Average Medicaid Office Visit Payments in Horseheads, NY: $80.73
Avg. Paid
$80.73
Range
$12.65 – $136.57
Total Claims
166,477
Providers
65
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 Horseheads, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Christopher Phillips
31 Arnot Rd |
$88.92 | 22,434 | 21,203 |
|
Amy L White
3344 Chambers Rd Ste 200 |
$93.16 | 17,325 | 16,415 |
|
Christopher A. Smith
2977 Westinghouse Rd |
$101.59 | 13,890 | 13,389 |
|
Brian D. Cassetta
31 Arnot Rd |
$95.03 | 11,684 | 10,979 |
|
Tina Marie Nichols
3344 Chambers Rd Ste 200 |
$96.66 | 8,700 | 8,308 |
|
Amanda Elyse Marengo
3005 Watkins Rd |
$65.37 | 7,894 | 7,439 |
|
Robyn L Thompson
100 John Roemmelt Dr |
$61.69 | 5,256 | 5,107 |
|
Rodrigo T. Samodal
100 John Roemmelt Dr Ste 200 |
$59.44 | 4,789 | 4,139 |
|
Sean Allen Stryker
100 John Roemmelt Dr Ste 302 |
$57.16 | 4,492 | 4,269 |
|
Abdelkader Mallouk
100 John Roemmelt Dr Ste 302 |
$68.19 | 4,147 | 3,947 |
|
Paulette Lewis
31 Arnot Rd |
$82.17 | 3,454 | 3,323 |
|
John Juriga
3344 Chambers Rd Ste 200 |
$79.86 | 3,431 | 3,336 |
|
Olusoji Derek Olakanpo
3344 Chambers Rd Ste 100 |
$104.79 | 3,392 | 3,277 |
|
Subodh Kumar Debnath
100 John Roemmelt Dr |
$55.69 | 3,389 | 3,241 |
|
Ravi Raj Kavuda
100 John Roemmelt Dr Ste 203 |
$65.87 | 3,282 | 2,903 |
|
Heidi Renee Wilson
100 John Roemmelt Dr |
$66.64 | 3,230 | 3,206 |
|
Miranda Daniell Beeman
3344 Chambers Rd Ste 100 |
$76.91 | 3,013 | 2,743 |
|
Venkata Ravi Sankarun Akula
100 John Roemmelt Dr |
$46.16 | 2,824 | 2,718 |
|
Amr M. Elsisi
31 Arnot Rd |
$85.58 | 2,774 | 2,649 |
|
Todd Wang
100 John Roemmelt Dr Ste 301 |
$68.85 | 2,691 | 2,470 |
|
Jill Reidy
100 John Roemmelt Dr |
$66.96 | 2,499 | 2,396 |
|
Victoria L Smith
100 John Roemmelt Dr Ste 101 |
$85.76 | 2,401 | 2,360 |
|
Renee Elizabeth Abderhalden-Friend
100 John Roemmelt Dr Ste 301 |
$64.68 | 2,299 | 2,130 |
|
Nadanaguru Akila
100 John Roemmelt Dr |
$72.13 | 2,197 | 2,003 |
|
Shirley J Glann
100 John Roemmelt Dr |
$51.20 | 2,022 | 1,967 |
|
Elizabeth Tak Fun Ho
31 Arnot Rd |
$136.57 | 1,903 | 1,780 |
|
Rebecca Lynn Bjorck
100 John Roemmelt Dr |
$56.04 | 1,729 | 1,713 |
|
Sarah Lynne Yorke
100 John Roemmelt Dr |
$86.46 | 1,546 | 1,530 |
|
John R Dowling
3344 Chambers Rd Ste 200 |
$27.98 | 1,384 | 1,369 |
|
Edward Champoux
2977 Westinghouse Rd |
$120.10 | 1,325 | 1,309 |
|
Kathleen A Machuga
100 John Roemmelt Dr Ste 302 |
$76.62 | 1,085 | 1,030 |
|
Robin Renee French
31 Arnot Rd |
$46.20 | 983 | 974 |
|
Leigh Anne Dries
31 Arnot Rd |
$48.51 | 963 | 912 |
|
Rebecca O Fears
100 John Roemmelt Dr |
$74.78 | 946 | 873 |
|
Paul Plez Tinsley
100 John Roemmelt Dr |
$77.64 | 885 | 863 |
|
Christopher C Wawrzusin
31 Arnot Rd |
$29.86 | 857 | 803 |
|
Anna Mary Clifford
3344 Chambers Rd Ste 100 |
$77.60 | 806 | 760 |
|
Mattie Louise Sutherland
100 John Roemmelt Dr Ste 204 |
$75.94 | 721 | 706 |
|
Andrew S Black
100 John Roemmelt Dr Ste 102 |
$56.40 | 662 | 585 |
|
Erica L Mendelsohn
100 John Roemmelt Dr Ste 300 |
$64.95 | 661 | 636 |
|
Julie A Luckman
2977 Westinghouse Rd |
$63.25 | 584 | 579 |
|
Roberta Ann Grant
100 John Roemmelt Dr Ste 204 |
$71.37 | 576 | 556 |
|
Rebecca Carr
100 John Roemmelt Dr Ste 101 |
$60.26 | 564 | 560 |
|
Brittney C Winton
100 John Roemmelt Dr Ste 301 |
$71.26 | 561 | 524 |
|
John Jacobs
100 John Roemmelt Dr Ste 101 |
$63.93 | 546 | 541 |
|
Heidie Elizabeth Nobles
100 John Roemmelt Dr Fl 3 |
$92.73 | 479 | 446 |
|
Jared M Smith
100 John Roemmelt Dr Ste 102 |
$70.45 | 412 | 394 |
|
Najeeb Ur Rehman
3344 Chambers Rd |
$101.70 | 379 | 373 |
|
Leonid Segal
100 John Roemmelt Dr Ste 300 |
$58.89 | 375 | 374 |
|
Robert E Burke
100 John Roemmelt Dr |
$72.63 | 323 | 290 |
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 Horseheads, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Horseheads, NY is $80.73 per claim, based on 166,477 claims from 65 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 Horseheads, NY?
There are 65 Medicaid providers offering Office Visit related services in Horseheads, NY according to public payment data.
What is the price range for Office Visit in Horseheads, NY?
Medicaid reimbursement for Office Visit in Horseheads, NY ranges from $12.65 to $136.57 per claim, with an average of $80.73. 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 Horseheads, NY
Vaccines & Immunizations
Avg $11.62
35,488 claims
Physical Therapy
Avg $50.17
18,085 claims
Psychiatric Evaluation
Avg $58.87
12,911 claims
Blood Work & Lab Tests
Avg $0.50
12,582 claims
Dental Cleaning & Exam
Avg $45.28
10,453 claims
Tooth Extraction
Avg $120.33
7,183 claims
EKG / ECG (Electrocardiogram)
Avg $7.28
5,955 claims
Pulmonary Function Test
Avg $45.98
4,231 claims