Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Ithaca, NY: $91.74

Avg. Paid

$91.74

Range

$0.00 – $485.74

Total Claims

275,900

Providers

201

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 Ithaca, NY

Provider	Avg. Paid	Claims	Patients
Malcolm D Brand 2432 N Triphammer Rd	$33.19	12	12
Sushilkumar Satish Gupta 201 Dates Dr Ste 310	$90.39	12	12
Deana Bonno 8 Brentwood Dr	$26.04	12	12
Joyce Leslie 620 W Seneca St	$68.65	12	12
Jonathan Keffer 110 Ho Plz	$107.46	12	12
Sarah Batschelet 209 W State St	$12.75	12	12
Donna Jo Brigham 1051 Craft Rd	$89.86	12	12
Elizabeth Ann Lorenc 101 Dates Dr	$101.70	13	13
Emeline M Mandeville 301 W State St	$68.94	13	13
Brian S Marino 2432 N Triphammer Rd	$109.18	13	13
Jada Hamilton 110 Ho Plaza	$0.00	13	13
Erica Lawlor 16 Brentwood Dr	$80.37	13	13
Sanjeev Vohra 1301 Trumansburg Rd	$9.83	13	12
Bradley Thomas Dewitt 1780 Hanshaw Rd	$116.94	14	14
Shantell Kargbeh 215 E State St	$113.52	14	13
Sharon S. Kozlowski 1780 Hanshaw Rd	$13.35	14	13
Anthony R. Mato 401 Cayuga Park Ln Ste 300	$73.11	14	12
Ann R Costello 217 N Aurora St	$66.92	16	13
Ashley Marie Matter 20 Arrowood Dr	$78.53	16	14
Yulia Maggart 10 Graham Rd W	$102.65	17	17
Timothy Eric Bael 201 Harris B Dates Dr	$3.96	17	12
Carol Thuytien Berlin 209 West State Street	$80.71	18	18
Qutaybeh S Maghaydah 310 Taughannock Blvd	$70.72	24	24
Sharinne Sukhnanand 401 Cayuga Park Ln Ste 201	$67.72	24	24
Melissa Anne Pinckney 101 Dates Dr	$90.62	25	25
Sharon L Ziegler 209 W State St	$77.02	27	27
Sristee Niraula 101 Dates Dr	$111.91	29	29
Meredith Sax Bourne 720 Willow Ave	$124.01	29	28
Barbara A Wood 217 Linn St	$62.69	32	32
Benjamin R Mcclintic 1780 Hanshaw Rd	$73.61	36	36
Emily Rose Dvorak 1301 Trumansburg Rd Ste P	$90.97	37	37
Rachel Elizabeth Ayers 2 Ascot Pl	$83.14	45	42
Anurag Aryal 905 Hanshaw Rd	$139.75	45	43
Marie Harkins 1020 Craft Rd Ste C	$87.46	55	53
Judith Scherer 209 W State St	$52.15	55	54
Steven A Gelber 20 Arrowood Dr	$81.40	57	52
Elizabeth Gebhart Howard Gebhart 209 W State St	$53.56	59	36
Joshua Eric Hamilton 101 Dates Dr	$84.73	63	63
Elizabeth Billie Marshall 310 Taughannock Blvd Ste 3	$72.90	65	63
Christina Diane Morse 101 Dates Dr	$57.38	66	65
Janette J Lee 1301 Trumansburg Rd Ste R	$122.73	68	67
Peter Scott Schwartz 2333 N Triphammer Rd	$76.71	71	65
Joseph A Mannino 16 Brentwood Dr	$50.25	72	67
Fnu Seemant 310 Taughannock Blvd	$81.49	72	72
Kaili Du 101 Dates Drive, Cayuga Medical Center	$114.20	74	72
Serena H. Yoon 8 Brentwood Dr	$69.57	81	73
Rubin Man Pradhan 720 Willow Ave	$84.40	81	81
David Edward Newman 953 Danby Rd	$52.17	87	83
Akram H Mahmoud 905 Hanshaw Rd Ste A	$88.87	87	86
Guillermo E Ferrer 8 Brentwood Drive	$88.06	88	79

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 Ithaca, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ithaca, NY is $91.74 per claim, based on 275,900 claims from 201 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 Ithaca, NY?

There are 201 Medicaid providers offering Office Visit related services in Ithaca, NY according to public payment data.

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

Medicaid reimbursement for Office Visit in Ithaca, NY ranges from $0.00 to $485.74 per claim, with an average of $91.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Ithaca, NY: $91.74

Providers Offering Office Visit in Ithaca, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Ithaca, NY

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Home Health Visit

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Dental Cleaning & Exam

Physical Therapy

Vaccines & Immunizations

Emergency Room Visit