Average Medicaid Office Visit Payments in Middletown, NY: $89.34
Avg. Paid
$89.34
Range
$0.53 – $193.97
Total Claims
849,019
Providers
467
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 Middletown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Crystal Run Healthcare Physicians Llp
155 Crystal Run Rd |
$121.85 | 35,016 | 31,310 |
|
Middletown Medical Pc
111 Maltese Dr |
$126.82 | 31,309 | 28,438 |
|
Jagruti Pankaj Gohel
111 Maltese Dr |
$94.48 | 30,444 | 26,389 |
|
Access: Supports For Living Inc
15 Fortune Road West |
$116.00 | 22,669 | 20,929 |
|
Neal R Dunkelman
42 Rykowski Lane |
$56.54 | 19,549 | 16,997 |
|
Richard Frank Walker
90 Crystal Run Rd |
$67.90 | 16,820 | 14,903 |
|
Rodolfo A Nazario
129 Wickham Ave |
$72.32 | 14,347 | 8,889 |
|
Rajan Gulati
111 Maltese Dr |
$87.77 | 13,518 | 11,526 |
|
Muhammad Malik
15 Fortune Rd W |
$95.55 | 11,255 | 10,231 |
|
Maria Reyes
111 Maltese Dr |
$89.57 | 11,123 | 10,051 |
|
Vijay Pampana
111 Maltese Dr |
$135.95 | 11,023 | 10,891 |
|
Garnet Health Medical Center
707 East Main Street |
$120.84 | 10,001 | 8,738 |
|
Albalira Gibson-Borrelli
42 Rykowski Ln |
$49.22 | 9,772 | 8,372 |
|
Quazi Al-Tariq
225 Dolson Ave Ste 206A |
$54.55 | 8,745 | 7,845 |
|
Lucy Palomino
707 E Main St |
$44.69 | 8,742 | 5,674 |
|
Aslam Jangda
300 Crystal Run Rd |
$97.88 | 8,469 | 7,923 |
|
Laura Beth Bonacore
14 Grove St |
$68.18 | 8,010 | 5,648 |
|
Sadia Khandaker
21 Orchard St |
$39.85 | 7,801 | 6,023 |
|
Lernice L. Henry
100 Crystal Run Rd |
$87.57 | 7,023 | 6,514 |
|
Jocelyn A. Dummett
300 Crystal Run Rd |
$93.84 | 6,953 | 6,422 |
|
Yu Sun
155 Crystal Run Rd |
$70.45 | 6,704 | 5,808 |
|
Rubina Akhter
155 Crystal Run Rd |
$73.94 | 6,453 | 5,376 |
|
Aneela A Kundnani-Kriplani
155 Crystal Run Rd |
$68.18 | 6,354 | 5,738 |
|
Jaime Cepeda
384 Crystal Run Rd Ste 201 |
$76.03 | 6,258 | 5,568 |
|
Alex Aleksey Kamenshikov
10 Benton Ave |
$72.74 | 6,045 | 4,295 |
|
Benjamin A Margolis
16-24 Union Street |
$60.10 | 6,040 | 5,496 |
|
Orange Urgent Care Pllc
75 Crystal Run Rd |
$121.26 | 5,899 | 5,627 |
|
Aleksandr Guchinskiy
95 Crystal Run Rd |
$76.11 | 5,890 | 5,760 |
|
Erena Treskova
682 E Main St Ste 2D |
$114.07 | 5,885 | 5,747 |
|
Natalie Milagros Jouve
10 Benton Ave |
$74.63 | 5,757 | 4,169 |
|
Uri Napchan
111 Maltese Dr |
$126.58 | 5,750 | 5,433 |
|
Jonathan A. Rudnick
95 Crystal Run Rd |
$82.08 | 5,703 | 5,670 |
|
Deirdre Aine Harde-Perry
10 Benton Ave |
$75.08 | 5,615 | 3,567 |
|
Garnet Health Doctors Pc
707 E Main St |
$112.88 | 5,561 | 5,204 |
|
Jenny Q Lu
75 Crystal Run Rd |
$84.69 | 5,392 | 4,655 |
|
Sushil Kumar Dhawan
111 Maltese Dr |
$67.03 | 5,388 | 4,531 |
|
Raymond S Basri
236 Crystal Run Rd |
$75.37 | 5,363 | 4,525 |
|
James D Mclaughlin
155 Crystal Run Rd |
$52.05 | 5,300 | 5,127 |
|
Patricia Lynch
100 Crystal Run Road |
$87.97 | 4,908 | 4,717 |
|
Samatha Bagam
100 Crystal Run Rd |
$93.54 | 4,892 | 4,655 |
|
Yvette Figueroa
10 Benton Ave |
$81.08 | 4,867 | 3,754 |
|
Lillian M. Kaminsky
95 Crystal Run Rd |
$105.78 | 4,760 | 3,745 |
|
Joanna Barbara Bochenek
400 Midway Park Dr |
$89.14 | 4,709 | 4,349 |
|
Amanda Hansen
111 Maltese Dr |
$104.07 | 4,657 | 4,267 |
|
Jennifer Lynn Siruchek
155 Crystal Run Rd |
$68.17 | 4,566 | 4,524 |
|
Amy E. Spoto
100 Crystal Run Rd |
$95.20 | 4,553 | 4,336 |
|
Richard T. Fuchs
100 Crystal Run Rd |
$97.17 | 4,262 | 3,993 |
|
Jinlin Du
95 Crystal Run Rd |
$115.30 | 4,185 | 4,154 |
|
Philip D. Wilken
155 Crystal Run Rd |
$127.70 | 4,006 | 2,913 |
|
Maryann Park
111 Maltese Dr |
$107.18 | 3,937 | 3,730 |
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 Middletown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middletown, NY is $89.34 per claim, based on 849,019 claims from 467 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 Middletown, NY?
There are 467 Medicaid providers offering Office Visit related services in Middletown, NY according to public payment data.
What is the price range for Office Visit in Middletown, NY?
Medicaid reimbursement for Office Visit in Middletown, NY ranges from $0.53 to $193.97 per claim, with an average of $89.34. 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 Middletown, NY
Blood Work & Lab Tests
Avg $8.75
466,678 claims
Home Health Visit
Avg $130.57
264,098 claims
Dental Cleaning & Exam
Avg $34.48
202,343 claims
Emergency Room Visit
Avg $124.41
199,236 claims
Psychiatric Evaluation
Avg $105.46
199,025 claims
Substance Abuse Treatment
Avg $67.54
169,986 claims
X-Ray
Avg $9.37
113,864 claims
Ultrasound
Avg $104.49
112,942 claims