Average Medicaid Office Visit Payments in Halfmoon, NY: $79.62
Avg. Paid
$79.62
Range
$5.34 – $107.94
Total Claims
52,732
Providers
38
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 Halfmoon, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Allison Doyle Graziadei
1783 Route 9 Ste 203 |
$99.73 | 12 | 12 |
|
Gina C Ptak
1783 Route 9 Ste 102 |
$104.96 | 25 | 25 |
|
Mary Ellen Johnson
1783 Route 9 Ste 102 |
$61.91 | 26 | 26 |
|
Sofia Violeta De La Cruz
1783 Route 9 Ste 201 |
$5.34 | 28 | 24 |
|
Laura Engelbrecht
1783 Route 9 Ste 102 |
$28.38 | 45 | 36 |
|
Alexa A Decerce
3 Executive Park Dr |
$68.22 | 47 | 44 |
|
Luke V Rigolosi
1768 Route 9 |
$92.12 | 52 | 52 |
|
Adriana Lisinschi
3 Crossing Blvd |
$88.63 | 54 | 49 |
|
Alice Yang-Hee Kim
1735 Route 9 |
$67.72 | 55 | 52 |
|
Evan Boyd
1768 Route 9 |
$80.69 | 68 | 59 |
|
Eleanor Elizabeth Muller
1783 Route 9 Ste 204 |
$55.98 | 94 | 91 |
|
Shelley Justa
1783 Route 9 |
$57.44 | 94 | 92 |
|
Courtney Dejesus
1768 Route 9 |
$73.96 | 95 | 93 |
|
Jessica Riggins
1783 Route 9 Ste 203 |
$83.05 | 126 | 116 |
|
Kalynne Rose Spinks
1783 Route 9 Ste 204 |
$66.19 | 164 | 158 |
|
Michael Francis O'Brien
103 Sitterly Rd Ste 2300 |
$55.21 | 185 | 172 |
|
Breanna Tahany
1783 Route 9 Ste 204 |
$62.84 | 249 | 236 |
|
Lisa M Greenwald
1783 Route 9 |
$77.24 | 261 | 256 |
|
Birute Wise
1783 Route 9 |
$33.82 | 412 | 375 |
|
Christine Soojin Kim
1783 Route 9 Ste 205 |
$79.19 | 432 | 409 |
|
Fallon Victoria Etkin
1783 Route 9 Ste 204 |
$83.03 | 561 | 548 |
|
Christina Paddon
1783 Route 9 Ste 203 |
$96.99 | 628 | 628 |
|
David Post
1768 Route 9 |
$97.86 | 990 | 941 |
|
Elizabeth Mary Petitt
1783 Route 9 Ste 204 |
$75.79 | 1,056 | 926 |
|
Kevin Emr
1768 Route 9 |
$96.56 | 1,071 | 1,045 |
|
Eric Carl Schnakenberg
1783 Route 9 |
$60.59 | 1,573 | 1,482 |
|
Patrick F Mcdermott
1768 Route 9 |
$71.70 | 1,663 | 1,654 |
|
Adria Erin Newberry
1768 Route 9 |
$77.71 | 1,821 | 1,809 |
|
Karen Margaret Powers
1783 Route 9 Ste 101 |
$107.94 | 1,840 | 1,817 |
|
Elena Rosenbaum
1714 Route 9 Ste A |
$44.71 | 2,085 | 1,523 |
|
Miguel Diaz
1783 Route 9 |
$60.19 | 2,234 | 2,054 |
|
Rena Lefkowitz
1673 Route 9 |
$74.59 | 2,293 | 988 |
|
Kathleen Garbarino Bennett
1783 Route 9 |
$46.32 | 2,361 | 2,195 |
|
Fabio Leonidas Urresta
3 Newcastle Rd |
$79.78 | 2,643 | 2,371 |
|
Meredyth L Monahan
1768 Route 9 |
$79.35 | 4,236 | 4,228 |
|
Angelina M Miseno-Callaghan
1694 Route 9 |
$65.87 | 4,571 | 4,515 |
|
Steven David Hicks
1783 Route 9 |
$98.34 | 5,561 | 5,346 |
|
Richard Joseph Simmons
1783 Route 9 |
$91.46 | 13,021 | 12,664 |
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 Halfmoon, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Halfmoon, NY is $79.62 per claim, based on 52,732 claims from 38 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 Halfmoon, NY?
There are 38 Medicaid providers offering Office Visit related services in Halfmoon, NY according to public payment data.
What is the price range for Office Visit in Halfmoon, NY?
Medicaid reimbursement for Office Visit in Halfmoon, NY ranges from $5.34 to $107.94 per claim, with an average of $79.62. 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 Halfmoon, NY
Durable Medical Equipment (DME)
Avg $41.22
7,458 claims
Dental Cleaning & Exam
Avg $31.28
4,517 claims
Blood Work & Lab Tests
Avg $3.77
4,141 claims
EKG / ECG (Electrocardiogram)
Avg $8.93
3,384 claims
Psychiatric Evaluation
Avg $84.63
2,956 claims
Vaccines & Immunizations
Avg $20.23
2,815 claims
X-Ray
Avg $16.49
1,764 claims
Mammogram
Avg $61.18
1,353 claims