Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Massena, NY: $83.77

Avg. Paid

$83.77

Range

$0.00 – $225.34

Total Claims

113,070

Providers

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 Massena, NY

Provider	Avg. Paid	Claims	Patients
Massena Hospital Inc 1 Hospital Dr	$149.83	24,529	22,496
John Stephen Burnett 173 E Orvis St	$79.27	16,189	13,632
Mukta Gupta 31 Hospital Dr	$66.38	12,557	10,682
Sanjeev Gupta 31 Hospital Dr	$69.86	12,426	10,223
Nor Hasiah Ramli 17 Hospital Dr	$58.22	7,557	6,974
Matthew John August Prionas 181 Maple St Ste A	$52.72	5,790	5,353
Joshua L Frank 1 Hospital Dr	$74.81	5,574	4,037
Katherine Cox 1 Hospital Dr	$54.18	3,610	3,340
Joseph P Salamy 271 Andrews St Ste 267	$67.94	2,874	2,648
Rohit Barreto 181 Maple St Ste A	$48.11	2,460	2,272
Pamela Sue Leary 1 Hospital Dr	$53.70	1,973	1,922
Neil Joseph Cichetti 38 Hospital Dr	$71.15	1,946	1,819
Kejian Tang 181 Maple St	$60.63	1,928	1,909
Michelle R Prentice 271 Andrews St	$46.44	1,419	1,269
Elizabeth Marie Logalbo 256 Main St	$27.02	1,182	903
Terry Lee Pummer 1 Hospital Dr	$17.72	1,095	760
Francoise Kapinga Bansenga 10 State Highway 37B	$37.60	1,054	939
Nimesh J Desai 267 Andrews St	$34.95	1,040	953
Krista Lynn Francis 267 Andrews St	$58.11	922	842
Cassandra Lynn Lashomb 31 Hospital Dr	$47.82	893	839
Richard C Summermatter North Country Women'S Health	$30.57	882	783
Kathy E Green 16 Phillips St	$225.34	859	355
Birinder S Singh 1 Hospital Dr Fl 3	$57.18	805	786
Alexandra Pesold 17 Hospital Dr	$75.19	650	568
Cosette Anne Witty-Lewis 10 State Highway 37B	$53.83	648	591
Linda W Letham 181 Maple St Ste C	$81.20	414	412
Jill Kennedy 16 Phillips St	$70.31	302	224
Emmanuel Uzoma Nwogu 15 Hospital Dr	$57.58	274	260
Krystal L Thompson 15 Hospital Dr	$47.21	239	233
Ruth Ann Williamson 16 Phillips St	$44.40	233	215
Jeffrey Greenberg 15 Hospital Dr	$47.25	157	142
Christopher A. Dodge 17 Hospital Drive	$97.82	128	64
Joanne Wilson Cichetti 38 Hospital Dr	$92.06	100	98
Laura Marie Goldhar 38 Hospital Dr	$40.79	90	88
Luis Ivan Canales 181 Maple Street	$59.52	81	79
Noreen Hilker Vonborstel 173 E Orvis St	$36.68	62	62
Anna S Beresnev 15 Hospital Dr	$85.34	59	38
Barbara Drake Hillis 15 Hospital Dr	$51.14	28	26
Chelsea Clareann Yager 181 Maple St Ste A	$31.48	15	15
Sanjay N Shah 181 Maple St	$45.69	14	12
Sonya Jhaveri 1 Ashbury Pl	$0.00	12	12

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 Massena, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Massena, NY is $83.77 per claim, based on 113,070 claims from 41 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 Massena, NY?

There are 41 Medicaid providers offering Office Visit related services in Massena, NY according to public payment data.

What is the price range for Office Visit in Massena, NY?

Medicaid reimbursement for Office Visit in Massena, NY ranges from $0.00 to $225.34 per claim, with an average of $83.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Massena, NY: $83.77

Providers Offering Office Visit in Massena, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Massena, NY

Blood Work & Lab Tests

Emergency Room Visit

Ambulance Transport

Urinalysis & Urine Tests

X-Ray

EKG / ECG (Electrocardiogram)

Vaccines & Immunizations

Physical Therapy