Average Medicaid Office Visit Payments in Hopewell Junction, NY: $77.63
Avg. Paid
$77.63
Range
$26.78 – $151.22
Total Claims
61,424
Providers
39
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 Hopewell Junction, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ogleh I Nesheiwat
1989 Route 52 |
$54.75 | 19,912 | 15,292 |
|
Zeiad Abraham Fakhouri
1531 Route 82 |
$105.76 | 5,043 | 4,671 |
|
Grace Silverio
45 Foster Rd |
$90.94 | 4,118 | 3,579 |
|
Rabi Ranjan Sinha
822 Route 82 |
$52.44 | 3,268 | 1,990 |
|
Gurvinder K Virk
129 Clove Branch Rd |
$99.24 | 3,197 | 2,790 |
|
Kathleen Ennabi
2529 Route 52 |
$106.54 | 3,084 | 2,746 |
|
Ralph Alberico Gargiulo
45 Foster Road |
$96.56 | 2,173 | 1,975 |
|
Suresh Chandani
1123 Route 82 |
$68.57 | 1,916 | 1,702 |
|
Laura M Varlaro
45 Foster Rd |
$93.47 | 1,799 | 1,632 |
|
Christos Kyrou
1007 Route 82 |
$73.36 | 1,457 | 1,254 |
|
Lex Randal Harvey
45 Foster Rd |
$88.76 | 1,391 | 1,184 |
|
Hong Chen
45 Foster Rd |
$89.88 | 1,375 | 1,276 |
|
Nancy Giannini
2529 Route 52 |
$96.77 | 1,080 | 1,023 |
|
Vincent James Bosco
45 Foster Rd |
$77.84 | 1,078 | 1,046 |
|
Annabell Garcia
822 Ny-82 |
$116.42 | 980 | 937 |
|
Bridget Connolly
2529 New York 52 |
$94.74 | 923 | 868 |
|
Kim Sharon Hardwick
45 Foster Rd |
$78.45 | 880 | 838 |
|
Nesheiwat Medical Practice, Pc
1989 Route 52, Suite 2 |
$68.24 | 842 | 678 |
|
Meredith Patricia Calderon
45 Foster Rd |
$94.50 | 835 | 766 |
|
Subhash Kulkarni
129 Clove Branch Rd |
$92.03 | 788 | 659 |
|
Rodrigo Penalosa
10 Cranberry Dr |
$111.08 | 764 | 728 |
|
Sidhant Sehrawat
16 Darci Dr |
$74.47 | 693 | 688 |
|
Rabi R Sinha Physician P.C.
45 Foster Rd |
$73.83 | 586 | 519 |
|
Carissa Marie Miller
137 Creamery Rd |
$26.78 | 533 | 495 |
|
Susan M. Perkins
2345 Route 52 |
$61.00 | 492 | 452 |
|
Jeannie Ocasio-Hampton
2543 Route 52 |
$78.93 | 369 | 310 |
|
Fakhouri Medical Health Office P.C.
1531 Route 82 |
$83.26 | 328 | 294 |
|
Bruce Todd Sanders
45 Foster Rd |
$110.38 | 318 | 299 |
|
Nicole Marie Dimuria
44 Caties Way |
$99.48 | 255 | 253 |
|
Annie L Miranda
1989 Route 52 |
$123.58 | 225 | 223 |
|
Barbara R White
129 Clove Branch Road |
$70.17 | 191 | 175 |
|
Telmo Couto Santos
2529 Route 52 Ste 3 |
$42.22 | 185 | 180 |
|
Duane Hampton
2543 Route 52 |
$81.75 | 148 | 132 |
|
Patricia Shannon
45 Foster Rd |
$79.56 | 69 | 66 |
|
Robin Flam
10 Cranberry Dr |
$109.86 | 60 | 54 |
|
Elizabeth Lauron Dela Torre
10 Cranberry Dr |
$151.22 | 30 | 29 |
|
Rafiq Baksh
55 Moore Rd |
$40.03 | 14 | 14 |
|
Ann E. Nunez
10 Cranberry Dr |
$91.62 | 13 | 12 |
|
Naomi Catherine Vivanco
10 Cranberry Dr |
$122.10 | 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 Hopewell Junction, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hopewell Junction, NY is $77.63 per claim, based on 61,424 claims from 39 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 Hopewell Junction, NY?
There are 39 Medicaid providers offering Office Visit related services in Hopewell Junction, NY according to public payment data.
What is the price range for Office Visit in Hopewell Junction, NY?
Medicaid reimbursement for Office Visit in Hopewell Junction, NY ranges from $26.78 to $151.22 per claim, with an average of $77.63. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Hopewell Junction, NY
Dental Cleaning & Exam
Avg $30.78
33,927 claims
Physical Therapy
Avg $54.65
18,133 claims
Blood Work & Lab Tests
Avg $2.85
17,908 claims
Psychiatric Evaluation
Avg $73.49
10,319 claims
Vaccines & Immunizations
Avg $9.41
5,250 claims
Dental Filling
Avg $72.02
3,647 claims
Nursing Facility Care
Avg $8.21
2,495 claims
Urinalysis & Urine Tests
Avg $2.26
2,010 claims