Average Medicaid Office Visit Payments in Johnstown, NY: $54.94
Avg. Paid
$54.94
Range
$12.31 – $183.06
Total Claims
27,324
Providers
25
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 Johnstown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luz Fabiola Alvarez
434 S Kingsboro Ave |
$82.57 | 16 | 16 |
|
Hadi Minhas
434 S Kingsboro Ave |
$124.37 | 25 | 25 |
|
Victoria Caruso
400 N Perry St |
$183.06 | 40 | 38 |
|
Parul Saxena
700 S. Perry St |
$32.81 | 69 | 60 |
|
John Mcphillips
279 Maloney Rd |
$69.18 | 124 | 118 |
|
Colleen Shaw
400 N Perry St |
$36.36 | 206 | 50 |
|
Betina G Courtens
110 Decker Dr Ste 100 |
$117.38 | 271 | 256 |
|
Lyndsey Gates
Po Box 62 |
$70.48 | 308 | 236 |
|
James Cristopher Izzano
700 S Perry St |
$63.34 | 361 | 349 |
|
Abigail Dionne
23 S Perry St |
$40.35 | 477 | 466 |
|
Lisa Marie Rotelli
110 Decker Dr Ste 100 |
$101.41 | 573 | 499 |
|
Laura Ann Caserta
434 South Kingsboro Avenue |
$92.81 | 683 | 675 |
|
Christie Flanagan
700 S Perry St |
$73.84 | 718 | 689 |
|
Stacey J Vanbuskirk
23 S Perry St |
$80.79 | 753 | 707 |
|
Lori L Schriner
700 S Perry St |
$42.09 | 898 | 869 |
|
Janis E Freeman
434 S Kingsboro Ave |
$86.70 | 916 | 855 |
|
Maureen Ann Wroblewski
700 S Perry St |
$22.35 | 1,665 | 1,585 |
|
Akber Hassam
2 Fon Clair Ter |
$57.86 | 1,767 | 1,564 |
|
Randie R Salmon
700 S Perry St |
$27.36 | 1,799 | 1,727 |
|
Danita Curtis
110 Decker Dr |
$73.83 | 1,826 | 1,724 |
|
Robin E Adams
700 South Perry St. |
$12.31 | 2,015 | 1,883 |
|
Jennifer Mehling
700 S Perry St |
$30.71 | 2,407 | 2,305 |
|
Joan Venerosa
700 S. Perry St. |
$33.91 | 2,824 | 2,661 |
|
Racquel Monroe
434 S Kingsboro Ave Ste 102 |
$84.88 | 3,220 | 2,997 |
|
Shannon Jane Colt
110 Decker Drive, Suite 100 |
$68.86 | 3,363 | 3,207 |
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 Johnstown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Johnstown, NY is $54.94 per claim, based on 27,324 claims from 25 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 Johnstown, NY?
There are 25 Medicaid providers offering Office Visit related services in Johnstown, NY according to public payment data.
What is the price range for Office Visit in Johnstown, NY?
Medicaid reimbursement for Office Visit in Johnstown, NY ranges from $12.31 to $183.06 per claim, with an average of $54.94. 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 Johnstown, NY
Home Health Visit
Avg $108.83
70,844 claims
Physical Therapy
Avg $40.76
57,436 claims
Dental Cleaning & Exam
Avg $60.66
17,367 claims
Speech Therapy
Avg $70.77
8,194 claims
Psychiatric Evaluation
Avg $93.94
7,387 claims
Ambulance Transport
Avg $91.13
5,307 claims
Vaccines & Immunizations
Avg $13.24
3,850 claims
Eye Exam
Avg $32.28
3,796 claims