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Based on public Medicaid payment data.

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

Other Procedures in Johnson City, NY