Average Medicaid Office Visit Payments in Gloversville, NY: $84.37
Avg. Paid
$84.37
Range
$4.31 – $161.26
Total Claims
118,676
Providers
69
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 Gloversville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashlee Erin Podolec
99 E State St |
$161.26 | 13 | 13 |
|
Monique Battle
189 Second Ave |
$65.25 | 13 | 12 |
|
David Paul Cohen
99 E State St |
$85.59 | 19 | 19 |
|
Frances Locascio
11 Broadway St |
$71.01 | 20 | 16 |
|
Nicholas D Filippone
99 E State St |
$103.55 | 24 | 24 |
|
Zainul-Abideen Syed
99 E State St |
$142.73 | 25 | 25 |
|
Kevin C Calyer
99 E State St |
$100.08 | 28 | 27 |
|
Gillian Farrell Rice
The Family Counseling Center Of Fulton County Inc. |
$81.35 | 52 | 51 |
|
Jill Hoffman
99 E State St |
$121.19 | 52 | 52 |
|
Mary Constantino
99 E State St |
$40.34 | 56 | 55 |
|
Melissa Vanslyke
99 E State St |
$80.61 | 79 | 79 |
|
Lara Malatesta Ware
11 Broadway St |
$82.61 | 91 | 87 |
|
Caterina Elizabeth Carmona
99 E State St |
$75.32 | 119 | 109 |
|
Polly Jane Young
99 East State Street |
$95.27 | 120 | 117 |
|
Camryn Taylor Davis
99 E State St |
$89.94 | 131 | 126 |
|
Lawrence Morton Horowitz
182 Steele Ave |
$69.78 | 141 | 131 |
|
Bennet Koku Togbe
99 East State Street |
$111.14 | 165 | 164 |
|
John A Mycek
99 E State St |
$75.95 | 194 | 184 |
|
John L Glenn
84 E. State St |
$47.16 | 218 | 210 |
|
John D Sapovits
127 E State St |
$85.14 | 228 | 220 |
|
James J Vacek
99 East State Street |
$71.99 | 235 | 215 |
|
Aswathi Elsa Mathew
99 E State St |
$65.68 | 256 | 247 |
|
Linda Christie
99 East State St |
$50.61 | 270 | 255 |
|
Karen West
99 East State Street |
$91.65 | 274 | 266 |
|
Nathan Littauer Hospital Association
99 E State St |
$119.42 | 296 | 281 |
|
Wafia Sarwer
84 E. State St. |
$54.56 | 349 | 335 |
|
June Brouillard Barber
99 E State St |
$60.53 | 354 | 351 |
|
Amy Beth Paddock
182 Steele Ave |
$103.63 | 363 | 357 |
|
Michael S Schwartzman
99 East State St |
$75.82 | 376 | 368 |
|
David Roy Pesses
99 E State St |
$74.36 | 409 | 385 |
|
Obafemi O Giwa-Amu
99 E State St |
$91.48 | 435 | 419 |
|
Karuna Narala
2497 State Highway 30 |
$77.71 | 483 | 454 |
|
Amanda Reed
99 E State St |
$69.32 | 486 | 439 |
|
Syed Iqbal
99 E State St Ste 106 |
$40.27 | 514 | 492 |
|
Matthew Frederick Feller
99 E State St |
$94.08 | 549 | 543 |
|
Patricia My-Lan Nguyen
99 East State Street |
$78.93 | 584 | 540 |
|
Kelly Anne Priddle
99 E State St |
$94.71 | 606 | 565 |
|
Thomas Stanford Eagan
215 County Highway 128 |
$66.26 | 639 | 595 |
|
Kamini S Ramani
99 E State St |
$75.59 | 642 | 629 |
|
Jennifer Lynn Rivenburgh
11-21 Broadway St |
$61.22 | 668 | 609 |
|
Kayla E Putman
99 E State St |
$87.01 | 729 | 696 |
|
Kathleen Grace Landry
11 Broadway St |
$61.62 | 760 | 671 |
|
Paul Joseph Husson
99 E State St |
$71.00 | 806 | 799 |
|
Shri Kris Verma
99 E State St |
$99.15 | 894 | 877 |
|
Peter Edward Dowling
99 E State St |
$89.56 | 1,152 | 1,090 |
|
Julie Ann Dillenbeck-Juers
99 E State St |
$4.31 | 1,162 | 1,050 |
|
Nichole D Santiago
84 E State St |
$16.73 | 1,212 | 1,153 |
|
Kousai O Ali Khan
99 E State St |
$59.90 | 1,212 | 1,211 |
|
Dilip M Thakker
10 E 9Th Ave |
$64.52 | 1,220 | 745 |
|
Gabor Zoltay
99 E State St |
$81.91 | 1,465 | 1,446 |
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 Gloversville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gloversville, NY is $84.37 per claim, based on 118,676 claims from 69 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 Gloversville, NY?
There are 69 Medicaid providers offering Office Visit related services in Gloversville, NY according to public payment data.
What is the price range for Office Visit in Gloversville, NY?
Medicaid reimbursement for Office Visit in Gloversville, NY ranges from $4.31 to $161.26 per claim, with an average of $84.37. 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 Gloversville, NY
Blood Work & Lab Tests
Avg $7.25
152,020 claims
Psychiatric Evaluation
Avg $118.93
96,709 claims
Emergency Room Visit
Avg $112.47
46,932 claims
Urinalysis & Urine Tests
Avg $2.89
32,355 claims
Durable Medical Equipment (DME)
Avg $42.45
31,251 claims
Physical Therapy
Avg $47.23
25,768 claims
Vaccines & Immunizations
Avg $5.20
24,431 claims
Eye Exam
Avg $33.01
23,998 claims