Average Medicaid Office Visit Payments in Latham, NY: $74.76
Avg. Paid
$74.76
Range
$1.97 – $153.72
Total Claims
170,004
Providers
168
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 Latham, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Care Physicians, Pllc
6 Wellness Way Ste 201 |
$75.71 | 8,419 | 7,914 |
|
Daniel Greenblatt
7B Johnson Rd |
$103.54 | 7,626 | 7,599 |
|
Oleksiy Loytra
6 Wellness Way Ste 111 |
$75.78 | 7,208 | 7,161 |
|
Alexandr Cheslawovich Sazon
6 Wellness Way Ste 111 |
$76.80 | 5,161 | 5,133 |
|
Natalie Wight Lopasic
767 Troy Schenectady Rd Ste 1 |
$96.48 | 4,818 | 4,778 |
|
Tatiana Sazon
6 Wellness Way Ste 111 |
$70.93 | 4,737 | 4,705 |
|
Jessica L Lawson
6 Wellness Way Ste 102 |
$64.03 | 4,560 | 4,441 |
|
Silvia Y Beaupre
8 Stanley Cir |
$57.45 | 4,381 | 4,266 |
|
Jenna Laine Warner
6 Wellness Way Ste 102 |
$57.29 | 4,160 | 4,034 |
|
Luis Daniel Diaz
6 Wellness Way Ste 106 |
$74.13 | 4,137 | 3,693 |
|
Sarah Elizabeth Aluck
6 Wellness Way Ste 102 |
$68.25 | 4,069 | 3,940 |
|
Heather Melissa Matott
6 Wellness Way Ste 102 |
$62.60 | 3,584 | 3,371 |
|
Kimberly Ann Collen
6 Wellness Way Ste 111 |
$72.70 | 3,560 | 3,542 |
|
Peter Joseph Ness
920 Albany Shaker Rd |
$97.53 | 3,499 | 3,425 |
|
Melissa A. Deimling
6 Wellness Way Ste 102 |
$65.22 | 3,437 | 3,288 |
|
Maude A Kaye
7B Johnson Rd |
$114.01 | 3,410 | 3,385 |
|
Jitka Ludmila Zobal-Ratner
920 Albany Shaker Rd |
$83.25 | 3,362 | 3,352 |
|
Anthony F Malone
6 Wellness Way Ste 101 |
$109.52 | 3,195 | 3,109 |
|
Donna Marie Finn-Kuo
1205 Troy Schenectady Rd Ste 101 |
$72.80 | 3,048 | 2,552 |
|
Amanda Jayne Dvorscak
6 Wellness Way Ste 102 |
$60.23 | 2,999 | 2,901 |
|
Zyra Cortez O'Connor
6 Wellness Way Ste 102 |
$70.24 | 2,925 | 2,691 |
|
Eileen M Spillane
1205 Troy Schenectady Rd Ste 101 |
$66.54 | 2,745 | 2,482 |
|
Olufemi Akinyede
713 Troy Schenectady Rd Ste 224 |
$27.97 | 2,618 | 2,101 |
|
Jeannine Cox
1205 Troy Schenectady Rd Ste 101 |
$61.81 | 2,520 | 2,508 |
|
Asma Arif
6 Wellness Way Ste G03 |
$43.07 | 2,453 | 2,400 |
|
Ranen Chakraborty
6 Wellness Way Ste 109 |
$75.47 | 2,365 | 2,353 |
|
Abdul S. Khan
711 Troy Schenectady Rd Ste 207 |
$78.60 | 2,319 | 2,299 |
|
Kristina M Lahtinen-Aley
6 Wellness Way Ste 102 |
$69.55 | 2,309 | 2,241 |
|
Rebecca Rose Sheehan
6 Wellness Way Ste 101 |
$104.37 | 1,952 | 1,889 |
|
Valerie K Ramsey Cummins
1205 Troy Schenectady Rd |
$48.84 | 1,949 | 1,663 |
|
Matthew Thomas Hickling
6 Wellness Way Ste 101 |
$136.65 | 1,872 | 1,869 |
|
Marvee Gay Santiago Espiritu
711 Troy Schenectady Rd Ste 102 |
$79.90 | 1,820 | 1,811 |
|
Kate Alison Woll
6 Wellness Way Ste 102 |
$64.47 | 1,652 | 1,567 |
|
Katelyn Haker
1205 Troy Schenectady Rd Ste 101 |
$62.74 | 1,589 | 1,583 |
|
Michele Summers Colon
180 Old Loudon Rd |
$67.85 | 1,554 | 874 |
|
April Marie St. Peter
6 Wellness Way Ste 101 |
$153.58 | 1,453 | 1,453 |
|
Sheela S Graney
10 Century Hill Dr |
$58.67 | 1,448 | 1,379 |
|
Abdelhakim Dinar
711 Troy Schenectady Road |
$94.88 | 1,388 | 1,379 |
|
Maryla Warszawa-Ambros
10 Century Hill Dr |
$57.20 | 1,385 | 1,313 |
|
Barbara Nguyen
6 Wellness Way Ste 113 |
$74.13 | 1,383 | 1,334 |
|
Stephanie Guice
10 Century Hill Dr |
$53.54 | 1,366 | 1,308 |
|
Everett Roy Forman
585 Troy Schenectady Rd |
$55.17 | 1,360 | 1,282 |
|
Heather Lynn Maggio
711 Troy Schenectady Rd Ste 202 |
$22.81 | 1,342 | 620 |
|
Theodore Talma
Crhp-711 Troy-Schenectady Rd |
$44.47 | 1,317 | 1,261 |
|
Erin Veenker Larrabee
6 Wellness Way Ste 101 |
$153.43 | 1,312 | 1,312 |
|
Matthew Levine
950 New Loudon Rd |
$62.67 | 1,290 | 1,217 |
|
Nicole Ann Storey
920 Albany Shaker Rd Ste 101 |
$90.19 | 1,265 | 1,254 |
|
William Bruce Clark
585 Lew Loudon Road |
$54.11 | 1,207 | 1,130 |
|
Marisa Dagostino
1205 Troy Schenectady Rd Ste 101 |
$55.16 | 1,173 | 1,168 |
|
Gerard Patrick Barry
920 Albany Shaker Rd |
$97.43 | 1,128 | 1,118 |
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 Latham, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Latham, NY is $74.76 per claim, based on 170,004 claims from 168 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 Latham, NY?
There are 168 Medicaid providers offering Office Visit related services in Latham, NY according to public payment data.
What is the price range for Office Visit in Latham, NY?
Medicaid reimbursement for Office Visit in Latham, NY ranges from $1.97 to $153.72 per claim, with an average of $74.76. 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 Latham, NY
Home Health Visit
Avg $74.67
35,478,401 claims
Personal Care Services
Avg $80.56
32,717,488 claims
Non-Emergency Medical Transportation
Avg $99.50
1,139,153 claims
X-Ray
Avg $5.98
89,273 claims
Durable Medical Equipment (DME)
Avg $41.92
44,887 claims
Vaccines & Immunizations
Avg $32.56
40,717 claims
Psychiatric Evaluation
Avg $82.93
35,512 claims
Ambulance Transport
Avg $105.20
34,464 claims