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 |
|---|---|---|---|
|
Robert Thomas Vangorder
240 Riverside Dr |
$56.80 | 12 | 12 |
|
James J Vincens
30 Harrison St |
$84.20 | 12 | 12 |
|
Natalie Roney
302 Reynolds Rd |
$62.56 | 12 | 12 |
|
Joseph Andusko
46 Harrison St |
$64.95 | 12 | 12 |
|
Stephen Czumak
30 Harrison St Ste 460 |
$27.57 | 12 | 12 |
|
Michael Aronis
30 Harrison Street |
$121.34 | 12 | 12 |
|
Mary L Barr
41 Arch Street |
$56.99 | 12 | 12 |
|
Lakshmi Sanivarapu
507 Main St |
$76.63 | 12 | 12 |
|
Owais Ahmed
30 Harrison St |
$26.31 | 13 | 12 |
|
Kord Williams
240 Riverside Dr |
$54.27 | 13 | 13 |
|
Rasha Aurshiya
30 Harrison St Ste 250 |
$136.54 | 14 | 13 |
|
Laxmi Upadhyay
33-57 Harrison St |
$15.33 | 14 | 12 |
|
Kenneth Clair Foxx
46 Harrison St |
$11.01 | 17 | 12 |
|
Curtis Frederick
30 Harrison St Ste 455 |
$86.25 | 19 | 18 |
|
Katarzyna Halina Czerniecka-Foxx
46 Harrison St |
$58.20 | 19 | 13 |
|
Debra Anne Schaffer
30 Harrison St Ste 100 |
$8.50 | 19 | 14 |
|
Mark Vincent Wilson
240 Riverside Dr |
$79.76 | 19 | 18 |
|
Jessie Lynn Flurschutz
30 Harrison St Ste 250 |
$68.31 | 21 | 13 |
|
Karen Castoro
401 Main St Ste 1 |
$57.20 | 24 | 24 |
|
Christine Snyder
46 Harrison St |
$58.77 | 25 | 25 |
|
Nasir Hussain
30 Harrison St Ste 250 |
$52.31 | 26 | 25 |
|
Kimberly S Belke
240 Riverside Dr. |
$49.19 | 26 | 26 |
|
Kyung In Kim
240 Riverside Dr |
$80.99 | 27 | 25 |
|
Molly Robinson
52 Harrison St |
$57.19 | 27 | 26 |
|
Joseph Garrehy
46 Harrison St |
$98.05 | 27 | 27 |
|
Molly Ursula Feeney
240 Riverside Dr |
$44.71 | 28 | 24 |
|
Stephen G Federowicz
240 Riverside Dr |
$63.89 | 29 | 29 |
|
Arthur Miller
33-57 Harrison St |
$43.65 | 29 | 29 |
|
Peter Babatunde Ojo
30 Harrison St |
$85.50 | 31 | 29 |
|
Emily Grace Dunn
33-57 Harrison St |
$8.56 | 38 | 38 |
|
Alissa Giammarino
46 Harrison St |
$70.15 | 40 | 39 |
|
Susan Boyko
30 Harrison St Ste 250 |
$36.25 | 41 | 40 |
|
Clayton John Read
30 Harrison St Ste 250 |
$51.28 | 41 | 41 |
|
Zachary Allyn Jones
33-57 Harrison St |
$74.57 | 43 | 42 |
|
Paul W Traverse
30 Harrison St |
$25.75 | 44 | 44 |
|
Nicholas John Tarnowski
33-57 Harrison St |
$42.93 | 46 | 46 |
|
Hisham Kashou
30 Harrison St Ste 250 |
$55.78 | 48 | 48 |
|
Andrea M Shaul
639 Main St |
$62.27 | 59 | 55 |
|
Kristen M Lewis
30 Harrison St |
$50.48 | 63 | 61 |
|
Muhammad I Ali
52 Harrison St |
$67.35 | 64 | 63 |
|
Crystal L. Baker
30 Harrison St Ste 355 |
$25.42 | 65 | 54 |
|
Roman Thomas Pachulski
30 Harrison St |
$158.09 | 83 | 82 |
|
Rana Zaheer Ahmad
40 Arch St |
$53.81 | 84 | 84 |
|
Iskandar I Kassis
33-57 Harrison St |
$53.01 | 88 | 85 |
|
Corina Arana
507 Main St |
$41.51 | 97 | 91 |
|
Keyoor Patel
30 Harrison St Ste 250 |
$74.97 | 100 | 95 |
|
Donna T West
33-57 Harrison St |
$73.73 | 103 | 100 |
|
Nicole Leann Weber
33-57 Harrison St |
$71.51 | 106 | 99 |
|
Jeffrey M King
15 Riverside Dr |
$39.61 | 110 | 107 |
|
Serazul A Khan
30 Harrison St |
$48.83 | 110 | 99 |
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