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 |
|---|---|---|---|
|
Jennifer Anne Papuzza
6 Wellness Way Ste 114 |
$76.35 | 12 | 12 |
|
Efrossini Antonia Kolios
6 Wellness Way Ste G01 |
$78.68 | 12 | 12 |
|
Victoria Klass
6 Wellness Way Ste 201 |
$49.85 | 12 | 12 |
|
Douglas Joseph Czaplicki
1205 Troy Schenectady Rd Ste 101 |
$71.86 | 12 | 12 |
|
Lisa A Oberg
11 Century Hill Drive |
$56.21 | 13 | 12 |
|
Ellen E Gallagher
585 New Loudon Road |
$64.59 | 13 | 13 |
|
Scott Cameron Dexter
713 Troy Schenectady Rd |
$30.55 | 13 | 13 |
|
Robyn Rutkiewicz
585 New Loudon Road |
$56.76 | 13 | 13 |
|
Betsy Varghese Rajan
585 New Loudon Rd |
$58.48 | 13 | 13 |
|
Natalie Ann Dikun
6 Wellness Way Ste 114 |
$62.55 | 13 | 12 |
|
Peter E. Fisk
6 Wellness Way Ste G03 |
$83.12 | 14 | 14 |
|
Amy Nellie Lane
8 Century Hill Dr |
$49.89 | 14 | 14 |
|
Diane A Bourke
7B Johnson Rd |
$110.06 | 14 | 14 |
|
Philip S K Paty
6 Wellness Way Ste G02 |
$76.03 | 14 | 14 |
|
Victoria Marie Mitchell
6 Wellness Way Ste 108 |
$34.69 | 15 | 14 |
|
James Michael Belarmino
6 Wellness Way Ste G01 |
$78.26 | 15 | 15 |
|
Jessica Aiko Hausler
8 Century Hill Dr |
$63.97 | 17 | 14 |
|
Danielle Stefania Kopecki
1214 Troy Schenectady Rd |
$27.14 | 18 | 18 |
|
Sujata R Kane
724 Watervliet Shaker Rd |
$8.97 | 18 | 15 |
|
Charles Arthur Friedlander
694 Troy Schenectady Rd |
$77.29 | 19 | 12 |
|
Deborah Paige Warner
711 Troy Schenectady Rd |
$31.15 | 19 | 19 |
|
Nicola Rivers
1205 Troy Schenectady Rd Ste 101 |
$40.26 | 23 | 21 |
|
Lanessa Renee Brant
38A Old Sparrowbush Rd |
$62.96 | 24 | 24 |
|
Brian H Glick
1205 Troy Schenectady Rd Ste 101 |
$77.62 | 25 | 25 |
|
Una B Larson
1205 Troy Schenectady Rd Ste 101 |
$46.27 | 26 | 25 |
|
Manish Mehta
6 Wellness Way Ste G02 |
$82.95 | 26 | 26 |
|
Kathleen Mary Lanka
930 Albany Shaker Rd |
$30.90 | 26 | 24 |
|
Maegan Fucci
1205 Troy Schenectady Rd Ste 101 |
$86.90 | 26 | 26 |
|
Russell Wenacur
6 Wellness Way Ste 201 |
$55.50 | 27 | 25 |
|
Theresa A Jones-Kingman
713 Troy Schenectady Rd Ste 215 |
$52.46 | 28 | 27 |
|
Tami Seaman
6 Wellness Way Ste 114 |
$44.25 | 29 | 27 |
|
Brittney Aupperle
6 Wellness Way Ste G01 |
$56.95 | 29 | 28 |
|
Desiree Joyce Mollnow
410 Troy Schenectady Rd Ste 203 |
$79.43 | 30 | 30 |
|
Debra B Rappazzo
585 New Loudon Road |
$62.55 | 39 | 39 |
|
Zandra Rios-Rivera
Crhp-711 Troy-Schenectady Rd |
$22.54 | 39 | 38 |
|
Kristine Campagna
6 Wellness Way Ste 114 |
$65.28 | 43 | 43 |
|
Aaron J Siebeneck
6 Wellness Way Ste 105 |
$52.85 | 43 | 39 |
|
Shaker Pediatrics Pc
10 Century Hill Drive |
$70.28 | 43 | 38 |
|
Cara Wickham
1205 Troy Schenectady Rd Ste 101 |
$41.92 | 47 | 46 |
|
James M Roth
7B Johnson Rd |
$76.43 | 56 | 56 |
|
Donnamarie Elizabeth Martocci
6 Wellness Way Ste 109 |
$58.09 | 56 | 54 |
|
Marjorie Russell
36 British American Blvd |
$48.00 | 57 | 45 |
|
George O Stasior
930 Albany Shaker Rd |
$96.02 | 58 | 51 |
|
Maya Valentin
713 Troy Schenectady Rd Ste 304 |
$65.03 | 65 | 65 |
|
Holly Cleney
6 Wellness Way Ste 114 |
$87.08 | 66 | 65 |
|
Cynthia L Cook
930 Albany Shaker Rd |
$96.44 | 70 | 69 |
|
Janine Elizabeth Griffith
713 Troy Schenectady Rd Ste 224 |
$53.94 | 71 | 68 |
|
Geri L Aitken
6 Wellness Way Ste 109 |
$69.12 | 71 | 69 |
|
William Frances Owens
3 Lear Jet Ln Ste 203 |
$27.30 | 72 | 70 |
|
Capital Region Pediatric Medical Eye Consultant, Pllc
920 Albany Shaker Rd Ste 101 |
$78.07 | 77 | 76 |
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