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Based on public Medicaid payment data.

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

Other Procedures in Glens Falls, NY