Average Medicaid Office Visit Payments in Kingston, NY: $82.77
Avg. Paid
$82.77
Range
$0.00 – $582.38
Total Claims
201,696
Providers
156
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 Kingston, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Manpreet Grewal
105 Marys Ave |
$90.41 | 24,939 | 9,018 |
|
Lee Isabell
334 Plaza Road |
$89.06 | 10,235 | 9,693 |
|
Wesley Hok Man Ho
1 Family Practice Dr |
$87.43 | 6,013 | 5,761 |
|
Francesca A Hilmi
117 Marys Ave |
$58.22 | 5,876 | 5,395 |
|
Hudson Valley Family Physicians
117 Marys Ave |
$87.04 | 5,238 | 4,849 |
|
Marta Sanchez
1 Family Practice Dr |
$84.84 | 4,674 | 4,511 |
|
Aimee L. Smith
1 Family Practice Dr |
$83.24 | 4,473 | 4,333 |
|
Eric B Stamberg
334 Plaza Rd |
$82.61 | 4,463 | 4,248 |
|
John B Mitchell
291 Wall St |
$168.90 | 4,332 | 1,715 |
|
Aarathi Nagaraja
360 Washington Ave |
$96.14 | 4,324 | 2,571 |
|
Michael Sheran
360 Washington Ave |
$61.19 | 4,152 | 3,764 |
|
Joseph Christiana
55 Grand St |
$54.97 | 4,151 | 4,077 |
|
Martha Smith
9 Family Practice Dr |
$90.27 | 4,122 | 3,772 |
|
Susan A Baez
105 Mary'S Avenue |
$43.32 | 4,096 | 3,787 |
|
Medical Associates Of The Hudson Valley
360 Washington Ave |
$106.28 | 3,780 | 3,526 |
|
Catherine Lala
105 Mary Avenue |
$181.71 | 3,631 | 1,492 |
|
Michael Ignat
1 Family Practice Dr |
$88.17 | 3,250 | 3,148 |
|
Vanessa Lorraine Tocco-Stevens
9 Family Practice Dr |
$86.56 | 3,203 | 3,094 |
|
Mark Josefski
1 Family Practice Dr |
$85.26 | 3,181 | 3,106 |
|
Matthias Vonreusner
211 Hurley Ave |
$65.97 | 3,112 | 2,976 |
|
Govind Prakash Chaturvedi
33 Grand St Ste 39B |
$61.84 | 3,002 | 2,960 |
|
Megan Ann Mcmullan
1 Family Practice Dr |
$83.19 | 2,902 | 2,848 |
|
Healthalliance Hospital Broadway Campus
396 Broadway |
$109.06 | 2,889 | 2,114 |
|
Amber Noelle Mitchell
1240 Ulster Ave |
$82.79 | 2,651 | 2,604 |
|
Kieran Liggan-Casey
3 Family Practice Dr |
$43.09 | 2,546 | 2,428 |
|
Faisal Waheed Paracha
1240 Ulster Ave |
$62.23 | 2,430 | 2,248 |
|
Healthalliance Hospital Marys Avenue Campus
105 Marys Ave |
$125.55 | 2,412 | 1,801 |
|
Maya Hambright
167 Green St |
$99.76 | 2,273 | 2,181 |
|
Suchee Madhusudan
27 Grand St |
$67.30 | 2,230 | 2,206 |
|
Howard S. Adler
396 Broadway |
$63.01 | 2,211 | 2,201 |
|
Janet N Tamai
365 Broadway |
$50.97 | 2,141 | 2,114 |
|
Riccardo J Esposito
462 Broadway |
$70.72 | 1,981 | 1,809 |
|
Himanshu Parikh
1 Family Practice Dr |
$73.41 | 1,979 | 1,853 |
|
Megumi Tamaki-Seiffert
1 Family Practice Dr |
$79.71 | 1,903 | 1,833 |
|
Hurley Ave Family Med Pllc
211 Hurley Ave |
$77.58 | 1,817 | 1,697 |
|
Jonas Benjamin Telson
1 Family Practice Dr |
$72.18 | 1,795 | 1,769 |
|
Marjorie Affel
1 Family Practice Dr |
$78.87 | 1,630 | 1,604 |
|
Holly Ellison
185 Green St |
$46.44 | 1,606 | 1,554 |
|
Daniel C Longo
103 Hurley Avenue |
$83.89 | 1,563 | 1,466 |
|
Ricardo Leon
105 Marys Ave |
$87.33 | 1,537 | 1,489 |
|
Michael C Keller
103 Hurley Ave |
$80.06 | 1,508 | 1,360 |
|
Philip M Weiss
1 Family Practice Dr |
$82.85 | 1,485 | 1,451 |
|
Mercedes Lat
1 Family Practice Dr |
$88.70 | 1,482 | 1,363 |
|
Iris A Grett
57 Deer Run Rd |
$51.07 | 1,432 | 1,340 |
|
Chester L Robbins
211 Hurley Ave |
$56.17 | 1,404 | 1,366 |
|
Karl Kruszynski
40 Hurley Ave Ste 10 |
$88.71 | 1,399 | 1,362 |
|
Charles Kutler
360 Washington Avr |
$62.45 | 1,316 | 1,104 |
|
Jennifer Thornell
40 Hurley Ave Ste 10 |
$68.22 | 1,275 | 1,263 |
|
Douglas F Tumen
103 Hurley Avenue |
$84.96 | 1,263 | 1,190 |
|
Ali Hammoud
55 Grand St |
$55.31 | 1,244 | 1,207 |
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 Kingston, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingston, NY is $82.77 per claim, based on 201,696 claims from 156 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 Kingston, NY?
There are 156 Medicaid providers offering Office Visit related services in Kingston, NY according to public payment data.
What is the price range for Office Visit in Kingston, NY?
Medicaid reimbursement for Office Visit in Kingston, NY ranges from $0.00 to $582.38 per claim, with an average of $82.77. 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 Kingston, NY
Psychiatric Evaluation
Avg $86.72
143,853 claims
Substance Abuse Treatment
Avg $28.52
141,973 claims
Blood Work & Lab Tests
Avg $12.82
107,929 claims
Emergency Room Visit
Avg $101.57
106,755 claims
EKG / ECG (Electrocardiogram)
Avg $4.59
36,439 claims
Urinalysis & Urine Tests
Avg $1.16
29,814 claims
X-Ray
Avg $5.54
29,617 claims
Dental Cleaning & Exam
Avg $22.63
28,746 claims