Average Medicaid Office Visit Payments in Hartsdale, NY: $93.38
Avg. Paid
$93.38
Range
$33.94 – $192.16
Total Claims
47,700
Providers
40
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 Hartsdale, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael A Tugetman
359 N Central Ave |
$87.42 | 10,835 | 10,390 |
|
Maja Ilic
210 N Central Ave Ste 250 |
$109.11 | 6,803 | 6,703 |
|
Elizabeth T Lee-Rey
141 S Central Ave Ste 5947 |
$81.48 | 4,614 | 4,051 |
|
Edgard Jose Salazar
234 North Central Park Avenue |
$62.80 | 2,999 | 2,521 |
|
Sarah Irene Bernier Korizis
141 N Central Ave |
$81.36 | 2,400 | 2,147 |
|
Marise St. Charles
141 S Central Ave Ste 205 |
$92.86 | 2,265 | 1,819 |
|
Christopher A. Orlando
111 N Central Ave |
$145.19 | 1,683 | 1,553 |
|
Paige Hempe
141 S Central Ave Ste 205 |
$82.80 | 1,577 | 1,304 |
|
Eric William Small
280 N Central Ave Ste 70 |
$103.21 | 1,430 | 1,256 |
|
Vinnette A Fisher
359 N Central Ave |
$47.76 | 1,394 | 1,372 |
|
Maxwell Mani Chait
180 E Hartsdale Ave |
$114.80 | 1,188 | 1,055 |
|
George Dirago
359 N Central Ave |
$88.67 | 1,186 | 1,127 |
|
Kiran Saraf
180 E Hartsdale Ave |
$140.09 | 1,016 | 914 |
|
Denis T Sconzo
141 S Central Ave Ste 205 |
$91.76 | 1,015 | 876 |
|
Nicola Camille Robinson
141 S Central Ave Ste 205 |
$79.66 | 1,014 | 931 |
|
Kafui A Demasio
280 N Central Ave Ste 100 |
$109.33 | 894 | 713 |
|
Pediatric Neurology Pc
210 N Central Ave Ste 250 |
$129.26 | 717 | 716 |
|
Michael John Orofino
141 S Central Ave Ste 205 |
$100.66 | 587 | 454 |
|
Christi Nicholas Gandham
359 N Central Ave |
$192.16 | 490 | 479 |
|
Sathish Modugu
280 N Central Ave |
$99.88 | 489 | 462 |
|
Robert E Rosenberg
280 N Central Ave |
$121.53 | 416 | 402 |
|
Carol Beverly Allen
19 Beechwood Rd |
$56.83 | 399 | 332 |
|
Patricia L Haber
64 Old Colony Rd |
$60.24 | 384 | 369 |
|
Jennifer L Longobardi
99 Fieldstone Dr |
$114.11 | 321 | 308 |
|
Sathish R. Modugu Medical Pc
280 N Central Ave |
$114.09 | 245 | 241 |
|
Jessica Dorsainvil
359 N Central Ave |
$33.94 | 243 | 239 |
|
Jeffrey Franklyn Donis
180 E Hartsdale Ave |
$77.90 | 242 | 210 |
|
Manvinder Singh
141 S Central Ave Ste 201 |
$87.24 | 221 | 216 |
|
Avner Reggev
280 N. Cetral Ave, #310A |
$42.23 | 171 | 132 |
|
Michelle Goldsammler
141 S Central Ave |
$101.06 | 129 | 127 |
|
Shawnlee P Hutchinson-Mitchell
141 S Central Ave Ste 205 |
$85.20 | 95 | 88 |
|
Saurabh Kaushik
724 Secor Rd |
$75.73 | 87 | 66 |
|
Aaron Spingarn
141 S Central Ave |
$49.14 | 27 | 25 |
|
Yat Wa Li
180 E Hartsdale Ave |
$121.05 | 27 | 25 |
|
Julian Gingold
141 S Central Ave Ste 201 |
$86.61 | 24 | 24 |
|
Dina Sharon Nelson
146 Alexander Ave |
$101.16 | 20 | 12 |
|
John Christian Douglas
141 N Central Ave |
$66.98 | 14 | 14 |
|
Sara F Kenamore
99 Fieldstone Dr |
$111.02 | 14 | 14 |
|
Fredric Bomback
99 Fieldstone Dr |
$116.58 | 13 | 12 |
|
Valbona Tolve
5 Darwood Pl |
$61.64 | 12 | 12 |
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 Hartsdale, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hartsdale, NY is $93.38 per claim, based on 47,700 claims from 40 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 Hartsdale, NY?
There are 40 Medicaid providers offering Office Visit related services in Hartsdale, NY according to public payment data.
What is the price range for Office Visit in Hartsdale, NY?
Medicaid reimbursement for Office Visit in Hartsdale, NY ranges from $33.94 to $192.16 per claim, with an average of $93.38. 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 Hartsdale, NY
Dental Cleaning & Exam
Avg $34.15
51,858 claims
Physical Therapy
Avg $57.55
23,944 claims
Psychiatric Evaluation
Avg $60.87
15,549 claims
Dental Filling
Avg $81.94
9,265 claims
Blood Work & Lab Tests
Avg $6.77
8,991 claims
Speech Therapy
Avg $36.16
7,442 claims
Urinalysis & Urine Tests
Avg $2.89
5,728 claims
Ultrasound
Avg $81.66
4,722 claims