Average Medicaid Office Visit Payments in Highland, NY: $93.01
Avg. Paid
$93.01
Range
$40.14 – $143.60
Total Claims
24,013
Providers
25
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 Highland, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michele Kee Goldman
514 Route 299 |
$86.56 | 12 | 12 |
|
Wendy Jessica Hawkins
514 Route 299 |
$80.81 | 12 | 12 |
|
Robert Anthony Williams
106 Vineyard Ave |
$40.14 | 15 | 15 |
|
Dalia Rosenstein
292 Orchard Rd |
$110.86 | 29 | 29 |
|
Cassandra Lynn Weigert
514 Route 299 |
$104.45 | 37 | 36 |
|
Michael Thomas Bywater
216 Route 299 |
$51.06 | 63 | 63 |
|
Hudson Valley Endocrinology, P.C.
29 Church St |
$143.60 | 93 | 93 |
|
Ashley Takacs
222 Route 299 |
$115.57 | 94 | 93 |
|
Stephen Richard Weinman
222 Route 299 |
$75.62 | 96 | 88 |
|
Jillian Carlstrom Perry
222 Route 299 |
$49.24 | 108 | 107 |
|
Oneida Lee Wands
514 Route 299 |
$71.27 | 127 | 121 |
|
Roger D Green
550 Route 299 |
$89.49 | 167 | 158 |
|
William Heffernan
514 State Route 299 |
$79.85 | 192 | 184 |
|
Sara Aitken
514 Ny-299 |
$84.02 | 196 | 187 |
|
Julie M Hansen
222 State Route 299 |
$101.30 | 435 | 431 |
|
Jennifer Grace Barresi
222 Route 299 |
$127.52 | 589 | 557 |
|
Robert Ortiz
29 Church St |
$96.23 | 929 | 927 |
|
Gurvinder Kaur
514 Route 299 |
$44.47 | 1,334 | 1,236 |
|
Child & Family Guidance Center Addiction Services Inc
106 Vineyard Ave |
$116.42 | 1,581 | 1,464 |
|
Firstcare Medical, Pc
222 Rte 299 |
$109.96 | 1,713 | 1,556 |
|
Linda Frances Mckenna
514 Route 299 |
$98.95 | 1,753 | 1,720 |
|
Lauren Renee Vigna
222 Route 299. |
$115.42 | 1,834 | 1,745 |
|
Brett Macaluso
550 Route 299 |
$102.84 | 1,840 | 1,796 |
|
Angela L. Sinon
158 Vineyard Ave |
$96.89 | 2,231 | 1,841 |
|
Chandra Lal Naik
158 Vineyard Ave |
$81.70 | 8,533 | 7,401 |
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 Highland, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Highland, NY is $93.01 per claim, based on 24,013 claims from 25 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 Highland, NY?
There are 25 Medicaid providers offering Office Visit related services in Highland, NY according to public payment data.
What is the price range for Office Visit in Highland, NY?
Medicaid reimbursement for Office Visit in Highland, NY ranges from $40.14 to $143.60 per claim, with an average of $93.01. 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 Highland, NY
Psychiatric Evaluation
Avg $90.62
141,474 claims
Substance Abuse Treatment
Avg $50.59
20,938 claims
Physical Therapy
Avg $50.83
4,656 claims
Eye Exam
Avg $63.54
4,564 claims
Blood Work & Lab Tests
Avg $3.96
2,907 claims
Speech Therapy
Avg $43.64
2,161 claims
Vaccines & Immunizations
Avg $9.08
2,011 claims
Home Health Visit
Avg $142.31
1,395 claims