Average Medicaid Office Visit Payments in Loudonville, NY: $62.02
Avg. Paid
$62.02
Range
$53.37 – $74.53
Total Claims
7,285
Providers
10
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 Loudonville, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hwal Lee
407 Albany Shaker Rd Ste 100 |
$64.94 | 3,144 | 2,164 |
|
Michelle Elizabeth Cafaro
407 Albany Shaker Rd Ste 100 |
$54.56 | 1,196 | 1,138 |
|
Priscela Lizette Kugblenu
407 Albany Shaker Rd |
$69.53 | 969 | 926 |
|
John Buddenhagen
407 Albany Shaker Rd |
$57.51 | 730 | 621 |
|
Hedy Migden
407 Albany Shaker Rd Ste 100 |
$60.07 | 661 | 636 |
|
Mark Oldendorf
407 Albany Shaker Rd Ste 100 |
$53.37 | 359 | 345 |
|
William Kohler
407 Albany Shaker Rd |
$61.47 | 96 | 90 |
|
Page V. Salenger
407 Albany Shaker Rd |
$58.44 | 70 | 68 |
|
Ashok Baghel
9 Hilander Dr |
$74.53 | 40 | 38 |
|
Amy M Ovitt
407 Albany Shaker Rd |
$59.26 | 20 | 20 |
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 Loudonville, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Loudonville, NY is $62.02 per claim, based on 7,285 claims from 10 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 Loudonville, NY?
There are 10 Medicaid providers offering Office Visit related services in Loudonville, NY according to public payment data.
What is the price range for Office Visit in Loudonville, NY?
Medicaid reimbursement for Office Visit in Loudonville, NY ranges from $53.37 to $74.53 per claim, with an average of $62.02. 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 Loudonville, NY
Nursing Facility Care
Avg $15.11
1,092 claims
Vaccines & Immunizations
Avg $15.55
341 claims
Blood Work & Lab Tests
Avg $6.89
299 claims
Dialysis
Avg $23.88
242 claims
Emergency Room Visit
Avg $29.67
195 claims
Psychiatric Evaluation
Avg $86.08
123 claims
Anesthesia Services
Avg $65.87
45 claims
Ultrasound
Avg $85.60
21 claims