric Consultants, Pc
1 Lawrence St Ste 2 |
$76.04 | 3,437 | 2,957 |
|
Adam Brod
14 Hudson Ave |
$68.50 | 3,430 | 3,295 |
|
Andre H Johnson
14 Hudson Ave |
$64.80 | 3,379 | 3,198 |
|
Victoria M Vanscoy-Mcallister
420 Glen St |
$57.36 | 3,367 | 2,906 |
|
Kasuni Kotelawala
38 Larose St |
$53.67 | 3,083 | 2,181 |
|
Allison Butler
3 Irongate Ctr |
$35.69 | 2,968 | 2,589 |
|
Laurie J Gorgas
100 Broad St |
$47.38 | 2,863 | 1,822 |
|
Utsav Hanspal
14 Hudson Ave |
$105.84 | 2,645 | 2,556 |
|
Molly Frances Mcguiggan
1 Lawrence St Ste 2 |
$80.29 | 2,323 | 2,225 |
|
Janet M Oliver
100 Broad St |
$55.02 | 2,289 | 1,805 |
|
Abigail Alexis Matuszak
100 Broad St |
$51.37 | 2,286 | 1,578 |
|
Conifer Park, Inc.
55 Elm St |
$71.13 | 2,286 | 1,036 |
|
Kerrianne Belline-Mueller
100 Broad St |
$47.55 | 2,159 | 1,365 |
|
Amanda Leigh Clements
90 South St |
$53.36 | 2,150 | 1,604 |
|
Suzanne J Barth
38 Larose St |
$50.03 | 2,117 | 1,501 |
|
Surendra Kumar Nevatia
92 Broad St |
$65.69 | 2,060 | 2,048 |
|
Robert Peter Reeves
3 Irongate Center |
$75.22 | 1,959 | 1,763 |
|
Adirondack Pediatrics, P.C.
84 Broad St |
$68.33 | 1,918 | 1,563 |
|
Jennifer S Case
100 Broad St |
$61.10 | 1,907 | 1,847 |
|
Shannon James
7 Stevens St |
$66.50 | 1,877 | 1,241 |
|
Elizabeth A Bessette
100 Broad St |
$74.28 | 1,860 | 1,605 |
|
Laurie A Gates
100 Broad St |
$69.40 | 1,740 | 1,577 |
|
Clara E Somoza
100 Park St |
$67.05 | 1,712 | 1,692 |
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 Glens Falls, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Glens Falls, NY is $80.63 per claim, based on 342,629 claims from 174 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 Glens Falls, NY?
There are 174 Medicaid providers offering Office Visit related services in Glens Falls, NY according to public payment data.
What is the price range for Office Visit in Glens Falls, NY?
Medicaid reimbursement for Office Visit in Glens Falls, NY ranges from $0.00 to $161.49 per claim, with an average of $80.63. 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 Glens Falls, NY
Blood Work & Lab Tests
Avg $8.55
314,156 claims
Dental Cleaning & Exam
Avg $40.75
194,684 claims
Psychiatric Evaluation
Avg $83.69
101,231 claims
Emergency Room Visit
Avg $112.05
78,866 claims
Vaccines & Immunizations
Avg $13.45
73,889 claims
Physical Therapy
Avg $66.58
45,102 claims
Durable Medical Equipment (DME)
Avg $41.67
42,711 claims
Urinalysis & Urine Tests
Avg $3.84
34,917 claims