Based on public Medicaid payment data.

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
Jennifer Scheurer 707 E Main St	$76.10	12	12
Karthika Linga 707 E Main St	$131.19	12	12
Irene Eng 25 Myrtle Ave	$34.53	12	12
Sandeep Malhotra 95 Crystal Run Rd	$174.25	13	13
Carrie Ann St Amand 28 Rykowski Ln	$104.25	13	13
Shewli Roy 707 E Main St	$82.89	13	13
Hanna Kim 95 Crystal Run Rd	$92.57	13	13
Akash Goel 155 Crystal Run Rd	$32.97	13	12
Jonathan Nasser 300 Crystal Run Rd	$100.53	13	13
Kelly Anne Markisello 707 E Main St	$100.96	13	13
Florence Jean-Louis 707 E Main St	$82.59	14	14
Frederick B Cowen 155 Crystal Run Rd	$55.78	14	14
Shanza Khan Mahmood 707 E Main St	$90.19	14	14
Anila Krovvidi 707 E Main St	$111.19	14	13
Thomas R. Eanelli Radiation Oncology Services, Pllc 75 Crystal Run Rd	$32.55	15	14
Melanye Lynn Rockwell 111 Maltese Dr	$9.86	15	15
Evan James Hawkins 95 Crystal Run Rd	$140.86	15	13
Natalia Y Rezvina 60 Dunning Rd	$32.50	16	12
Ronica M Bennett 707 E Main St	$120.81	16	13
Veronica Lupian 111 Maltese Dr	$14.71	17	16
Cheryl A. Briggins 155 Crystal Run Rd	$80.59	18	18
Yvonne Santiago 400 Midway Park Drive	$102.87	23	19
Lissette Giraud 155 Crystal Run Rd	$96.32	26	26
Raghuram Gorti 707 E Main St	$77.73	26	25
Samer El Zarif 707 E Main St	$89.32	27	27
Sandra L Sacks 95 Crystal Run Rd	$91.14	28	28
Justin Ramboros Ramcharitar 707 E Main St	$64.23	35	33
Guillermo Uy 95 Crystal Run Rd	$84.09	36	36
Amy Lee Dimase 95 Crystal Run Rd	$90.93	38	38
Scott M Woolf 707 E Main St	$90.61	38	38
Subrata Kar 111 Maltese Dr	$108.49	39	37
Rachelle Marie Brutus-Bush 707 E Main St	$98.33	40	40
Alejandro Francisco Centurion 707 E Main St	$100.56	40	40
Maria Ann Mazuca 707 E Main St	$76.13	41	41
Jorge A. Ortiz 707 E Main St	$1.18	41	40
Angela Krisel 155 Crystal Run Rd	$78.23	42	42
Yingna Zhou 14 Jason Pl, Suite 201	$104.45	44	41
Jessica Diaz 111 Maltese Dr	$130.71	46	46
Ria Sajnani 95 Crystal Run Rd	$122.08	52	47
Denise L. Smithem 155 Crystal Run Rd	$34.06	53	51
Katherine Bergamo 111 Maltese Dr	$40.36	55	54
Christina Hahn 707 E Main St	$79.22	55	53
Lee H Shapley 155 Crystal Run Rd	$43.67	55	48
Mary Kallmeyer 111 Maltese Dr	$160.68	56	56
Nicole B. Schachnovsky 111 Maltese Dr	$102.85	57	57
Pavel Cruz 707 E Main St	$103.61	58	58
Jessica Paige Harris 95 Crystal Run Rd	$65.17	59	59
Karen Esther Paul 75 Crystal Run Rd	$119.76	60	59
Francie Fortuno Sales 111 Maltese Dr	$22.50	60	56
Yasmin Leigh 707 E Main St	$47.83	60	58

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.

Average Medicaid Office Visit Payments in Middletown, NY: $89.34

Providers Offering Office Visit in Middletown, NY

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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