Average Medicaid Office Visit Payments in Jefferson Valley, NY: $112.42
Avg. Paid
$112.42
Range
$60.30 – $152.25
Total Claims
12,449
Providers
14
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 Jefferson Valley, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wendy Ann Manowitz
3680 Hill Blvd |
$131.15 | 3,585 | 3,215 |
|
Amy Amin Patil
3680 Hill Blvd |
$136.17 | 3,192 | 2,810 |
|
Alisha Lenora Liggett
3680 Hill Blvd |
$60.30 | 2,805 | 2,254 |
|
Jeffrey Peter Schachne
3680 Hill Blvd |
$143.02 | 931 | 919 |
|
Iwona Dziewa
3680 Hill Blvd |
$61.07 | 615 | 576 |
|
Sharona Daube
3680 Hill Blvd |
$123.33 | 465 | 455 |
|
Minerva Santos
3680 Hill Blvd |
$96.96 | 272 | 271 |
|
Robert R Parks
3680 Hill Blvd |
$133.71 | 212 | 208 |
|
Timothy J Siglock
3680 Hill Blvd |
$123.47 | 175 | 163 |
|
Sejal R Otero
3630 Hill Blvd |
$103.49 | 87 | 75 |
|
William J Reed
3680 Hill Blvd |
$64.65 | 43 | 40 |
|
Raymond Opticians
3630 Hill Blvd |
$152.25 | 40 | 39 |
|
Young Ho Han
3680 Hill Blvd |
$101.99 | 15 | 12 |
|
John Daniel Scinto
3680 Hill Blvd |
$144.38 | 12 | 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 Jefferson Valley, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jefferson Valley, NY is $112.42 per claim, based on 12,449 claims from 14 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 Jefferson Valley, NY?
There are 14 Medicaid providers offering Office Visit related services in Jefferson Valley, NY according to public payment data.
What is the price range for Office Visit in Jefferson Valley, NY?
Medicaid reimbursement for Office Visit in Jefferson Valley, NY ranges from $60.30 to $152.25 per claim, with an average of $112.42. 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 Jefferson Valley, NY
Dental Cleaning & Exam
Avg $36.54
8,223 claims
Blood Work & Lab Tests
Avg $7.41
5,607 claims
Vaccines & Immunizations
Avg $11.42
3,239 claims
Dental Filling
Avg $89.49
2,707 claims
Physical Therapy
Avg $23.67
1,993 claims
Hearing Test (Audiometry)
Avg $27.82
1,776 claims
Eye Exam
Avg $125.75
810 claims
Tooth Extraction
Avg $81.09
767 claims