Average Medicaid Office Visit Payments in Katonah, NY: $66.53
Avg. Paid
$66.53
Range
$0.00 – $212.43
Total Claims
15,734
Providers
23
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 Katonah, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sheldon Axelrod
111 Bedford Rd |
$136.73 | 12 | 12 |
|
Galya S Lodish
60 Goldens Bridge Rd |
$109.82 | 17 | 15 |
|
Matthew P Howard
111 Bedford Rd |
$129.11 | 27 | 26 |
|
Christine Karwowski
111 Bedford Rd |
$212.43 | 59 | 58 |
|
Pamela S Hoffman
200 Katonah Ave |
$3.97 | 65 | 62 |
|
Marissa Sarhadi
5 North Ln |
$114.15 | 81 | 57 |
|
Simon H Chin
111 Bedford Rd |
$118.72 | 95 | 95 |
|
Jewel Barboza
800 Cross River Rd |
$46.01 | 162 | 143 |
|
Gitta Sonia Vashi
800 Cross River Rd |
$136.76 | 181 | 121 |
|
Adam Ozols
111 Bedford Rd |
$143.80 | 191 | 178 |
|
Martha Lino
800 Cross River Rd |
$1.19 | 206 | 147 |
|
Christine A Mitchell
15 Parkway # 2 |
$33.96 | 236 | 114 |
|
Deanna Rosenberg
10 Sawgrass Dr |
$91.79 | 257 | 251 |
|
Gregory S Wisdom
111 Bedford Rd |
$140.97 | 301 | 295 |
|
Eric A Rudin
111 Bedford Rd |
$145.60 | 489 | 488 |
|
Anitha R Bachireddy
800 Cross River Rd |
$89.45 | 644 | 581 |
|
Danyelle S Morston
800 Cross River Rd |
$0.00 | 899 | 601 |
|
Andrew M Shapiro
200 Katonah Ave |
$50.51 | 1,073 | 386 |
|
Ayelet Mizrachi-Jonisch
111 Bedford Rd |
$129.03 | 1,119 | 1,090 |
|
Daniel Gifeisman
2875 Ny-35 |
$7.78 | 1,175 | 643 |
|
Kathryn J. Mcdonnell
800 Cross River Rd |
$89.04 | 1,817 | 1,762 |
|
Westchester Health Medical, P.C.
190 Goldens Bridge Rd |
$98.14 | 2,627 | 2,468 |
|
Brittany Thornton
800 Cross River Rd |
$29.10 | 4,001 | 3,274 |
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 Katonah, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Katonah, NY is $66.53 per claim, based on 15,734 claims from 23 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 Katonah, NY?
There are 23 Medicaid providers offering Office Visit related services in Katonah, NY according to public payment data.
What is the price range for Office Visit in Katonah, NY?
Medicaid reimbursement for Office Visit in Katonah, NY ranges from $0.00 to $212.43 per claim, with an average of $66.53. 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 Katonah, NY
Nursing Facility Care
Avg $19.90
8,098 claims
Hearing Test (Audiometry)
Avg $99.44
5,724 claims
Psychiatric Evaluation
Avg $63.23
3,763 claims
Physical Therapy
Avg $73.51
3,515 claims
Blood Work & Lab Tests
Avg $9.50
2,284 claims
Behavioral & Mental Health Therapy
Avg $189.69
1,948 claims
Vaccines & Immunizations
Avg $11.47
1,221 claims
Chiropractic Care
Avg $0.00
795 claims