Average Medicaid Office Visit Payments in Malone, NY: $92.08
Avg. Paid
$92.08
Range
$0.00 – $417.37
Total Claims
144,410
Providers
49
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 Malone, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Justine Lawrence
183 Park St |
$93.51 | 12 | 12 |
|
Adam Douglas Hill
133 Park St |
$21.54 | 13 | 13 |
|
Dawn Sharlow
183 Park St Ste 3 |
$0.00 | 14 | 13 |
|
Ramneesh Trehan
80 Elm St Apt 6 |
$40.39 | 14 | 14 |
|
Brenda Lepage
133 Park St |
$2.66 | 16 | 15 |
|
Qi Si Xue
133 Park St |
$0.00 | 16 | 15 |
|
Chris Ann Steele
134 Park St |
$9.97 | 28 | 28 |
|
Jennifer Lynn Shull
183 Park St |
$11.24 | 29 | 28 |
|
Abigail Ann Smith
308 Creighton Road |
$31.32 | 44 | 39 |
|
Kelsie Rae Fournier
380 County Route 51 |
$45.45 | 72 | 43 |
|
Mary Reilly Mcgonagle
133 Park St |
$70.10 | 74 | 72 |
|
Kelsey Burnham
31 6Th St |
$17.02 | 78 | 71 |
|
Kamie Lynn O'Connor
31 6Th St |
$86.69 | 81 | 26 |
|
Anjni Bhagat
5 Clay St |
$16.03 | 98 | 91 |
|
Vivian Lee Compton
15 Forth St. |
$72.86 | 102 | 25 |
|
Eleanor Jane Laclair
133 Park St |
$19.58 | 109 | 73 |
|
Nancy Denis
133 Park Street, Alice Hyde Medical Center |
$9.51 | 177 | 173 |
|
Candy Lynn Michaud
15 4Th St |
$101.67 | 178 | 82 |
|
Gerald W Cahill
23 4Th St |
$57.84 | 187 | 181 |
|
Myrna A Sanchez-Latreille
183 Park St |
$66.62 | 190 | 184 |
|
Joseph E. Robinson
45 6Th St |
$0.33 | 224 | 215 |
|
Mary Ann Jeanette Nesbitt
15 4Th St |
$92.02 | 253 | 67 |
|
April B Worlock
16 3Rd St Ste A |
$36.10 | 269 | 146 |
|
Wilhelmina Marie Sheridan
134 Park St |
$44.64 | 346 | 310 |
|
Brianne Jeror
133 Park St |
$15.45 | 366 | 327 |
|
Marina Medved
24 4Th St |
$33.30 | 432 | 418 |
|
Renu Yadav
133 Park St |
$65.39 | 467 | 457 |
|
Joshua A Craig
133 Park St |
$55.39 | 491 | 436 |
|
Adelanke Chris-Rotimi
5 Clay St |
$95.93 | 492 | 470 |
|
Stephanie Leffler
183 Park Street |
$417.37 | 508 | 415 |
|
Ashley Marie Lavalley
380 Creighton Rd. |
$234.00 | 590 | 293 |
|
Patricia Ann Cook
213 W Main St |
$75.44 | 657 | 557 |
|
Cherie Ann Fairchild
15 4Th St |
$73.67 | 846 | 181 |
|
Claudia Elena Dumitrescu
133 Park St |
$43.91 | 1,156 | 1,155 |
|
Noel Varghese
16 3Rd St |
$54.05 | 1,354 | 1,068 |
|
Jessica Marie Robinson
133 Park St |
$76.07 | 1,361 | 687 |
|
Christin Bell
3372 State Route 11 |
$51.24 | 1,416 | 1,395 |
|
Susan Elizabeth Foster
16 3Rd St Ste A |
$2.53 | 1,504 | 1,258 |
|
Maureen Joan Gallagher
133 Park St |
$70.16 | 1,566 | 1,484 |
|
Alice Hyde Medical Center
133 Park St |
$175.20 | 2,666 | 2,436 |
|
Nina Pierpont
19 Clay St |
$45.64 | 3,169 | 2,349 |
|
Melissa J Benardot
380 Cty Rt 57 |
$76.70 | 3,256 | 2,117 |
|
Judy Laplante
209 Park St |
$105.94 | 5,211 | 1,382 |
|
Vladimir Medved
24 4Th St |
$41.26 | 5,999 | 5,385 |
|
Craig W Richards
380 County Rte 51 |
$73.16 | 6,075 | 3,750 |
|
Amanda Butler
5 Clay St |
$29.83 | 8,223 | 7,172 |
|
Emile Benardot
183 Park St |
$73.77 | 14,394 | 13,407 |
|
Citizen Advocates, Inc
31 6Th St |
$68.07 | 15,237 | 11,633 |
|
Alice Hyde Medical Center
133 Park St |
$120.02 | 64,350 | 57,190 |
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 Malone, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Malone, NY is $92.08 per claim, based on 144,410 claims from 49 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 Malone, NY?
There are 49 Medicaid providers offering Office Visit related services in Malone, NY according to public payment data.
What is the price range for Office Visit in Malone, NY?
Medicaid reimbursement for Office Visit in Malone, NY ranges from $0.00 to $417.37 per claim, with an average of $92.08. 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 Malone, NY
Blood Work & Lab Tests
Avg $14.15
136,494 claims
Psychiatric Evaluation
Avg $109.86
51,469 claims
Vaccines & Immunizations
Avg $9.11
32,221 claims
Dental Cleaning & Exam
Avg $45.01
26,455 claims
Emergency Room Visit
Avg $129.02
22,289 claims
Urinalysis & Urine Tests
Avg $7.11
21,386 claims
Physical Therapy
Avg $80.45
19,980 claims
Ambulance Transport
Avg $106.54
14,577 claims