Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Hornell, NY: $69.09

Avg. Paid

$69.09

Range

$2.47 – $108.97

Total Claims

144,280

Providers

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 Hornell, NY

Provider	Avg. Paid	Claims	Patients
St James Hospital 7329 Seneca Road North	$108.70	33,831	30,606
Tejinder S. Virdee 181 Seneca St	$79.55	23,985	21,185
John Geoffrey Robshaw 411 Canisteo St	$67.55	11,863	11,315
Tamera S. Suzanne 20 Elm St	$44.15	10,384	4,780
Uzma Mehr 20 Elm St	$37.79	9,908	7,826
Adrian Ashdown 6279 South Hornell Rd	$49.63	7,023	6,491
Sampath Neerukonda 476 Canisteo St	$38.47	6,302	5,723
Pamela Salzmann 7309 Seneca Rd N Ste 112	$50.86	5,474	3,735
Kimberly Hoover 7309 Seneca Rd N Ste 112	$36.54	5,271	2,467
Jennifer Lee Fox Hand 7309 Seneca Rd N	$32.17	4,635	1,950
Pasquale Picco 20 Elm St	$44.01	3,318	2,803
Andres I Rubert 411 Canisteo St	$50.79	3,155	2,383
Elaine Burritt 20 Elm St	$34.66	2,360	1,649
Kimberley A Betker 6279 South Hornell Rd	$66.54	2,099	1,955
Sierra Nicole Hockaday 181 Seneca St Ste 2	$92.91	1,737	1,649
Rhonda Lynn Peterson 49 Center St	$69.16	1,729	1,630
Alicia Mchale 7309 Seneca Rd N Ste 109	$74.71	1,710	1,643
Sharon Loraine Smith 20 Elm St	$59.25	1,655	1,531
Robert Whelpley 20 Elm St	$56.45	1,291	1,151
Dawn Sterner 181 Seneca St Ste 2	$84.45	1,070	1,018
Andrew Jeffrey Wilhelm 7329 Seneca Rd N	$66.61	858	825
Penny Ashton 181 Seneca St Ste 2	$108.97	838	794
John Stirling Halpenny 20 Elm St	$46.70	814	685
Heather Anne Cox 111 Loder St Ste A	$55.40	562	547
Kathyron Ann Maine 111 Loder St	$66.23	423	390
Julie Grace Van Baardwijk 7309 Seneca Rd N Ste 109	$57.77	257	239
Eric Lauron Tharmathurai 7309 Seneca Rd N Ste 109	$59.51	242	233
Jessica A Hogle 111 Loder St Ste A	$52.42	241	235
Nasar A Chaudhry 327 Seneca Rd	$40.93	201	183
Shannon Billings 7309 Seneca Rd N	$2.47	189	185
Gurumurthaiah V Nagabhushana 470 Canisteo St	$46.70	186	181
Mariah K. Rittwage 111 Loder St Ste A	$41.71	162	156
Jennifer Lynn Wetherby 7309 Seneca Rd N	$60.31	128	124
Michelle S Bennett 15 Pleasant St	$71.49	113	109
Joy Juhee Hur 7309 Seneca Rd N Ste 109	$54.89	75	70
Anna Rose Cappadonia 181 Seneca St	$59.70	73	73
Southern Tier Optometric Center, Inc. 55 Center St	$36.60	46	44
Shannon Kaempffe 111 Loder St	$34.79	24	24
Timothy S Mcdaniel 55 Center St	$35.44	19	12
Giacomo Joseph Florio 411 Canisteo St	$62.13	16	16
Pradeep S Sharda 21 Orchard St	$20.33	13	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 Hornell, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hornell, NY is $69.09 per claim, based on 144,280 claims from 41 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 Hornell, NY?

There are 41 Medicaid providers offering Office Visit related services in Hornell, NY according to public payment data.

What is the price range for Office Visit in Hornell, NY?

Medicaid reimbursement for Office Visit in Hornell, NY ranges from $2.47 to $108.97 per claim, with an average of $69.09. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Hornell, NY: $69.09

Providers Offering Office Visit in Hornell, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Hornell, NY

Blood Work & Lab Tests

Emergency Room Visit

Home Health Visit

Vaccines & Immunizations

Physical Therapy

Durable Medical Equipment (DME)

Dental Cleaning & Exam

Urinalysis & Urine Tests