Average Medicaid Office Visit Payments in Massena, NY: $83.77
Avg. Paid
$83.77
Range
$0.00 – $225.34
Total Claims
113,070
Providers
41
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 |
|---|---|---|---|
|
Sonya Jhaveri
1 Ashbury Pl |
$0.00 | 12 | 12 |
|
Sanjay N Shah
181 Maple St |
$45.69 | 14 | 12 |
|
Chelsea Clareann Yager
181 Maple St Ste A |
$31.48 | 15 | 15 |
|
Barbara Drake Hillis
15 Hospital Dr |
$51.14 | 28 | 26 |
|
Anna S Beresnev
15 Hospital Dr |
$85.34 | 59 | 38 |
|
Noreen Hilker Vonborstel
173 E Orvis St |
$36.68 | 62 | 62 |
|
Luis Ivan Canales
181 Maple Street |
$59.52 | 81 | 79 |
|
Laura Marie Goldhar
38 Hospital Dr |
$40.79 | 90 | 88 |
|
Joanne Wilson Cichetti
38 Hospital Dr |
$92.06 | 100 | 98 |
|
Christopher A. Dodge
17 Hospital Drive |
$97.82 | 128 | 64 |
|
Jeffrey Greenberg
15 Hospital Dr |
$47.25 | 157 | 142 |
|
Ruth Ann Williamson
16 Phillips St |
$44.40 | 233 | 215 |
|
Krystal L Thompson
15 Hospital Dr |
$47.21 | 239 | 233 |
|
Emmanuel Uzoma Nwogu
15 Hospital Dr |
$57.58 | 274 | 260 |
|
Jill Kennedy
16 Phillips St |
$70.31 | 302 | 224 |
|
Linda W Letham
181 Maple St Ste C |
$81.20 | 414 | 412 |
|
Cosette Anne Witty-Lewis
10 State Highway 37B |
$53.83 | 648 | 591 |
|
Alexandra Pesold
17 Hospital Dr |
$75.19 | 650 | 568 |
|
Birinder S Singh
1 Hospital Dr Fl 3 |
$57.18 | 805 | 786 |
|
Kathy E Green
16 Phillips St |
$225.34 | 859 | 355 |
|
Richard C Summermatter
North Country Women'S Health |
$30.57 | 882 | 783 |
|
Cassandra Lynn Lashomb
31 Hospital Dr |
$47.82 | 893 | 839 |
|
Krista Lynn Francis
267 Andrews St |
$58.11 | 922 | 842 |
|
Nimesh J Desai
267 Andrews St |
$34.95 | 1,040 | 953 |
|
Francoise Kapinga Bansenga
10 State Highway 37B |
$37.60 | 1,054 | 939 |
|
Terry Lee Pummer
1 Hospital Dr |
$17.72 | 1,095 | 760 |
|
Elizabeth Marie Logalbo
256 Main St |
$27.02 | 1,182 | 903 |
|
Michelle R Prentice
271 Andrews St |
$46.44 | 1,419 | 1,269 |
|
Kejian Tang
181 Maple St |
$60.63 | 1,928 | 1,909 |
|
Neil Joseph Cichetti
38 Hospital Dr |
$71.15 | 1,946 | 1,819 |
|
Pamela Sue Leary
1 Hospital Dr |
$53.70 | 1,973 | 1,922 |
|
Rohit Barreto
181 Maple St Ste A |
$48.11 | 2,460 | 2,272 |
|
Joseph P Salamy
271 Andrews St Ste 267 |
$67.94 | 2,874 | 2,648 |
|
Katherine Cox
1 Hospital Dr |
$54.18 | 3,610 | 3,340 |
|
Joshua L Frank
1 Hospital Dr |
$74.81 | 5,574 | 4,037 |
|
Matthew John August Prionas
181 Maple St Ste A |
$52.72 | 5,790 | 5,353 |
|
Nor Hasiah Ramli
17 Hospital Dr |
$58.22 | 7,557 | 6,974 |
|
Sanjeev Gupta
31 Hospital Dr |
$69.86 | 12,426 | 10,223 |
|
Mukta Gupta
31 Hospital Dr |
$66.38 | 12,557 | 10,682 |
|
John Stephen Burnett
173 E Orvis St |
$79.27 | 16,189 | 13,632 |
|
Massena Hospital Inc
1 Hospital Dr |
$149.83 | 24,529 | 22,496 |
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.
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 Massena, NY
Blood Work & Lab Tests
Avg $11.10
94,816 claims
Emergency Room Visit
Avg $105.67
51,866 claims
Ambulance Transport
Avg $109.72
20,605 claims
Urinalysis & Urine Tests
Avg $17.42
18,806 claims
X-Ray
Avg $4.26
15,378 claims
EKG / ECG (Electrocardiogram)
Avg $5.78
13,375 claims
Vaccines & Immunizations
Avg $13.80
13,105 claims
Physical Therapy
Avg $74.72
9,608 claims