Average Medicaid Office Visit Payments in Johnson City, NY: $64.00
Avg. Paid
$64.00
Range
$8.50 – $730.79
Total Claims
117,183
Providers
131
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 Johnson City, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gauri K Bhardwaj
699 Main St |
$90.62 | 7,052 | 5,174 |
|
Lorne R Campbell
40 Arch St |
$43.02 | 5,501 | 5,236 |
|
Nasreen N Battla
256 Harry L Dr |
$75.64 | 4,972 | 4,164 |
|
Charmi Patel
507 Main St |
$75.58 | 4,502 | 4,134 |
|
Tyson Don Brierley
40 Arch St |
$55.23 | 4,496 | 3,787 |
|
Charles Christopher Walcott
40 Arch St |
$59.74 | 4,461 | 3,767 |
|
David Channing Carter
639 Main St |
$81.40 | 4,188 | 3,817 |
|
Carol Miller
401 Main St Ste 1 |
$69.84 | 3,361 | 3,192 |
|
Uzma Anis
501 Reynolds Rd |
$61.71 | 3,195 | 3,078 |
|
Shilpa Sambidi
30 Harrison St |
$47.10 | 3,096 | 2,810 |
|
Joshua D. Steinberg
507 Main St |
$40.65 | 2,923 | 2,866 |
|
Daniel M Young
507 Main St |
$42.26 | 2,601 | 2,546 |
|
Josephine Sun Genese
507 Main St |
$52.71 | 2,583 | 2,501 |
|
Samuel Boi Addo
269 Riverside Dr |
$40.31 | 2,557 | 2,360 |
|
Liliane S El-Kassis
30 Harrison Street |
$50.78 | 2,334 | 2,220 |
|
Roshni Patel
507 Main St |
$72.23 | 2,276 | 2,155 |
|
Dhruv Agneshwar
355 Main St |
$62.46 | 2,208 | 1,960 |
|
Asha Gupta
260 Riverside Dr |
$104.13 | 2,112 | 2,100 |
|
James Crosby
40 Arch St |
$43.00 | 1,931 | 1,888 |
|
Jill Baron
804 Valley Plaza |
$42.48 | 1,890 | 1,652 |
|
Jocelyn Young
507 Main St |
$41.48 | 1,884 | 1,845 |
|
Katherine Holmes
40 Arch St |
$42.71 | 1,811 | 1,764 |
|
Derek Y Yuan
52 Harrison St Fl 2 |
$146.98 | 1,788 | 1,780 |
|
John Wacendak
40 Arch St |
$45.49 | 1,739 | 1,682 |
|
Stacy Lynn Congdon
40 Arch St |
$55.30 | 1,712 | 1,709 |
|
Diana Rasmussen
46 Harrison St |
$68.80 | 1,642 | 1,606 |
|
Runak Patel
639 Main St |
$81.44 | 1,547 | 1,437 |
|
Kelly Wilmarth
401 Main St Ste 1 |
$63.09 | 1,532 | 1,429 |
|
Olayinka O Wilhelm
40 Arch St |
$67.12 | 1,510 | 1,509 |
|
Domenico Leuci
365 Harry L Dr Ste 110 |
$60.47 | 1,379 | 1,330 |
|
Kevin David Goodman
33-57 Harrison St |
$67.65 | 1,333 | 1,326 |
|
Ronald P Harris
30 Harrison St |
$36.46 | 1,332 | 1,189 |
|
Himabindu Kasivajjula
639 Main Street |
$62.67 | 1,310 | 1,230 |
|
Deborah Cohen
507 Main St |
$66.97 | 1,305 | 1,217 |
|
Hasmik Stepanyan
30 Harrison Street |
$49.65 | 1,278 | 1,232 |
|
Rosanne Marie Ryan
30 Harrison St Ste 460 |
$55.16 | 1,237 | 1,233 |
|
Jillene Myrnelle Brathwaite
40 Arch St |
$65.85 | 1,147 | 1,146 |
|
Jacqueline E J Bhandari
507 Main St |
$38.03 | 1,130 | 1,105 |
|
Jerome Rosenstein
30 Harrison Street |
$82.32 | 1,108 | 992 |
|
Bai O Lee
41 Arch St |
$63.77 | 997 | 894 |
|
Suganya Mahinthan
507 Main St |
$40.84 | 978 | 948 |
|
Brenda L Carr
33-57 Harrison St |
$71.07 | 971 | 917 |
|
Erin Elizabeth Miller
33-57 Harrison St |
$72.00 | 874 | 773 |
|
Marion Eunice Berbano Tamesis
302 Reynolds Rd |
$86.64 | 867 | 844 |
|
Myriam Chlela
33-57 Harrison St |
$49.35 | 838 | 783 |
|
Mahmoud Issam Awad
30 Harrison St Ste 350 |
$59.27 | 818 | 817 |
|
James A Dellavalle
33-57 Harrison St |
$41.80 | 801 | 751 |
|
Matthew Thomas Bennett
52 Harrison St |
$65.41 | 784 | 763 |
|
Oana Stingu
46 Harrison St |
$88.74 | 771 | 759 |
|
Bryan Matthew Burke
33-57 Harrison St |
$70.15 | 750 | 727 |
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 Johnson City, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Johnson City, NY is $64.00 per claim, based on 117,183 claims from 131 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 Johnson City, NY?
There are 131 Medicaid providers offering Office Visit related services in Johnson City, NY according to public payment data.
What is the price range for Office Visit in Johnson City, NY?
Medicaid reimbursement for Office Visit in Johnson City, NY ranges from $8.50 to $730.79 per claim, with an average of $64.00. 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 Johnson City, NY
Emergency Room Visit
Avg $90.11
91,076 claims
EKG / ECG (Electrocardiogram)
Avg $6.43
69,464 claims
X-Ray
Avg $7.09
69,385 claims
Ultrasound
Avg $52.91
31,734 claims
Blood Work & Lab Tests
Avg $10.08
27,631 claims
Home Health Visit
Avg $85.28
27,018 claims
Durable Medical Equipment (DME)
Avg $71.54
26,814 claims
CT Scan (Computed Tomography)
Avg $39.85
19,325 claims