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 |
|---|---|---|---|
|
The Reach Project Inc
402 N Cayuga St |
$119.09 | 48,293 | 45,261 |
|
John Andrew Bradshaw
10 Graham Rd W |
$27.64 | 10,998 | 10,563 |
|
Tompkins County Mental Health Services
201 E Green St |
$140.85 | 9,030 | 8,779 |
|
Amitabh Shrivastava
1301 Trumansburg Rd |
$99.26 | 7,760 | 7,069 |
|
Joseph William Flanagan
840 Hanshaw Rd |
$89.31 | 6,702 | 6,575 |
|
Matthew Reilly Estill
1780 Hanshaw Rd |
$93.68 | 6,614 | 6,308 |
|
Mariah Magargee Pieretti
840 Hanshaw Rd |
$87.14 | 5,811 | 5,696 |
|
David Eric Ristedt
1780 Hanshaw Rd |
$91.98 | 5,793 | 5,640 |
|
Timothy C Harris
10 Graham Road West |
$86.93 | 5,756 | 5,429 |
|
Brian Jeffrey Kramer
10 Graham Rd W |
$94.65 | 5,697 | 5,399 |
|
Andrea Beth Sharkness
1301 Trumansburg Rd |
$82.15 | 5,278 | 4,914 |
|
Jessica L Casey
1301 Trumansburg Rd |
$90.06 | 4,916 | 4,687 |
|
Rizwan Khan
840 Hanshaw Rd |
$95.28 | 4,815 | 4,731 |
|
James Lamott Darling
10 Arrowood Dr |
$83.64 | 4,132 | 4,098 |
|
Carolyn Koppel
1301 Trumansburg Rd |
$83.82 | 3,677 | 3,492 |
|
Jeannie Trujillo
402 N Cayuga St |
$22.35 | 3,666 | 3,621 |
|
Radomir D Stevanovic
2343 N Triphammer Rd |
$86.97 | 3,612 | 3,152 |
|
Robert J Meador
1301 Trumansburg Road |
$85.47 | 3,438 | 3,389 |
|
Bruce L. Kuntz
1780 Hanshaw Rd |
$94.46 | 3,327 | 3,160 |
|
Oyinade Akinyede
10 Graham Rd W |
$89.79 | 3,323 | 3,187 |
|
Andrea G Torrado
10 Graham Rd W |
$85.58 | 3,294 | 3,188 |
|
Family & Children'S Service Of Ithaca Inc
127 W State St Fl 1 |
$101.46 | 3,215 | 2,829 |
|
Julie Dk Mcnairn
904 E Shore Dr |
$83.38 | 3,170 | 3,092 |
|
Lindsay Brianne Tamborelle
10 Graham Rd W |
$91.83 | 3,122 | 3,045 |
|
Brian D Babiak
301 W State St |
$94.90 | 2,864 | 2,816 |
|
Jamie Katz
10 Graham Rd W |
$97.14 | 2,743 | 2,646 |
|
Planned Parenthood Of The Southern Finger Lakes Inc.
620 W Seneca St |
$145.94 | 2,742 | 2,652 |
|
Audrey H Desilva
10 Graham Rd W |
$85.78 | 2,467 | 2,391 |
|
Monica Brace Van Houten
619 W State St Ste 100 |
$81.55 | 2,445 | 1,175 |
|
Catherine Jean Cannariato
1780 Hanshaw Rd |
$98.42 | 2,416 | 2,312 |
|
Ithaca Alpha House Center, Inc.
334 W State St |
$115.64 | 2,386 | 2,004 |
|
Victor Villagonzalo
2255 N Triphammer Rd |
$72.01 | 2,386 | 2,127 |
|
Ralph Joseph Zinn
16 Brentwood Dr |
$96.20 | 2,337 | 2,252 |
|
Jacob William Skezas
1780 Hanshaw Rd |
$92.92 | 2,315 | 2,253 |
|
Timothy John Kujawski
10 Arrowood Dr |
$89.43 | 2,287 | 2,270 |
|
Lyndsey Ann Armstrong
10 Arrowood Dr |
$77.54 | 2,208 | 2,196 |
|
Mark A Wernham
1051 Craft Rd |
$87.10 | 2,174 | 2,161 |
|
Yonit T Estrin
10 Graham Road West |
$61.03 | 2,117 | 2,004 |
|
Valentina V. Galyanova
1780 Hanshaw Rd |
$83.78 | 2,101 | 1,935 |
|
Alyssa G Bovalino
101 Dates Dr |
$64.14 | 2,076 | 2,060 |
|
Reilly Washington Coch
201 Dates Dr |
$79.28 | 1,972 | 1,700 |
|
Tiffany Roberts Lanza
10 Graham Rd W |
$29.56 | 1,837 | 1,500 |
|
Julie J Higgins
740 S Meadow St |
$78.70 | 1,807 | 1,788 |
|
Kanwal Ejaz
905 Hanshaw Rd Ste C |
$100.69 | 1,725 | 1,678 |
|
Robert M Corey
10 Brentwood Dr Ste B |
$110.20 | 1,614 | 1,567 |
|
Patricia Zalewski-Gibson
201 E Green St |
$103.22 | 1,603 | 1,235 |
|
Benjamin Francis Donohue
16 Brentwood Dr |
$75.82 | 1,571 | 1,504 |
|
Richard Allen
101 Dates Dr |
$67.52 | 1,558 | 1,501 |
|
Michael Waters
16 Brentwood Dr Ste A |
$85.21 | 1,548 | 1,418 |
|
Jonathan Eric Cryer
2 Ascot Place |
$90.87 | 1,540 | 1,509 |
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.
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 Ithaca, NY
Blood Work & Lab Tests
Avg $12.34
228,527 claims
Home Health Visit
Avg $109.46
150,183 claims
Psychiatric Evaluation
Avg $129.72
149,037 claims
Substance Abuse Treatment
Avg $41.10
119,813 claims
Dental Cleaning & Exam
Avg $40.00
69,490 claims
Physical Therapy
Avg $68.89
58,299 claims
Vaccines & Immunizations
Avg $9.72
56,934 claims
Emergency Room Visit
Avg $140.66
55,803 claims