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 |
|---|---|---|---|
|
Kate Susanne Larrabee
31 Arnot Rd |
$12.65 | 12 | 12 |
|
Muhammad F Faruqui
100 John Roemmelt Dr Ste 301 |
$27.58 | 13 | 12 |
|
Yada Cain
100 John Roemmelt Dr Ste 203 |
$69.51 | 15 | 15 |
|
Peter T Remec
100 John Roemmelt Dr |
$58.33 | 27 | 26 |
|
Bryan Lee Jarvis
100 John Roemmelt Dr |
$72.47 | 28 | 28 |
|
Jennilee Rose Brinks
31 Arnot Rd |
$31.14 | 42 | 38 |
|
Heather Abdalla
31 Arnot Rd |
$45.74 | 71 | 49 |
|
Maria Scorzelli Webb
100 John Roemmelt Dr Ste 200 |
$106.88 | 91 | 82 |
|
Shannon Daugherty
31 Arnot Rd |
$37.90 | 118 | 110 |
|
Alan B Roessler
3344 Chambers Rd |
$71.13 | 135 | 132 |
|
Anita Richardson-Sasson
735 Chambers Rd |
$54.68 | 143 | 123 |
|
Beth M Dollinger
100 John Roemmelt Dr |
$59.98 | 227 | 203 |
|
Monica Fara Giganti
31 Arnot Rd |
$95.38 | 229 | 223 |
|
Vidyasagar Mokureddy
100 John Roemmelt Dr |
$115.16 | 255 | 253 |
|
Amy Hilliker
100 John Roemmelt Dr |
$79.61 | 307 | 281 |
|
Robert E Burke
100 John Roemmelt Dr |
$72.63 | 323 | 290 |
|
Leonid Segal
100 John Roemmelt Dr Ste 300 |
$58.89 | 375 | 374 |
|
Najeeb Ur Rehman
3344 Chambers Rd |
$101.70 | 379 | 373 |
|
Jared M Smith
100 John Roemmelt Dr Ste 102 |
$70.45 | 412 | 394 |
|
Heidie Elizabeth Nobles
100 John Roemmelt Dr Fl 3 |
$92.73 | 479 | 446 |
|
John Jacobs
100 John Roemmelt Dr Ste 101 |
$63.93 | 546 | 541 |
|
Brittney C Winton
100 John Roemmelt Dr Ste 301 |
$71.26 | 561 | 524 |
|
Rebecca Carr
100 John Roemmelt Dr Ste 101 |
$60.26 | 564 | 560 |
|
Roberta Ann Grant
100 John Roemmelt Dr Ste 204 |
$71.37 | 576 | 556 |
|
Julie A Luckman
2977 Westinghouse Rd |
$63.25 | 584 | 579 |
|
Erica L Mendelsohn
100 John Roemmelt Dr Ste 300 |
$64.95 | 661 | 636 |
|
Andrew S Black
100 John Roemmelt Dr Ste 102 |
$56.40 | 662 | 585 |
|
Mattie Louise Sutherland
100 John Roemmelt Dr Ste 204 |
$75.94 | 721 | 706 |
|
Anna Mary Clifford
3344 Chambers Rd Ste 100 |
$77.60 | 806 | 760 |
|
Christopher C Wawrzusin
31 Arnot Rd |
$29.86 | 857 | 803 |
|
Paul Plez Tinsley
100 John Roemmelt Dr |
$77.64 | 885 | 863 |
|
Rebecca O Fears
100 John Roemmelt Dr |
$74.78 | 946 | 873 |
|
Leigh Anne Dries
31 Arnot Rd |
$48.51 | 963 | 912 |
|
Robin Renee French
31 Arnot Rd |
$46.20 | 983 | 974 |
|
Kathleen A Machuga
100 John Roemmelt Dr Ste 302 |
$76.62 | 1,085 | 1,030 |
|
Edward Champoux
2977 Westinghouse Rd |
$120.10 | 1,325 | 1,309 |
|
John R Dowling
3344 Chambers Rd Ste 200 |
$27.98 | 1,384 | 1,369 |
|
Sarah Lynne Yorke
100 John Roemmelt Dr |
$86.46 | 1,546 | 1,530 |
|
Rebecca Lynn Bjorck
100 John Roemmelt Dr |
$56.04 | 1,729 | 1,713 |
|
Elizabeth Tak Fun Ho
31 Arnot Rd |
$136.57 | 1,903 | 1,780 |
|
Shirley J Glann
100 John Roemmelt Dr |
$51.20 | 2,022 | 1,967 |
|
Nadanaguru Akila
100 John Roemmelt Dr |
$72.13 | 2,197 | 2,003 |
|
Renee Elizabeth Abderhalden-Friend
100 John Roemmelt Dr Ste 301 |
$64.68 | 2,299 | 2,130 |
|
Victoria L Smith
100 John Roemmelt Dr Ste 101 |
$85.76 | 2,401 | 2,360 |
|
Jill Reidy
100 John Roemmelt Dr |
$66.96 | 2,499 | 2,396 |
|
Todd Wang
100 John Roemmelt Dr Ste 301 |
$68.85 | 2,691 | 2,470 |
|
Amr M. Elsisi
31 Arnot Rd |
$85.58 | 2,774 | 2,649 |
|
Venkata Ravi Sankarun Akula
100 John Roemmelt Dr |
$46.16 | 2,824 | 2,718 |
|
Miranda Daniell Beeman
3344 Chambers Rd Ste 100 |
$76.91 | 3,013 | 2,743 |
|
Heidi Renee Wilson
100 John Roemmelt Dr |
$66.64 | 3,230 | 3,206 |
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