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 |
|---|---|---|---|
|
Christopher S Stephens
14 Hudson Avenu |
$82.22 | 13 | 13 |
|
Niki Marie Cucchi
7 Murray St |
$87.09 | 13 | 12 |
|
Kara Beth Leboeuf
90 South St |
$42.88 | 13 | 12 |
|
Derek Proctor Richardson
Four Irongate Center |
$110.08 | 14 | 14 |
|
Jennifer P Rowley
100 Park St |
$64.02 | 14 | 12 |
|
Susan Pantano
45 Hudson Ave |
$122.73 | 14 | 14 |
|
Gabriela E Diaz
90 South St |
$53.11 | 15 | 12 |
|
Saratoga Regional Medical , P.C
2 Broad Street Plz |
$39.62 | 15 | 12 |
|
Jeannelle M Shaver
102 Park Street Pryun Pavilioin At Glens Falls Hospital |
$46.80 | 16 | 15 |
|
Robert Daniel Desiderio
100 Park St |
$44.85 | 16 | 12 |
|
Gary D Poster
11 Pine St |
$25.42 | 16 | 13 |
|
Andrew W. Garner
8 Harrison Ave |
$45.00 | 16 | 16 |
|
Margaret M Tobin
100 Park St |
$52.41 | 17 | 13 |
|
Melody Wicks
102 Park Street |
$51.16 | 18 | 18 |
|
Whitney Taylor Sciulli
5 Irongate Ctr |
$124.11 | 25 | 25 |
|
Sara Tessitore Volkmann
5 Irongate Ctr |
$128.96 | 27 | 27 |
|
Karen E Mcshane
90 South St |
$64.45 | 27 | 25 |
|
Rebecca A Freligh
102 Park St |
$45.44 | 29 | 27 |
|
Harry H. Slatch
14 Hudson Avenue |
$130.11 | 29 | 29 |
|
Rebecca Broadaway
Glens Falls Hospital Ecc |
$30.32 | 29 | 29 |
|
Osika And Scarano Psychological Services Pc
5 Pine St |
$0.00 | 30 | 29 |
|
Ashley Anne Schrauf
100 Broad St |
$80.98 | 31 | 30 |
|
Harry A Hill
100 Park Street |
$41.22 | 32 | 20 |
|
Abigail R Charter
100 Park St |
$73.95 | 35 | 30 |
|
Savanna Rose West
90 South St |
$47.40 | 36 | 25 |
|
Ann Dys
84 Broad St |
$85.37 | 38 | 38 |
|
Howard J Ritz
14 Hudson Ave |
$29.95 | 41 | 41 |
|
Susan B Brown
90 South St |
$64.14 | 41 | 40 |
|
Jennifer Fiorini
420 Glen St |
$21.03 | 41 | 40 |
|
Brittany Smith
5 Irongate Ctr |
$139.83 | 41 | 41 |
|
Crystal E Nolan
90 South St |
$78.23 | 42 | 37 |
|
Kerry Michele Wickert
45 Hudson Ave |
$64.70 | 43 | 43 |
|
Lynette M Biss
90 South St |
$54.59 | 44 | 36 |
|
Brittany King
Gfh Behavioral Health Inpatient Unit |
$113.72 | 51 | 39 |
|
Nishan Dadian
102 Park St |
$50.64 | 53 | 50 |
|
Courtney J Stewart
100 Park St |
$145.88 | 55 | 55 |
|
Fred Patrick Scialabba
454 Glen St |
$68.14 | 61 | 61 |
|
Cecilia D Hayes
100 Park St |
$40.65 | 63 | 58 |
|
Michael Thomas Lieberth
14 Hudson Ave |
$114.64 | 74 | 74 |
|
Ali J Doyle
45 Hudson Ave |
$75.19 | 77 | 75 |
|
Jaime Lynne Malek
100 Park St |
$0.23 | 82 | 77 |
|
Laura C Gosnell
100 Broad St |
$62.65 | 92 | 85 |
|
John David Mendenhall
100 Park St |
$49.05 | 97 | 68 |
|
Peter R Gray
3 Irongate Ctr |
$47.58 | 98 | 94 |
|
Joanne L Cooper
14 Hudson Ave |
$54.02 | 107 | 105 |
|
Linda J Sugent
3 Irongate Ctr |
$30.30 | 112 | 106 |
|
Raymond A Maddocks
102 Park Street |
$147.48 | 115 | 109 |
|
James D Fuchs
84 Broad St |
$66.11 | 122 | 119 |
|
Vincent T Cooper
14 Hudson Avenue |
$66.98 | 122 | 121 |
|
Rachel Waters
84 Broad St Ste 2 |
$62.27 | 138 | 127 |
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